Provider Demographics
NPI:1447259858
Name:MCELVEEN, JOHN T JR (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:T
Last Name:MCELVEEN
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:5900 SIX FORKS RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-3838
Mailing Address - Country:US
Mailing Address - Phone:919-867-4327
Mailing Address - Fax:919-876-6800
Practice Address - Street 1:5900 SIX FORKS RD
Practice Address - Street 2:SUITE 200
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-3838
Practice Address - Country:US
Practice Address - Phone:919-867-4327
Practice Address - Fax:919-876-6800
Is Sole Proprietor?:No
Enumeration Date:2005-07-18
Last Update Date:2017-02-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC30769207YX0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0901XAllopathic & Osteopathic PhysiciansOtolaryngologyOtology & Neurotology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC040007839OtherRAILROAD MEDICARE
NC8956482Medicaid
SCQ30769Medicaid
SCAA24958905Medicare PIN
NC040007839OtherRAILROAD MEDICARE
NC208685FMedicare PIN