Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clark A. Elliott, MD

Individual provider Otolaryngology Physician · NPI 1871540567

Clark A. Elliott, MD is an Otolaryngology in Traverse City, Michigan. Graduated from University of Manitoba, Faculty of Medicine in 1982, 44 years ago. Practices with Richard C Schultz MD and Associates PC, a 5-clinician group and accepts Medicare assignment. Licensed in Kentucky and North Dakota.

Years since qualifying
44
Trained at
University of Manitoba, Faculty of Medicine
Licensed in
KY, ND
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1104 Cass St
Traverse City, MI 49684-3236
Phone: (231) 941-1155
Fax: (231) 259-1005
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 12266 (ND)
Otolaryngology Physician Taxonomy 207Y00000X · Licence 41717 (KY)
Pediatric Otolaryngology Physician Taxonomy 207YP0228X · Licence 41717 (KY)

Record details

NPI number1871540567
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 28, 2006
Last updated in NPPESJanuary 16, 2025
Certification dateJanuary 16, 2025
Mailing address1104 Cass St, Traverse City, MI 49684-3236

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Medical schoolUNIVERSITY OF MANITOBA, FACULTY OF MEDICINE
Graduated 1982 (44 years in practice)
Group practice Richard C Schultz Md And Associates Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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