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NPI Code Detail

MEDICARE: DR. ANNE HAWTHORNE ELIASON MD

MEDICARE: DR. ANNE HAWTHORNE ELIASON MD
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
1208100000XPhysical Medicine & Rehabilitation Physician0101277403VA
2208100000XPhysical Medicine & Rehabilitation PhysicianD0083644MD
3390200000XStudent in an Organized Health Care Education/Training Program

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134565377
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANNE HAWTHORNE ELIASON MD
Provider Business Mailing Address
First Line : 1776 WOODSTEAD CT STE 208
Second Line :
City : THE WOODLANDS
State : TX
Zip : 77380-1480
Country : US
Telephone Number : 877-749-7428
Fax Number :
Provider Business Practice Location Address
First Line : 250 JOSEPHS DR
Second Line :
City : YORKTOWN
State : VA
Zip : 23693-3405
Country : US
Telephone Number : 757-272-0300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2013
Last Update Date : 12/04/2025

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