MEDICARE: CAMERON A. ELLIOTT DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	36001546E	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00413731	OTHER	OH	MEDICARE RR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033190665
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAMERON A. ELLIOTT DPM

Provider Business Mailing Address
First Line	:	2127 STATE RD
Second Line	:
City	:	CUYAHOGA FALLS
State	:	OH
Zip	:	44223-1427
Country	:	US
Telephone Number	:	330-929-3331
Fax Number	:	330-929-5408

Provider Business Practice Location Address
First Line	:	2127 STATE RD
Second Line	:
City	:	CUYAHOGA FALLS
State	:	OH
Zip	:	44223-1427
Country	:	US
Telephone Number	:	330-929-3331
Fax Number	:	330-929-5408

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/10/2005
Last Update Date	:	02/07/2008

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Directions to “ CAMERON A. ELLIOTT DPM” Practice Location

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