MEDICARE: DR. NATHANIEL RAY MCELHANEY 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	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	47832	TN
2	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	D0074606	MD
3	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	MD458611	PA
4	390200000X	Student in an Organized Health Care Education/Training Program
5	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	165577	FL

General Provider Information

NPI Number	:	1588845028
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NATHANIEL RAY MCELHANEY MD

Provider Business Mailing Address
First Line	:	1329 PIAZZA PITTI # 42
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33426-8273
Country	:	US
Telephone Number	:	443-798-8222
Fax Number	:

Provider Business Practice Location Address
First Line	:	10301 HAGEN RANCH RD STE A960
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33437-3749
Country	:	US
Telephone Number	:	561-955-4220
Fax Number	:	833-626-1924

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

Provider Enumeration Date	:	11/26/2007
Last Update Date	:	02/28/2024

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