MEDICARE: J CHARLES ELLIOTT PA

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	363AM0700X	Medical Physician Assistant	5601003585	MI

General Provider Information

NPI Number	:	1841299617
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	J CHARLES ELLIOTT PA

Provider Business Mailing Address
First Line	:	416 S CREYTS RD
Second Line	:
City	:	LANSING
State	:	MI
Zip	:	48917-8290
Country	:	US
Telephone Number	:	517-886-0333
Fax Number	:	517-886-2072

Provider Business Practice Location Address
First Line	:	416 S CREYTS RD
Second Line	:
City	:	LANSING
State	:	MI
Zip	:	48917-8290
Country	:	US
Telephone Number	:	517-886-0333
Fax Number	:	517-886-2072

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

Provider Enumeration Date	:	07/14/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1225670367 — SARAH ROUSAKIS PHYSICIAN ASSISTANT
Practice Location Address:

416 S CREYTS RD STE A
LANSING, MI
48917-8290

Practice Phone: 517-886-0333
Practice Fax: 517-886-2072

1184625576 — JOHN KOLAR P.T.
Practice Location Address:

416 S CREYTS RD , SUITE B
LANSING, MI
48917-8290

Practice Phone: 517-327-0966
Practice Fax: 517-327-0986

1285635482 — SCOTT BENJAMIN P.T.
Practice Location Address:

416 S CREYTS RD , SUITE B
LANSING, MI
48917-8290

Practice Phone: 517-327-0966
Practice Fax: 517-327-0986

1275570186 — EXCLUSIVE PHYSICAL THERAPY INC
Practice Location Address:

416 S CREYTS RD , SUITE B
LANSING, MI
48917-8290

Practice Phone: 517-327-0966
Practice Fax: 517-327-0986

1447289285 — DR. MARK E HATCH D.O.
Practice Location Address:

416 S CREYTS RD
LANSING, MI
48917-8290

Practice Phone: 517-886-0333
Practice Fax: 517-886-2072

1841222775 — DR. RONALD C MILLER D.O.
Practice Location Address:

416 S CREYTS RD
LANSING, MI
48917-8290

Practice Phone: 517-886-0333
Practice Fax: 517-886-2072

Directions to “ J CHARLES ELLIOTT PA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.