Healthcare Provider Details

I. General information

NPI: 1588845028
Provider Name (Legal Business Name): NATHANIEL RAY MCELHANEY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/26/2007
Last Update Date: 02/28/2024
Certification Date: 01/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10301 HAGEN RANCH RD STE A960
BOYNTON BEACH FL
33437-3749
US

IV. Provider business mailing address

1329 PIAZZA PITTI # 42
BOYNTON BEACH FL
33426-8273
US

V. Phone/Fax

Practice location:
  • Phone: 561-955-4220
  • Fax: 833-626-1924
Mailing address:
  • Phone: 443-798-8222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number47832
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License NumberD0074606
License Number StateMD
# 4
Primary TaxonomyN
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License NumberMD458611
License Number StatePA
# 5
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number165577
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: