CHANDY ELLIMOOTTIL (NPI# 1699903245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699903245 |
| Entity Type | Individual |
| Full Name | CHANDY ELLIMOOTTIL |
| Other Name | CHAD ELLIMOOTTIL |
| Credential | MD |
| Practice Address |
1500 E Medical Center Drive 2nd Floor Taubman Center Recp C Ann Arbor MI 48108 |
| Mailing Address |
3621 S State St 700 Kms Place Ann Arbor MI 48108 |
| Practice Telephone | 7349362047 |
| Mailing Telephone | 7349362047 |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2015-06-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 125056933 | IL | Allopathic & Osteopathic Physicians |
| Y | 208800000X | Urology | 4301107020 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
1500 E MEDICAL CENTER DRIVE 2ND FLOOR TAUBMAN CENTER RECP C |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023016805 | Barbara Rose Van Kainen | Midwife | 1500 E Medical Center Drive, Von Voigtlander Women's Hospital, Ann Arbor, MI 48109-4256 | 2005-07-14 |
| 1598372716 | Stephen Kofi Wemakor | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Uh South F-6245, Ann Arbor, MI 48109 | 2020-09-30 |
| 1073138707 | Brigit Devine Baglien | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, 2130 Taubman Center, Spc 5340, Ann Arbor, MI 48109 | 2020-06-09 |
| 1598388605 | Madison Veronica Epperson | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, 1903 Taubman Center, Spc 5312, Ann Arbor, MI 48109-5312 | 2020-05-22 |
| 1811510175 | Nathan Emery Loudon | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Uh B1 502, Spc 5030, Ann Arbor, MI 48109-5030 | 2020-05-21 |
| 1770106304 | Drew Jackson Braet | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, 5346 Cvc Spc 5967, Ann Arbor, MI 48109 | 2020-05-18 |
| 1710509872 | Lawrence Jordan Breyfogle | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Uh B1d530, Spc 5030, Ann Arbor, MI 48109-5030 | 2020-05-12 |
| 1649891631 | Apoorv Dhir | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Taubman Center, 2nd Floor, Reception C, Ann Arbor, MI 48109-5330 | 2020-04-30 |
| 1659992741 | Kristian Marquis Black | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Taubman Center, 2nd Floor, Reception C, Ann Arbor, MI 48109-5330 | 2020-04-30 |
| 1972124063 | Jake Claflin | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Taubman Center, 2nd Floor, Reception C, Ann Arbor, MI 48109-5330 | 2020-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750999249 | Creating Brighter Futures | Behavioral Analyst | 4201 Varsity Drive, Ste. C, Ann Arbor, MI 48108 | 2020-07-21 |
| 1326506320 | Michelle Bishop | Behavior Technician | 4935 Birch Hollow Dr, Ann Arbor, MI 48108 | 2019-03-08 |
| 1407326077 | Alexis Ewald | Behavior Technician | 2770 Carpenter Rd., Ann Arbor, MI 48108 | 2018-11-27 |
| 1003308511 | Ann Arbor Dental Specialists | Dentist | 3100 Eisenhower Parkway, Suite 200, Ann Arbor, MI 48108 | 2018-05-31 |
| 1144719295 | Jonathan Parker Etter | Physical Medicine & Rehabilitation | 325 E. Eisenhower, Suite 300, Spc 5744, Ann Arbor, MI 48108 | 2018-05-04 |
| 1427555895 | Blossom Health Services LLC | Social Worker | 2156 Glencoe Hills Dr Apt 12, Ann Arbor, MI 48108 | 2018-04-11 |
| 1669974580 | Camron Anthony Moorehead | Occupational Therapist | 400 E. Eisenhower Parkway Bldg 2, Ste A, Ann Arbor, MI 48108 | 2018-03-07 |
| 1396247862 | Crystal Ann D'agostino | Health Educator | 1169 Oak Valley Drive, Ann Arbor, MI 48108 | 2018-03-01 |
| 1538671250 | Miea Moon | Psychologist | 3200 E Eisenhower Parkway, Moriah Hall, Ann Arbor, MI 48108 | 2017-11-03 |
| 1003355546 | Rachael Connolly | Behavior Technician | 4201 Varsity Drive Suite C, Ann Arbor, MI 48108 | 2017-02-16 |
| Find all providers in zip 48108 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699924399 | Cheng-yang Chang | Urology | 807 Asa Gray Dr Apt 401, Ann Arbor, MI 48105-3514 | 2008-09-17 |
| 1033279906 | David A. Burks | Urology | 2340 Londonderry Rd, Ann Arbor, MI 48104-4014 | 2006-12-11 |
| 1174639967 | Chin Ti Lin | Urology | 330 Meadow Creek Dr, Ann Arbor, MI 48105-3052 | 2006-08-22 |
| 1255345609 | Amy Lynn-opperer Brode | Urology | 4350 Jackson Rd Ste 350, Ann Arbor, MI 48103-1889 | 2006-07-28 |
| 1063481919 | Linda L Mcintire | Urology | 4540 Boulder Pond Dr, Ann Arbor, MI 48108-8595 | 2006-03-14 |
| 1447256912 | Keow Mei Goh | Urology | 1500 East Medical Center Drive, 2nd Floor Taubman Center Recp C, Ann Arbor, MI 48109-5330 | 2005-06-21 |
| 1154787604 | Abdulrahman Alruwaily | Urology | 1500 E Medical Center Dr, Tc 3875 Spc 5330, Ann Arbor, MI 48109-5000 | 2016-01-13 |
| 1679952006 | Michael A Fenstermaker | Urology | 1500 E Medical Center Dr, 3875 Tc, Spc 5330, Ann Arbor, MI 48109-5000 | 2015-05-19 |
| 1821482845 | John M Dibianco | Urology | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2015-03-27 |
| 1659784460 | Spencer Charles Hiller | Urology | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2014-06-09 |
| Find all providers in ANN ARBOR | ||||
Please comment or provide details below to improve the information on CHANDY ELLIMOOTTIL.
| 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.