Nicole Elliott, DO
Emergency Medicine in Bethlehem, PA. Individual provider (NPI-1).
NPI number1396005708
StatusActive
Last updated in NPPESApr 7, 2016
Details
- NPI
- 1396005708
- Entity type
- Individual (NPI-1)
- Name
- Nicole Elliott
- Credential
- DO
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 18, 2012
- Last updated
- Apr 7, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - EMERGENCY MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | OS017455 | PA | Yes |
| 207P00000X | Emergency Medicine | OT014521 | PA |
Practice location
2545 Schoenersville Rd5 Floor
Bethlehem, PA 18017-7300
Phone 484-884-2888 · Fax 484-884-2885
Mailing address
Po Box 783311Philadelphia, PA 19178-3311
Phone 484-884-4500 · Fax 484-884-0699
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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