DR. JAMES M ELLISON (NPI# 1144226630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144226630 |
| Entity Type | Individual |
| Full Name | DR. JAMES M ELLISON |
| Credential | MD |
| Practice Address |
501 W 14th St Swank Memory Care Center, Gateway Bldg, 5th Floor Wilmington DE 19801-1013 |
| Mailing Address |
501 W 14th St Swank Memory Care Center, Gateway Bldg 5th Floor Wilmington DE 19801-1013 |
| Practice Telephone | 3023202637 |
| Practice Fax Number | 8446340254 |
| Mailing Telephone | 3023202637 |
| Mailing Fax Number | 8446340254 |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2016-08-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
44908 | MA | Allopathic & Osteopathic Physicians |
| Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
C-0011443 | DE | Allopathic & Osteopathic Physicians |
| N | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
44908 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0164127 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922196187 | James Luther Ellison | Psychologist | 33 Beacon Hill Rd, Columbia, SC 29210-5601 | 2006-10-11 |
| 1083170153 | James Russell Ellison | Pharmacist | 11010 W 74th Ter, Shawnee, KS 66203-4422 | 2019-02-13 |
| 1497209530 | James Ellison | Counselor | 1640 Alta Dr Ste 4, Las Vegas, NV 89106-4165 | 2016-08-05 |
| 1437514031 | James Alec Ellison Jr. | Specialist | 1600 Clifton Rd Ne, Mailstop G33, Atlanta, GA 30329-4018 | 2015-12-23 |
| 1992813745 | James Ellison | Internal Medicine | 222 S Woods Mill Rd, Suite 310n, Chesterfield, MO 63017-3625 | 2006-08-29 |
| 1306845466 | James H Ellison | Orthopaedic Surgery | 207 Blooming Grove Rd, Hanover, PA 17331-7917 | 2005-07-20 |
| Street Address |
501 W 14TH ST SWANK MEMORY CARE CENTER, GATEWAY BLDG, 5TH FLOOR |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19801-1013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780203497 | Shruti Nadkarni | Student in an Organized Health Care Education/Training Program | 501 W 14th St, Wilmington, DE 19801-1013 | 2020-04-13 |
| 1548889371 | Brianna Taylor Rafetto | Student in an Organized Health Care Education/Training Program | 501 W 14th St, Wilmington, DE 19801-1013 | 2020-04-12 |
| 1649899634 | Natalie Sarah Khan | Student in an Organized Health Care Education/Training Program | 501 W 14th St, Wilmington, DE 19801-1013 | 2020-04-10 |
| 1194354712 | Aesha Amin | Student in an Organized Health Care Education/Training Program | 501 W 14th St, Wilmington, DE 19801-1013 | 2020-04-06 |
| 1760010326 | Erin Elizabeth Royal | Student in an Organized Health Care Education/Training Program | 501 W 14th St, Wilmington, DE 19801-1013 | 2020-03-30 |
| 1902434640 | Austin D Hager | Student in an Organized Health Care Education/Training Program | 501 W 14th St, Wilmington, DE 19801-1013 | 2020-03-30 |
| 1922635606 | John Facciolo | Student in an Organized Health Care Education/Training Program | 501 W 14th St, Wilmington, DE 19801-1013 | 2020-03-24 |
| 1053948661 | Shashi Prabha | Student in an Organized Health Care Education/Training Program | 501 W 14th St, Wilmington, DE 19801-1013 | 2020-03-24 |
| 1265069892 | Katherine Ong | Student in an Organized Health Care Education/Training Program | 501 W 14th St, Wilmington, DE 19801-1013 | 2020-03-24 |
| 1679109508 | Brian Matthew Calhoon | Student in an Organized Health Care Education/Training Program | 501 W 14th St, Wilmington, DE 19801-1013 | 2020-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386126068 | Meghan Cullen | Specialist/Technologist | 401 Garasches Lane, Wilmington, DE 19801 | 2018-08-30 |
| 1497257851 | Jevs Human Services | Psychologist | 300 Delaware Avenue, Suite 210, Wilmington, DE 19801 | 2018-03-01 |
| 1134627144 | Limen House, Inc | Substance Abuse Rehabilitation Facility | 1104 N. Adams Street / Triad, Wilmington, DE 19801 | 2018-01-24 |
| 1538698980 | Triad Ministry Inc | Community/Behavioral Health | 1104 N. Adams Street, Wilmington, DE 19801 | 2017-06-08 |
| 1649706086 | Fhr -act Program | Health Maintenance Organization | 103a Rogers Rd., Wilmington, DE 19801 | 2017-05-04 |
| 1275080707 | Suzanne Isenberg | Social Worker | 103 Rogers Roaad, Wilmington, DE 19801 | 2016-09-01 |
| 1467815191 | Jenna Leigh Laughlin | Internal Medicine | 501 W 14th St., Wilmington, DE 19801 | 2016-03-31 |
| 1962830430 | Antoinette L. Rodriguez | Counselor | 500 W 10th St., Connections Community Support Programs Inc., Wilmington, DE 19801 | 2013-10-21 |
| 1104173509 | Connections Community Support Programs, Inc. | Clinic/Center | 500 W. 10th Street, Wilmington, DE 19801 | 2012-08-06 |
| 1366719916 | Richard Mclaughlin | Counselor | 109 W. 7th St, Crossroads of Delaware, Wilmington, DE 19801 | 2011-11-28 |
| Find all providers in zip 19801 | ||||
| Taxonomy Code | 2084P0805X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Geriatric Psychiatry |
| Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295996809 | Nurun Begum | Psychiatry & Neurology | 725 Horsepond Rd, Dover Behavioral Health System, Dover, DE 19901-7232 | 2008-06-17 |
| City | WILMINGTON |
| Zip Code | 19801 |
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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.