MEDICARE: ELIZABETH HOUGHTON PA-C

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	363A00000X	Physician Assistant	C03859	MD
2	363A00000X	Physician Assistant	5601004557	MI

General Provider Information

NPI Number	:	1215969241
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH HOUGHTON PA-C

Provider Business Mailing Address
First Line	:	721 GORSUCH AVE
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21218-3525
Country	:	US
Telephone Number	:	810-300-2126
Fax Number	:

Provider Business Practice Location Address
First Line	:	850 W BARAGA AVE
Second Line	:
City	:	MARQUETTE
State	:	MI
Zip	:	49855-4550
Country	:	US
Telephone Number	:	906-449-3000
Fax Number	:

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

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	12/07/2020

Similar Medicare Providers

1013919380 — DR. ROBERT JOHN CARROLL M.D.
Practice Location Address:

850 W BARAGA AVE
MARQUETTE, MI
49855-4550

Practice Phone: 906-449-3000
Practice Fax:

1982687026 — DANIEL DOMINGUES DE OLIVEIRA M.D.
Practice Location Address:

850 W BARAGA AVE STE 20
MARQUETTE, MI
49855-4550

Practice Phone: 906-449-3440
Practice Fax: 906-449-1952

1952368557 — JOHN PATRICK SULLIVAN M.D.
Practice Location Address:

850 W BARAGA AVE
MARQUETTE, MI
49855-4550

Practice Phone: 906-449-3000
Practice Fax:

1417905258 — DR. GEORGE ALAN KRZYMOWSKI M.D.
Practice Location Address:

850 W BARAGA AVE
MARQUETTE, MI
49855-4550

Practice Phone: 906-449-3000
Practice Fax:

1033129390 — KENNETH BURAN M.D.
Practice Location Address:

850 W BARAGA AVE STE 32
MARQUETTE, MI
49855-4550

Practice Phone: 906-449-3680
Practice Fax: 833-916-2211

1659448801 — DR. MARTIN HUGH MATTHEWS MD
Practice Location Address:

850 W BARAGA AVE
MARQUETTE, MI
49855-4550

Practice Phone: 906-449-3000
Practice Fax:

Directions to “ ELIZABETH HOUGHTON PA-C” 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.