Dr. Charles C Elliott , MD
Specialist • Idabel, OK
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Charles Elliott has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Charles Elliott, MD was a registered Specialist practicing in Idabel, OK. Throughout an active medical career spanning 16 years, Dr. Elliott provided care at the practice location at 1301 E LINCOLN RD until profile deactivation on 2022-08-29.
Practice Location & Contact Primary Location
1301 E Lincoln Rd
Idabel, OK 747457300
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in Idabel, OK
Practicing in Idabel, OK (463 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Internal Medicine
Doctor of Medicine (M.D.)
Career & Practice History Timeline
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Record deactivated on August 29, 2022
NPI status registered as active in NPPES database
Registered at 1301 E LINCOLN RD, IDABEL, OK 747457300 (Tel: 5802083104)
Registered at RR 2, SALLISAW, OK 749559671 (Tel: 9182487520)
Recorded as CHARLES ELLIOTT, M.D.
Specialist (License #7914 in OK)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
Rr 2
Sallisaw, OK 749559671
Phone: 9182487520
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