DR. ERIC M ELLIOT DMSC, PA-C
NPI 1508825605
Physician Assistant in Oconomowoc, WI

Q: What is Eric Elliot's NPI number?

The NPI number for Eric Elliot is 1508825605. It was assigned to this individual provider in the NPPES registry on March 20, 2006.

Q: What is Eric Elliot's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Eric Elliot was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 20, 2006

888 THACKERAY TRL STE 103, OCONOMOWOC, WI 53066(262) 330-0062(262) 330-0062 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 3, 2025, Feb 21, 2023, Nov 23, 2015 (3 updates tracked since 2015).

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About Dr. Eric M Elliot Dmsc, Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ERIC M ELLIOT DMSC, PA-C (NPI 1508825605) is an individual physician assistant in Oconomowoc, Wisconsin, licensed in Wisconsin (3443-23) and active in the NPI registry since March 2006. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1508825605

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameDR. ERIC M ELLIOTCredential: DMSC, PA-C

Location Address888 THACKERAY TRL STE 103Oconomowoc, WI 53066-4342

Mailing Address200 W Summit Ave Ste 290Wales, WI 53183-9427 · (844) 726-3926 · Fax (857) 364-6016

Phone(262) 330-0062

Fax(262) 330-0062

Sole ProprietorNo

Enumeration DateMarch 20, 2006

Last NPPES UpdateMarch 3, 20253 updates tracked since enumeration

NPPES CertifiedMarch 3, 2025

✔ NPI 1508825605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in WI · 3443-23✔ Licensed in ME · PA850

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

888 THACKERAY TRL STE 103, Oconomowoc, WI 53066

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Secondary Practice Locations 2

Location 1150 S Huntington Ave, VA BOSTON HEALTHCARE SYSTEM (C&P/11)Boston, MA 02130-4817 · Phone (857) 364-5569 · Fax (857) 364-6016

Location 2200 W Summit Ave Ste 290Wales, WI 53183-9427 · Phone (844) 726-3926 · Fax (844) 726-3926

Other Identifiers 2

Medicaid1023800100ME

Medicaid154420000ME

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. STAN L MARKUS MD

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