MICHAEL JOHNATHON ELLIOTT M.D. NPI 1104845569

NPI Information

  • NPI: 1104845569
  • Provider Name: MICHAEL JOHNATHON ELLIOTT, M.D.
  • Classification: Orthopaedic Surgery - 207XP3100X
  • Specialization: Pediatric Orthopaedic Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1500 E 2ND ST STE 300
    RENO, NV
    ZIP 89502
  • Phone: (775) 982-5000

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NPI Details

Michael Johnathon Elliott, M.D. is a pediatric orthopaedic surgery orthopaedic surgery in Reno, NV with 34 years of experience. The provider is an orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones. Michael Johnathon Elliott, M.D. NPI is 1104845569. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Graduation Year:1991

The provider's business location address is:

1500 E 2ND ST STE 300
RENO, NV
ZIP 89502-198
Phone: (775) 982-5000
Fax: (775) 982-3900

The NPI 1104845569 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Hip replacement (HCPCS:NAN09)

The enumeration date for this NPI number is 7/18/2006 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207X00000XOrthopaedic SurgeryG75995CALIFORNIANo
2207XP3100XOrthopaedic SurgeryPediatric Orthopaedic Surgery18506NEVADAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10101233368OTHERVIRGIN ISLANDSVIRGINIA MEDICAL LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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