MEDICARE: ELISE NOEL HUGHES 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
1	207Q00000X	Family Medicine Physician	M6798	ID
2	207Q00000X	Family Medicine Physician	C54156	CA

Other Identifiers

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

General Provider Information

NPI Number	:	1235199563
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELISE NOEL HUGHES MD

Provider Business Mailing Address
First Line	:	C/O UCSC STUDENT HEALTH SERVICES
Second Line	:	1156 HIGH ST
City	:	SANTA CRUZ
State	:	CA
Zip	:	95064
Country	:	US
Telephone Number	:	831-459-2211
Fax Number	:	831-459-3546

Provider Business Practice Location Address
First Line	:	C/O UCSC STUDENT HEALTH SERVICES
Second Line	:	1156 HIGH ST
City	:	SANTA CRUZ
State	:	CA
Zip	:	95064
Country	:	US
Telephone Number	:	208-466-7869
Fax Number	:	208-466-5359

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

Provider Enumeration Date	:	03/23/2006
Last Update Date	:	04/25/2025

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