P Praxis·MD
● Active Type 1 · Individual

DR. Anthony John Elisco III, D.O.

Urology·Greenville, TX· NPI 1922021856 · Enumerated 2006 · 19 years on NPI
Elisco is 1 of 3 urology providers in Greenville and 1 of 1194 in Texas.
NPI age
19 years
Enumerated 2006-07-25
Primary specialty
Urology
Plus 1 subspecialty
Licensed in
TX, PA
2 states
Status
Active
No deactivations on record
Last NPPES update
2026-04-30
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1194 active urology providers in Texas.

NPI age
19 years
≈ at median (19 yr)
State licenses
2 states
Top 88% — 12% of peers are multi-state
Subspecialties
0
22% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-07Enumerated in NPPES
2006 2026

Where they practice

Practice location
4211 Joe Ramsey Blvd E Ste 100
Greenville, TX 754017856
📞 9034087930fax 9034087929
Mailing address
4215 Joe Ramsey Blvd E
Greenville, TX 754017852
📞 9034085834fax 9034085693

Specialties

  • Urology Primary
    A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of...
    TX license #Q9805PA license #OS007527L taxonomy 208800000X

Identifiers

TypeValueNotes
05 (TX) 366443501
01 (TX) 539307YMPG MEDICARE
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 14 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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