Individual
DR. ROBERT NEIL ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2400 17TH ST, COLUMBUS, IN 47201
(812) 376-5974
(812) 375-3203
Mailing address
411 PLAZA DR, SUITE H, COLUMBUS, IN 47201-2916
(812) 376-5974
(812) 375-3203
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01056931A
IN
208M00000X
Hospitalist Physician
Primary
01056931A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000598991
BCBS
IN
01
—
000000983472
ANTHEM PIN
IN
01
—
1396910139
GRP NPI
IN
05
—
200165460
—
IN
01
—
P00732683
MEDICARERR
IN
Enumeration date
06/08/2005
Last updated
08/13/2018
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