JUSTIN L. ELLERMAN


Address: 2451 University Hospital Dr # 400-k, Mobile, AL 36617-2300
Phone: 2514559122

JUSTIN L. ELLERMAN (NPI# 1447697743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447697743
Entity Type Individual
Full Name JUSTIN L. ELLERMAN
Credential MD
Practice Address 2451 University Hospital Dr # 400-k
Mobile
AL 36617-2300
Mailing Address 2257 Old Government St
Mobile
AL 36606-4428
Practice Telephone 2514559122
Practice Fax Number 2514701652
Mailing Telephone 7048067917
Enumeration Date 2013-05-28
Last Update Date 2020-06-04
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208D00000X General Practice MD35678 SC Allopathic & Osteopathic Physicians
N 208D00000X General Practice MD44779 IA Allopathic & Osteopathic Physicians
Y 208D00000X General Practice MD37491 AL Allopathic & Osteopathic Physicians

Office Location

Street Address 2451 UNIVERSITY HOSPITAL DR # 400-K
City MOBILE
State AL
Zip Code 36617-2300

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710448931 Sana Ozair Student in an Organized Health Care Education/Training Program 2451 University Hospital Dr # 400-k, Mobile, AL 36617-2300 2019-03-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871118760 Travis Berry Student in an Organized Health Care Education/Training Program 2451 University Hospital Dr., Moorer Bldg. Room 120, Mobile, AL 36617 2020-06-16
1164064978 Crystal Aerin Deweever Counselor 2400 Gordon Smith Dr., Mobile, AL 36617 2019-10-14
1871145938 Sagar Kumar Student in an Organized Health Care Education/Training Program 2451 University Hospital Dr. Rm 714, Mobile, AL 36617 2019-07-09
1639630882 Sarah Anderson Student in an Organized Health Care Education/Training Program 2451 University Hospital Drive, Moorer Bldg. Room 120, Mobile, AL 36617 2019-03-29
1215415120 Fnu Sameeta Student in an Organized Health Care Education/Training Program 2451 Usa Med Center Drive, Moorer Building Room 120, Mobile, AL 36617 2018-08-02
1659857670 Sara Roberta Avalos Hernandez Student in an Organized Health Care Education/Training Program 2451 Usa Medical Center Drive, Moorer Building, Rm 120, Mobile, AL 36617 2018-07-12
1669978359 Colin Thomas Buckley Student in an Organized Health Care Education/Training Program 2451 Usa Medical Center Dr. Rm 714, Mobile, AL 36617 2018-04-02
1336644590 Shuo Shawn Liu Student in an Organized Health Care Education/Training Program 2451 Usa Medical Center Dr., Moorer Bldg. Room 120, Mobile, AL 36617 2018-03-28
1609308741 Kulwant Singh Bath Student in an Organized Health Care Education/Training Program 2451 Fillingim St Res Box 7th Floor, Mobile, AL 36617 2017-03-29
1780115238 Lindsay Dianne Williams Student in an Organized Health Care Education/Training Program 2451 Fillingim St., Mst 709, Mobile, AL 36617 2017-03-27
Find all providers in zip 36617

Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922624097 Kyle Rolfe General Practice 1962 Schillinger Rd S, Mobile, AL 36695-4118 2020-06-24
1598128167 James Oliver Walls General Practice 213 Glenwood St, Mobile, AL 36606-4438 2016-03-31
1073891792 American Family Care, Inc. General Practice 5235 Rangeline Service Rd S, Ste# 101, Mobile, AL 36619-9541 2011-07-29
1649451683 Chykeetra S. Maltbia General Practice 5011 Government Blvd Ste B, Mobile, AL 36693-5029 2007-11-19
1598841322 Jonathan Ross Moore Sr. General Practice 75 S Lafayette St, Mobile, AL 36604-1730 2006-10-27
1477505378 Charles William Bodie General Practice 5580 Inn Rd, Suite 200, Mobile, AL 36619 2006-05-17
1013986785 Franklin Primary Health Center, Inc. General Practice 1904 Bishop Ave, Mobile, AL 36610 2006-03-16
1508398942 Peter Soh General Practice 2451 Fillingim St Ste 10-f, Mobile, AL 36617-2238 2017-04-03
1487003653 Berney Vincent General Practice 801 S University Blvd Ste D, Mobile, AL 36609-2949 2016-06-08
1679932248 Alabama Providence Healthcare Services General Practice 9971 Airport Blvd, Mobile, AL 36608-9525 2016-02-11
Find all providers in MOBILE

Competitor

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City MOBILE
Zip Code 36617

Improve Information

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Dataset Information

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.

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