ROBERT ELLISON (NPI# 1245725035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245725035 |
| Entity Type | Individual |
| Full Name | ROBERT ELLISON |
| Practice Address |
113 Harbor Town Sq Ste 203 Memphis TN 38103-8890 |
| Mailing Address |
279 Quinn Rd Collierville TN 38017-3004 |
| Practice Telephone | 9014536081 |
| Mailing Telephone | 7707144233 |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2018-06-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
10785 | TN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407138837 | Robert P Ellison | Dentist | 615 Professional Park Dr, New Haven, IN 46774-1850 | 2011-09-12 |
| 1285290395 | Robert Andrew Ellison | Registered Nurse | 4000 Laurel St, Anchorage, AK 99508-5333 | 2019-05-14 |
| 1982117453 | Robert Jeffrey (jeff) Ellison | Counselor | 2 Station Way Rd, Chadds Ford, PA 19317-9782 | 2017-11-07 |
| 1285026302 | Robert Brian Ellison | Counselor | 1664 Broadway, El Cajon, CA 92021-5201 | 2015-02-26 |
| 1265526412 | Robert J Ellison | Psychologist | 1601 Highway 13 E, Ste. 101, Burnsville, MN 55337-6865 | 2006-10-03 |
| 1841309762 | Robert Stanfill Ellison | Specialist | 614 Howard Street, Asu Student Health Service, Boone, NC 28607 | 2006-08-30 |
| 1477571008 | Robert G Ellison Jr. | Surgery | 836 Prudential Dr, Suite 1405, Jacksonville, FL 32207-8334 | 2006-07-18 |
| 1275570475 | Robert C Ellison | Preventive Medicine | 88 East Newton Street, Boston Med Ctr B-612, Roxbury, MA 02118 | 2006-05-31 |
| 1508832114 | Robert J Ellison | Physical Therapist | 2488 E 81st St Ste 290, Tulsa, OK 74137-4265 | 2006-02-23 |
| 1265425714 | Robert L Ellison | Anesthesiology | 2300 W A St, Moscow, ID 83843-4038 | 2005-08-30 |
| Street Address |
113 HARBOR TOWN SQ STE 203 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38103-8890 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972096998 | Binal Jagadish Patel | Dentist | 113 Harbor Town Sq Ste 203, Memphis, TN 38103-8890 | 2018-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619505724 | Michelle Lynn Esposito | Dietitian, Registered | 1st Floor Research Center - 50 North Dunlap St, Memphis, TN 38103 | 2020-04-01 |
| 1962030221 | Allison Burge Clayton | Dietitian, Registered | 50 N Dunlap, Nutrition Therapy Dept, 1st Floor Research Tower, Memphis, TN 38103 | 2020-03-31 |
| 1093375420 | Radar Ems, LLC | Social Worker | 50 S. B.b. King Blvd, Suite 350, Memphis, TN 38103 | 2019-06-18 |
| 1528529021 | Denise Andrews Matthews | Nursing Care | 342 Island Dr #105, Memphis, TN 38103 | 2019-03-27 |
| 1881160059 | Christopher Paul Hernandez | Nurse Practitioner | 877 Jeffeon Ave, Memphis, TN 38103 | 2018-10-15 |
| 1194245712 | Cameron Waters Clinard | Optometrist | 127 Isle Creek Dr, Memphis, TN 38103 | 2017-06-24 |
| 1750732582 | Amanda Leigh Eaves | Nurse Practitioner | 364 S Front St Ste 201, Memphis, TN 38103 | 2016-06-22 |
| 1417304569 | John Clark Shell | Family Medicine | 150 Harbor Creek Dr, Memphis, TN 38103 | 2016-05-18 |
| 1750753695 | Tomisha V. Byard | Nurse Practitioner | 718 Habor Bend Road, Memphis, TN 38103 | 2015-10-29 |
| 1053795179 | Melissa Anne Wilkes | Social Worker | 1240 Harbor River Drive, Memphis, TN 38103 | 2015-07-18 |
| Find all providers in zip 38103 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497361596 | Crosstown Dental Group Highland Row LLC | Dentist | 431 S Highland St Ste 115, Memphis, TN 38111-1633 | 2020-09-23 |
| 1922626019 | Randy Bagay | Dentist | 1350 Concourse Ave Ste 446, Memphis, TN 38104-2026 | 2020-07-06 |
| 1780200279 | Taylor Rae Vracar | Dentist | 875 Union Ave Ste 301, Memphis, TN 38103-3513 | 2020-06-19 |
| 1063982957 | Jasmine Copelanddds | Dentist | 1251 Wesley Dr Ste 130, Memphis, TN 38116-6443 | 2018-12-04 |
| 1770075681 | Bellano East Memphis, Pllc | Dentist | 5336 Estate Office Dr Ste 1, Memphis, TN 38119-3623 | 2018-06-06 |
| 1992200364 | Lauren Alyssia Henderson | Dentist | 5180 Park Ave Ste 210, Memphis, TN 38119-3530 | 2018-03-28 |
| 1598123986 | James F Proctor Dds Pa | Dentist | 1655 International Drive, Suite 203, Memphis, TN 38120-1436 | 2016-02-01 |
| 1497140008 | Tennessee Dental Professionals PC | Dentist | 6425 N Quail Hollow Rd Ste 102, Memphis, TN 38120-1438 | 2015-03-31 |
| 1255760385 | Tennessee Dental Professionals PC | Dentist | 370 Colonial Road, 3, Memphis, TN 38117 | 2013-11-08 |
| 1457793929 | Acadia Helath LLC | Dentist | 1000 Ridgeway Loop Rd, Suite 203, Memphis, TN 38120-4045 | 2013-07-24 |
| Find all providers in MEMPHIS | ||||
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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.