Dr. Richard Scott Elloway
Gastroenterologist
1010 S. Scheuber Road Suite G
Centralia
, Washington 98531-8877
Dr. Richard Scott Elloway
Gastroenterologist
1010 S. Scheuber Road Suite G
Centralia
, Washington 98531-8877
(360) 491-5055
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About
Features
Specialties
- Gastroenterologist
Languages spoken
- English
Location
First Address
- Dr. Richard Scott Elloway
- 1401 Marvin Road, Ne Suite 307 Pmb 266
- Lacey, WA
- Zip : 98516-5709
- Phone : (360) 491-5055
Second Address
- Dr. Richard Scott Elloway
- 1010 S. Scheuber Road Suite G
- Centralia, WA
- Zip : 98531-8877
- Fax : (360) 330-8816
- Phone : (360) 330-8808
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0100X | Gastroenterologist | MD00029202 | WA |
National Provider Identifier
| NPI | 1003841958 |
|---|---|
| Provider Name | Dr. Richard Scott Elloway |
| First Address | Lacey, WA 98516-5709 |
| Second Address | Centralia, WA 98531-8877 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/07/2006 |
| Last Update Date | 06/06/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 100005752 | RR MEDICARE (01) | WA |
| 1086933 | (05) | WA |
| 333154001 | GROUP HEALTH (01) | WA |
| 58585 | L&I WORKERS COMP (01) | WA |
| 911639821 | TAX ID (01) | WA |
| D20530 | PACC (01) | WA |
| EL5942 | BL CROSS BL SHIELD (01) | WA |
| F28655 | (02) | |
| F28655 | (02) | WA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.