DR. CLINTON ELLINGSON (NPI# 1326332776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326332776 |
| Entity Type | Individual |
| Full Name | DR. CLINTON ELLINGSON |
| Credential | MD |
| Practice Address |
6149 E Columbia St Evansville IN 47715 |
| Mailing Address |
6149 E Columbia St Evansville IN 47715-9134 |
| Practice Telephone | 8124242020 |
| Practice Fax Number | 8124243000 |
| Mailing Telephone | 8124242020 |
| Mailing Fax Number | 8124243000 |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2019-04-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | 49026 | KY | Allopathic & Osteopathic Physicians |
| Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
49026 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 300021246 | 05 | |
| OH | 0160321 | 05 | |
| WV | 1326332776 | 05 | |
| KY | 7100279250 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 120 N Eagle Creek Dr Ste 500, Lexington, KY 405091827 | (859) 263-3900 | 8592633757 |
| 6149 E Columbia St, Evansville, IN 47715 | 8124242020 | 8124243000 |
| Street Address |
6149 E COLUMBIA ST |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154319143 | Talley Medical-surgical Eye Care Associates PC | Optometrist | 6149 E Columbia St, Evansville, IN 47715 | 2005-10-12 |
| 1043673742 | Joseph Carr | Ophthalmology | 6149 E Columbia St, Evansville, IN 47715-9134 | 2016-03-30 |
| 1295077402 | Andrew Taylor Strand | Ophthalmology | 6149 E Columbia St, Evansville, IN 47715-9134 | 2013-03-26 |
| 1588977987 | Nathaniel Pelsor | Optometrist | 6149 E Columbia St, Evansville, IN 47715 | 2010-07-14 |
| 1598076895 | Monica Kalia | Optometrist | 6149 E Columbia St, Evansville, IN 47715-9134 | 2010-07-01 |
| 1568579407 | Drew Nelson Sommerville | Ophthalmology | 6149 E Columbia St, Evansville, IN 47715 | 2006-08-24 |
| 1376553487 | Dwight Andrew Silvera | Ophthalmology | 6149 E Columbia St, Evansville, IN 47715 | 2006-08-09 |
| 1275582900 | Thomas A Brummer | Ophthalmology | 6149 E Columbia St, Evansville, IN 47715-9134 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528585 | Shannon Allcron | Pharmacist | 6770 E. Virginia St., Evansville, IN 47715 | 2020-11-03 |
| 1609339910 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1201 Cross Pointe Place, Evansville, IN 47715 | 2019-04-12 |
| 1497229223 | Hubert Family Dentistry LLP | Dentist | 6225 E Columbia St., Evansville, IN 47715 | 2019-01-15 |
| 1083110373 | Fyi Healthcare, LLC | Registered Nurse | 12000 Highway 41 North, Evansville, IN 47715 | 2018-04-04 |
| 1962862755 | New Journeys Counseling Services, LLC | Community/Behavioral Health | 4929 River Wind Pointe Drive, Evansville, IN 47715 | 2016-03-07 |
| 1558702456 | Jennifer Hoelter | Pharmacist | 5000 E Virginia St, Walgreens District Office, Evansville, IN 47715 | 2013-07-09 |
| 1952649402 | Courtney Ingold | Music Therapist | 621 E Cullen Ave, Suite 118, Evansville, IN 47715 | 2013-01-17 |
| 1922378041 | Sherry A. Fisher | Counselor | 4929 Riverwind Pointe Dr Ste 102, Evansville, IN 47715 | 2012-01-05 |
| 1710275912 | Tonja Leana Winekauf | Nurse Practitioner | 6211 E Waterford Blvd, Evansville Health Care Center, Evansville, IN 47715 | 2011-07-21 |
| 1003083437 | Allcare Dental & Dentures of In PC | Dentist | 1031 N. Green River Rd., Suite 104, Evansville, IN 47715 | 2008-05-14 |
| Find all providers in zip 47715 | ||||
| Taxonomy Code | 207WX0107X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Retina Specialist |
| An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
| Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295730299 | Prince D Samuel | Ophthalmology | 4221 Washington Ave, Evansville, IN 47714-0675 | 2005-06-16 |
| 1164493011 | Theodore Jere Stransky | Ophthalmology | 350 W Columbia St, Suite 250, Evansville, IN 47710-1782 | 2006-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235637075 | Madison Eye Center LLC | Ophthalmology | 601 Broadway St, Madison, IN 47250-3362 | 2018-01-26 |
| 1093999609 | Retina & Vitreous L L C | Ophthalmology | 53822 Generations Drive, South Bend, IN 46635-1543 | 2007-12-19 |
| 1902800493 | Ramana S Moorthy | Ophthalmology | 10585 N Meridian St Ste 100, Carmel, IN 46290-1066 | 2005-06-13 |
| 1770585838 | Thomas Anthony Ciulla | Ophthalmology | 200 W 103rd St, Suite 1050, Indianapolis, IN 46290-1017 | 2005-06-02 |
| 1851840599 | Highland Retina Associates, LLC | Ophthalmology | 1530 N 7th St, Suite 502, Terre Haute, IN 47807-1057 | 2016-09-22 |
| 1508277542 | Nicholas F Hrisomalos Md PC | Ophthalmology | 10300 N Illinois St, Suite 1070, Indianapolis, IN 46290-1167 | 2014-05-13 |
| 1043579550 | Midwest Eye Consultants, P.C. | Ophthalmology | 611 E Douglas Rd, Suite 102, Mishawaka, IN 46545-1464 | 2012-05-04 |
| 1033478540 | Midwest Eye Consultants, P.C. | Ophthalmology | 1601 W Lincoln Rd, Kokomo, IN 46902-3275 | 2012-05-04 |
| 1588923098 | Midwest Eye Consultants, P.C. | Ophthalmology | 7747 W Jefferson Blvd, Suite A, Fort Wayne, IN 46804-4135 | 2012-05-04 |
| 1447232806 | Scott C Richards | Ophthalmology | 7747 W Jefferson Blvd, Suite A, Fort Wayne, IN 46804 | 2005-11-18 |
| Find all providers with the same taxonomy | ||||
| City | EVANSVILLE |
| Zip Code | 47715 |
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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.