Provider Demographics
NPI:1700865292
Name:BIGGS, ELLIOTT (DPM)
Entity Type:Individual
Prefix:DR
First Name:ELLIOTT
Middle Name:
Last Name:BIGGS
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:559 RIVERVIEW RD
Mailing Address - Street 2:
Mailing Address - City:GATES MILLS
Mailing Address - State:OH
Mailing Address - Zip Code:44040-9649
Mailing Address - Country:US
Mailing Address - Phone:440-423-3421
Mailing Address - Fax:
Practice Address - Street 1:18660 BAGLEY RD
Practice Address - Street 2:STE 301
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44130-3480
Practice Address - Country:US
Practice Address - Phone:440-243-1473
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1553213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH40032446OtherRAILROAD MEDICARE
OH0201918Medicaid
OH0366741Medicare ID - Type Unspecified
OH0201918Medicaid