DR. MARK T ELLISON (NPI# 1215271234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215271234 |
| Entity Type | Individual |
| Full Name | DR. MARK T ELLISON |
| Credential | DC PT |
| Practice Address |
761 Lakeland Ct Carmel IN 46032-1205 |
| Practice Telephone | 3174180285 |
| Mailing Telephone | 3174180285 |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 08001711A | IN | Chiropractic Providers |
| N | 225100000X | Physical Therapist | 05005146A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730427063 | Mark Ellison | Marriage & Family Therapist | 2655 Dallas Hwy Sw, Suite 310, Marietta, GA 30064-2597 | 2013-01-22 |
| 1952509424 | Mark Allen Ellison | Optometrist | 422 W Bethalto Dr, Bethalto, IL 62010-1700 | 2007-07-06 |
| 1265431092 | Mark Frederick Ellison | Urology | 2142 W Broad St, Building 200, Suite 200, Athens, GA 30606-3506 | 2005-07-14 |
| Street Address |
761 LAKELAND CT |
| City | CARMEL |
| State | IN |
| Zip Code | 46032-1205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235769662 | Sharon M.b. Tedder | Counselor | 1980 E. 116th St., Suite 220, Carmel, IN 46032 | 2020-01-24 |
| 1144869983 | Genesia Simmons | Occupational Therapy Assistant | 118 Medical Drive, Carmel, Indiana, OH 46032 | 2019-12-26 |
| 1962069088 | Dei of Indiana, Inc. | Optometrist | 3985 W. 106th Street, Suite 120, Carmel, IN 46032 | 2019-05-23 |
| 1427518737 | Ayesha Kias | Physical Therapist | Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 | 2019-03-22 |
| 1104305952 | Megan Nicole Neitling | Counselor | 600 E Carmel Dr Ste 146, Carmel, IN 46032 | 2018-08-13 |
| 1154817427 | Open Doors Counseling and Consulting LLC | Nurse Practitioner | 11495 N Pennsylvania, Suite 105, Carmel, IN 46032 | 2018-07-10 |
| 1326533837 | Emily Jo Hardy | Physical Therapy Assistant | Lifespan Therapy 118 Medical Drive, Carmel, IN 46032 | 2018-06-27 |
| 1770086845 | Erin Reagan | Occupational Therapist | 1118 Havest Ct., Carmel, IN 46032 | 2018-03-14 |
| 1356859748 | Maricelia Serrano | Physical Therapy Assistant | Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 | 2018-01-19 |
| 1417472234 | Leigh Anne Rozsas | Pharmacist | 1424 S Rangeline Road, Carmel, IN 46032 | 2017-08-14 |
| Find all providers in zip 46032 | ||||
| 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 |
|---|---|---|---|---|
| 1023624491 | Nicholas Shelby | Chiropractor | 4335 W 106th St Ste 1000, Carmel, IN 46032-7744 | 2020-09-21 |
| 1467094771 | Emily S Grove | Chiropractor | 622 S Rangeline Rd Ste R, Carmel, IN 46032-2152 | 2019-10-09 |
| 1659925857 | Chiro One Wellness Center of Carmel, LLC | Chiropractor | 14950 Greyhound Ct Ste 2, Carmel, IN 46032-5086 | 2019-07-26 |
| 1508379132 | Broc Sheets | Chiropractor | 916 Elliott Dr, Carmel, IN 46032-1523 | 2017-11-06 |
| 1770094914 | Align-4-life Chiropractic | Chiropractor | 12265 Hancock St Ste 37, Carmel, IN 46032-5801 | 2017-10-16 |
| 1265941470 | Rbpc Indianapolis LLC | Chiropractor | 11405 N Pennsylvania St Ste 102, Carmel, IN 46032-6905 | 2017-09-20 |
| 1770022907 | Stephanie Muir | Chiropractor | 75 Executive Dr, Ste J, Carmel, IN 46032 | 2017-02-21 |
| 1508213521 | Cheryl Anne La Grange | Chiropractor | 992 Hampden Rd, Carmel, ME 04419-3528 | 2016-05-19 |
| 1649637182 | Sally Dao | Chiropractor | 622 S Rangeline Rd, Ste. R, Carmel, IN 46032-2148 | 2016-01-27 |
| 1578982906 | Trevor Farnsworth | Chiropractor | 75 Executive Dr Ste G, Carmel, IN 46032-2993 | 2014-04-14 |
| Find all providers in CARMEL | ||||
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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.