DR. ERIC ELLINGSON (NPI# 1083600977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083600977 |
Entity Type | Individual |
Full Name | DR. ERIC ELLINGSON |
Credential | D.C. |
Practice Address |
5410 Nc Highway 55 Suite E Durham NC 27713-7800 |
Practice Telephone | 9195419311 |
Mailing Telephone | 9195419311 |
Enumeration Date | 2005-09-26 |
Last Update Date | 2010-11-16 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 2950 | NC | Chiropractic Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 89085GM | 05 | |
NC | BLUECROSS BLUESHIELD | 085GM | 01 |
NC | ACN | 651206 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053739466 | Eric John Ellingson | Hearing Instrument Specialist | 1701 11th Ave S, Great Falls, MT 59405-4849 | 2014-04-02 |
1376839324 | Eric Ellingson | Emergency Medicine | 333 Smith Ave N, Saint Paul, MN 55102-2344 | 2011-06-28 |
1174605513 | Eric Matthew Ellingson | Physical Therapist | 45 Lyme Rd, Suite 303, Hanover, NH 03755-1219 | 2006-10-19 |
Street Address |
5410 NC HIGHWAY 55 SUITE E |
City | DURHAM |
State | NC |
Zip Code | 27713-7800 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639439557 | Malisa Sha'ree Lucas | Specialist | 5410 Nc Highway 55, Durham, NC 27713-7800 | 2012-05-25 |
1851499297 | Ellingson Family Chiropractic, Pa | Chiropractor | 5410 Nc Highway 55, Suite E, Durham, NC 27713-7800 | 2006-09-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558977074 | Zoe Wellness | Clinic/Center | 5322 Nc 55, 102, Durham, NC 27713 | 2020-09-21 |
1194352542 | Mariah Davis | Counselor | 1822 East Hwy Nc 54, Suite 300, Durham, NC 27713 | 2020-03-25 |
1316589138 | Monarch | Community/Behavioral Health | 1513 Piperwood Court, Durham, NC 27713 | 2019-10-14 |
1205486081 | Lisa Mesmer Barnes | Nurse Practitioner | 5309hwy 55, Suite 105, Durham, NC 27713 | 2019-09-13 |
1497315352 | Mary Therese Wood | Social Worker | 1822 E Highway 54, Suite 300, Durham, NC 27713 | 2019-06-13 |
1720558307 | Kevin D Simmons | Counselor | 1822 Nc Hwy 54 Suite 300, Durham, NC 27713 | 2018-11-27 |
1790265585 | Kelli Cryer | Counselor | 54 E Nc Hwy 1822, Suite 300, Durham, NC 27713 | 2018-08-21 |
1477039253 | Mahavir Rx, LLC | Pharmacy | 6216 Fayetteville Rd Ste 105, Durham, NC 27713 | 2018-07-16 |
1811482862 | Tessa Taylor | Dentist | 2515 E Nc Highway 54 Ste 2000, Durham, NC 27713 | 2018-06-22 |
1013401579 | Emily Louise Haller | Counselor | 1822 E Hwy 54, Suite 300, Durham, NC 27713 | 2018-06-19 |
Find all providers in zip 27713 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912515255 | Tyson William Devereux | Chiropractor | 8202 Renaissance Pkwy, Durham, NC 27713-6694 | 2020-07-22 |
1396373874 | Valentina Degiovanni | Chiropractor | 5501 Fortunes Ridge Dr Ste L, Durham, NC 27713-6102 | 2020-03-30 |
1316591431 | Richard Alan Perloff | Chiropractor | 416 Farintosh Valley Ln, Durham, NC 27703-8115 | 2019-07-26 |
1982269270 | University Chiropractic Office Corporation | Chiropractor | 2717 Western Byp Ste 1019, Durham, NC 27705-5770 | 2019-05-02 |
1356805519 | Alexzandra Natalia Volpe | Chiropractor | 3604 Shannon Rd Ste 100, Durham, NC 27707-6343 | 2019-01-22 |
1326511197 | Aqeila Shepherd | Chiropractor | 6224 Fayetteville Rd Ste 106b, Durham, NC 27713-6288 | 2019-01-04 |
1861970808 | Adrian Cornelius Laros | Chiropractor | 8202 Renaissance Pkwy Ste 108, Durham, NC 27713-6694 | 2018-08-01 |
1386169787 | Ryan Funderburk | Chiropractor | 202 W Nc Highway 54 Ste 103, Durham, NC 27713-7564 | 2017-08-07 |
1407224181 | Krista Kathleen Spicher | Chiropractor | 2113 Lime St, Durham, NC 27704-6103 | 2015-09-11 |
1831573112 | Carolina Head and Spine Clinic of Chiropractic,pa | Chiropractor | 3001 Academy Road, Suite 230, Durham, NC 27707 | 2015-07-16 |
Find all providers in DURHAM |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.