DR. CHERRYL SUE ELLISON (NPI# 1407414956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407414956 |
| Entity Type | Individual |
| Full Name | DR. CHERRYL SUE ELLISON |
| Credential | DDS |
| Practice Address |
105 Community Dr Ste A Seymour IN 47274-1955 |
| Mailing Address |
3312 E Roy Schmalz Ct Bloomington IN 47401-4445 |
| Practice Telephone | 8122724602 |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2020-01-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 12013148A | IN | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
104713 | CA | Dental Providers |
| Street Address |
105 COMMUNITY DR STE A |
| City | SEYMOUR |
| State | IN |
| Zip Code | 47274-1955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850102 | Alyssa Gorbett | Counselor | 320 Bruce St. Suite C, Seymour, IN 47274 | 2020-10-30 |
| 1871123562 | Kathy Jo Passereni | Pharmacist | 1541 Tipton St, Seymour, IN 47274 | 2020-01-22 |
| 1750886966 | Cassie Hackman | Registered Nurse | 6940 E County Road 50 N, Seymour, IN 47274 | 2018-03-28 |
| 1710327994 | Derek L Garcia | Dentist | 321 W Bruce St Ste A, Seymour, IN 47274 | 2013-07-02 |
| 1922349596 | Lisa Marie Lindsay Snow | Pediatrics | Schneck Pediatrics, 411 West Tipton Street, Seymour, IN 47274 | 2013-03-07 |
| 1750670733 | David Ryan Stone | Internal Medicine | 411 West Tipton Street, Seymour, IN 47274 | 2011-03-30 |
| 1518261254 | Peggy Jo Bowman | Social Worker | 1725 E. Tipton St., Ste 200, Seymour, IN 47274 | 2011-01-10 |
| 1174839054 | Matthew C Wilson | Family Medicine | Schneck Primary Care - Jackson Park, 1124 Medical Place, Seymour, IN 47274 | 2010-08-30 |
| 1346564390 | Emanuel Eugene Nearing II | Surgery | Schneck Surgical Associates, 411 West Tipton Street, Seymour, IN 47274 | 2010-03-19 |
| 1821320870 | Holly Lee Berry | Nurse Practitioner | 120 St. Louis Ave., Seymour, IN 47274 | 2010-02-02 |
| Find all providers in zip 47274 | ||||
| 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 |
|---|---|---|---|---|
| 1558968024 | Connor Michael Kirtley | Dentist | 325 N Walnut St Ste A, Seymour, IN 47274-2113 | 2020-10-07 |
| 1609392620 | Mortenson Family Dental - Seymour, LLC | Dentist | 1016 E Tipton St, Seymour, IN 47274-3528 | 2017-08-22 |
| 1609223759 | Kentuckiana Dental Group | Dentist | 321 W Bruce St Ste 300, Seymour, IN 47274-2319 | 2016-05-18 |
| 1053597385 | Nagesh D Shrestha | Dentist | 56 Garden St, Seymour, CT 06483-2961 | 2008-01-16 |
| 1275730327 | John Arthur Masengill | Dentist | 127 W Macon Ln, Suite 1, Seymour, TN 37865-4776 | 2007-07-02 |
| 1851597272 | Bethany Ann Thomas | Dentist | 119 Maryville Highway, Suite B, Seymour, TN 37865 | 2007-06-22 |
| 1316162944 | Tamara L. Hiester Dds | Dentist | 320 W 2nd St, Seymour, IN 47274-2148 | 2007-04-17 |
| 1558497511 | Donald A. Cummings | Dentist | 324 W 2nd St, Seymour, IN 47274-2199 | 2007-02-26 |
| 1306990882 | Frederick Wayne Rohwedder | Dentist | 245 West St Rt 67, Seymour, CT 06483-2650 | 2007-01-22 |
| 1861549552 | J. Stephen Johnston | Dentist | 127 W Macon Ln Ste 1, Seymour, TN 37865-4776 | 2007-01-04 |
| Find all providers in SEYMOUR | ||||
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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.