Provider Demographics
NPI:1588845028
Name:MCELHANEY, NATHANIEL RAY (MD)
Entity Type:Individual
Prefix:DR
First Name:NATHANIEL
Middle Name:RAY
Last Name:MCELHANEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1329 PIAZZA PITTI # 42
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33426-8273
Mailing Address - Country:US
Mailing Address - Phone:443-798-8222
Mailing Address - Fax:
Practice Address - Street 1:10301 HAGEN RANCH RD STE A960
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33437-3749
Practice Address - Country:US
Practice Address - Phone:561-955-4220
Practice Address - Fax:833-626-1924
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-26
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN47832208G00000X
MDD0074606208G00000X
PAMD458611208G00000X
390200000X
FL165577208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program