DR. ROBERT P ELLISON (NPI# 1407138837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407138837 |
| Entity Type | Individual |
| Full Name | DR. ROBERT P ELLISON |
| Practice Address |
615 Professional Park Dr New Haven IN 46774-1850 |
| Practice Telephone | 2604932113 |
| Practice Fax Number | 2604931896 |
| Mailing Telephone | 2604932113 |
| Mailing Fax Number | 2604931896 |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2011-09-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | IN6593 | IN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285290395 | Robert Andrew Ellison | Registered Nurse | 4000 Laurel St, Anchorage, AK 99508-5333 | 2019-05-14 |
| 1245725035 | Robert Ellison | Dentist | 113 Harbor Town Sq Ste 203, Memphis, TN 38103-8890 | 2018-06-25 |
| 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 |
615 PROFESSIONAL PARK DR |
| City | NEW HAVEN |
| State | IN |
| Zip Code | 46774-1850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861841652 | New Haven Dental Group | Dentist | 615 Professional Park Dr, New Haven, IN 46774-1850 | 2016-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235659236 | Tyann Nicole Sanchez | Doula | 16018 Platter Road, New Haven, IN 46774 | 2017-06-21 |
| 1073673430 | Benjamin Craig Swinehart | Physical Therapist | 10876 Isabelle Dr., New Haven, IN 46774 | 2006-12-08 |
| 1912930223 | Adams County Memorial Hospital | Skilled Nursing Facility | 1201 Daly Dr, New Haven, IN 46774 | 2006-07-09 |
| 1922520410 | Claressa Sue Brekke | Physical Therapist | 1316 Minnich Rd, New Haven, IN 46774 | 2017-07-17 |
| 1750558706 | Kristen Zurbuch Ms Ccc-slp | Speech-Language Pathologist | 3117 Pawnee Ct, New Haven, IN 46774 | 2008-05-09 |
| 1548442197 | Brackmann & Hockemeyer Optometry Inc | Optometrist | 1010 Boulder Ridge Trl, New Haven, IN 46774-0010 | 2007-12-05 |
| 1023349255 | Elzabeth K Hartup | Specialist | 8805 Edwardsberg Pl, New Haven, IN 46774-1079 | 2010-01-28 |
| 1417365958 | Jeremy Oyer | Physical Therapy Assistant | 8805 Edwardsberg Pl, New Haven, IN 46774-1079 | 2014-07-29 |
| 1467728204 | Jeremy Duane Stewart | Physical Therapy Assistant | 156 Sturm St, New Haven, IN 46774-1141 | 2012-03-27 |
| 1215313911 | Theresa Schortgen | Health Educator | 146 N Rufus St, New Haven, IN 46774-1162 | 2015-08-04 |
| Find all providers in zip 46774 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568980696 | Anna Reutenauer | Dentist | 123 York St Ste 4l, New Haven, CT 06511 | 2017-09-08 |
| 1215457551 | Advanced Dental Sleep Medicine of Connecticut, PC | Dentist | 46 Prince St Ste 310, New Haven, CT 06519-1600 | 2017-06-27 |
| 1609206135 | Spretha Kadavath | Dentist | 50 Grand Ave, New Haven, CT 06513 | 2013-11-19 |
| 1457691677 | Nishan R Halim | Dentist | 308 Alden Ave, Apt A, New Haven, CT 06515-2114 | 2013-02-25 |
| 1013261080 | Kunal Kanani | Dentist | 122 Amity Rd, Dr. Dental, New Haven, CT 06515 | 2012-10-30 |
| 1639473952 | Kara Gormley | Dentist | 111 Park St Ste 1b, New Haven, CT 06511-5472 | 2010-12-29 |
| 1538331434 | Iffat Nazneen | Dentist | 262 Grand Avenue, New Haven, CT 06513-3742 | 2008-03-31 |
| 1265570097 | Robert Barry Rosenblitt | Dentist | 1574 Chapel Street, New Haven, CT 06511-4205 | 2007-02-02 |
| 1265517015 | Stephen Carl Malinconico | Dentist | 770 Orange St, New Haven, CT 06511 | 2006-10-26 |
| 1437248770 | Maria C Jimenez | Dentist | 1395 Chapel Street, New Haven, CT 06511 | 2006-10-12 |
| Find all providers in NEW HAVEN | ||||
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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.