JOHN ELLISON (NPI# 1528414984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528414984 |
| Entity Type | Individual |
| Full Name | JOHN ELLISON |
| Practice Address |
400 N Jefferson St Lewisburg WV 24901-1177 |
| Practice Telephone | 3046453220 |
| Practice Fax Number | 3046471273 |
| Mailing Telephone | 3046453220 |
| Mailing Fax Number | 3046471273 |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2016-05-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ED1234 | WV | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609128065 | John Gerald Ellison | Dentist | 1658 Washington Ave, Vincennes, IN 47591-4842 | 2012-10-10 |
| 1376713586 | John Ellison | Optometrist | 5421 S 1900 W, Roy, UT 84067-2908 | 2008-03-04 |
| 1730398546 | John Kenny Ellison | Registered Nurse | 12516 Crestline Ave Ne, Albuquerque, NM 87112-3616 | 2007-05-21 |
| 1245672286 | John Michael Ellison | Nurse Practitioner | 18750 Se Stark St, Portland, OR 97233-5330 | 2013-07-18 |
| 1093845943 | John Masou Ellison | Emergency Medicine | 23625 Wr Holman Highway, Monterey, CA 93940 | 2007-03-07 |
| 1669427118 | John R. Ellison | Family Medicine | 1051 4th Ave, Gallipolis, OH 45631-1612 | 2006-05-23 |
| Street Address |
400 N JEFFERSON ST |
| City | LEWISBURG |
| State | WV |
| Zip Code | 24901-1177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699770651 | Brian G Richards | Internal Medicine | 400 N Jefferson St, Lewisburg, WV 24901 | 2005-06-16 |
| 1346770872 | Micah Robert Moore | Family Medicine | 400 N Jefferson St, Lewisburg, WV 24901 | 2017-06-18 |
| 1306374616 | John Paul Ford | Emergency Medicine | 400 N Jefferson St, Robert C Byrd Clinic, Lewisburg, WV 24901 | 2017-05-31 |
| 1982132866 | Samantha Jo Frazier | Family Medicine | 400 N Jefferson St, Lewisburg, WV 24901-1177 | 2017-05-23 |
| 1124554399 | Alexander C Egerter | Student in an Organized Health Care Education/Training Program | 400 N Jefferson St, Lewisburg, WV 24901-1177 | 2017-05-10 |
| 1336675404 | Kelly Fuchs | Student in an Organized Health Care Education/Training Program | 400 N Jefferson St, Robert C. Byrd Clinic, Lewisburg, WV 24901-1177 | 2017-05-10 |
| 1861840258 | Luke Ta | Family Medicine | 400 N Jefferson St, Lewisburg, WV 24901-1177 | 2016-05-26 |
| 1225483571 | Kevin Hennenhoefer | Neuromusculoskeletal Medicine & OMM | 400 N Jefferson St, Lewisburg, WV 24901-1177 | 2016-04-24 |
| 1780038026 | Seth Benjamin Larson | Emergency Medicine | 400 N Jefferson St, Lewisburg, WV 24901 | 2016-04-22 |
| 1629457098 | Matthew Chung | Student in an Organized Health Care Education/Training Program | 400 N Jefferson St, Lewisburg, WV 24901-1177 | 2015-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093940 | Amy Lu Moss | Technician | 254 Moss D Lane, Fairlea, WV 24901 | 2020-11-04 |
| 1083212377 | Miranda Shope | Technician | 814 Maple Ave., Lewisburg, WV 24901 | 2020-10-09 |
| 1184235830 | Carol E Beasley | Technician | 147 Windy Hill Road, Lewisburg, WV 24901 | 2020-08-14 |
| 1790317782 | Preston Dyer Modlin | Psychologist | 635 Church Street, Lewisburg, WV 24901 | 2020-02-07 |
| 1437780269 | Healthcare 360 Pllc | Family Medicine | 208 Dawkins Drive, Lewisburg, WV 24901 | 2020-01-30 |
| 1821655390 | Janet Lee Kowalsky | Student in an Organized Health Care Education/Training Program | 1464 N Jefferson St., Lewisburg, WV 24901 | 2019-05-21 |
| 1598321192 | Ali Yousaf | Student in an Organized Health Care Education/Training Program | 400 North Jefferson, Lewisburg, WV 24901 | 2019-05-20 |
| 1770053308 | Micheala Renae Taylor | Student in an Organized Health Care Education/Training Program | 1464 North Jefferson Street, Lewisburg, WV 24901 | 2018-11-27 |
| 1659840486 | Maggie King Clendenen | Nurse Practitioner | 454 Bell Drive, Lewisburg, WV 24901 | 2018-11-22 |
| 1861979312 | Vincent Morra | Student in an Organized Health Care Education/Training Program | 1464 N Jefferson St, Lewisburg, WV 24901 | 2018-07-26 |
| Find all providers in zip 24901 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275168817 | South Medical Clinic LLC | Family Medicine | 118 2nd Ave South, Lewisburg, TN 37091 | 2020-03-04 |
| 1437780269 | Healthcare 360 Pllc | Family Medicine | 208 Dawkins Drive, Lewisburg, WV 24901 | 2020-01-30 |
| 1679728471 | Nathaniel Harris | Family Medicine | Chestnut Flats Rd, Box 1042, Lewisburg, WV 24901-4042 | 2008-11-20 |
| 1023294600 | Colleen Ann Flaherty | Family Medicine | 4 Snake Road, Bucknell University Ziegler Student Health Center, Lewisburg, PA 17837 | 2008-01-14 |
| 1497944607 | Charles S. Mcclung Sr., Do | Family Medicine | 226 Skylar Dr, Lewisburg, WV 24901-9383 | 2007-10-24 |
| 1154416725 | Kendall L Wilson Jr. | Family Medicine | 409 North Lee Street, Lewisburg, WV 24901-0626 | 2006-10-03 |
| 1942210513 | Jeanne Marie Wahl | Family Medicine | 400 North Jefferson Street, Lewisburg, WV 24901 | 2006-08-08 |
| 1447279807 | John Lawrence Ginsburg | Family Medicine | 55 N 5th St, Lewisburg, PA 17837-1407 | 2006-07-18 |
| 1508882671 | Kenneth J Phelps Jr. | Family Medicine | 304 W Church St, Lewisburg, TN 37091 | 2006-07-14 |
| 1780609701 | Suzanne Greb | Family Medicine | 7095 Westbranch Highway, Suite 1100, Lewisburg, PA 17837-6808 | 2006-07-12 |
| Find all providers in LEWISBURG | ||||
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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.