NPI Code Details Logo

NPI 1396168688

NPI 1396168688 : ELKINS MEDICAL PRACTICE PLLC : CLEARFIELD, PA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1396168688
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    ELKINS MEDICAL PRACTICE PLLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    01/23/2014
-----------------------------------------------------
    Last Update Date     |    08/19/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    820 TURNPIKE AVENUE 
-----------------------------------------------------
    City                 |    CLEARFIELD
-----------------------------------------------------
    State                |    PA
-----------------------------------------------------
    Zip                  |    16830-1233
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    814-765-5712
-----------------------------------------------------
    Fax                  |    814-746-4171
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    820 TURNPIKE AVENUE 
-----------------------------------------------------
    City                 |    CLEARFIELD
-----------------------------------------------------
    State                |    PA
-----------------------------------------------------
    Zip                  |    16830-1233
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    814-765-5712
-----------------------------------------------------
    Fax                  |    814-746-4171
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |    DR. CAROL G ELKINS 
-----------------------------------------------------
    Credential           |    MD
-----------------------------------------------------
    Telephone            |    814-765-5712
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207Q00000X
-----------------------------------------------------
    Taxonomy Name        |    Family Medicine Physician
-----------------------------------------------------
    License Number       |    MD036923E
-----------------------------------------------------
    License Number State |    PA
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.