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

Zachary Elliott

Individual provider Emergency Medicine Physician · NPI 1376101501

Zachary Elliott is an Emergency Medicine in Fargo, North Dakota. Qualified in 2019, 7 years ago. Practices with Sanford Medical Center Fargo, a 1,212-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and North Dakota.

Years since qualifying
7
Licensed in
IL, ND
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

5225 23rd Ave S
Fargo, ND 58104-7927
Phone: (701) 417-2575
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 701 N 1st St Ste D220, Springfield, IL 62702-3757 — (217) 545-3518

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 18403 (ND)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 125074294 (IL)

Record details

NPI number1376101501
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 3, 2019
Last updated in NPPESMay 6, 2024
Certification dateMay 6, 2024
Mailing addressPo Box 5074, Sioux Falls, SD 57117-5074

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Sanford Medical Center Fargo — 1212 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fargo