CHARLES PAUL ELLSWORTH (NPI# 1780786707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780786707 |
| Entity Type | Individual |
| Full Name | CHARLES PAUL ELLSWORTH |
| Credential | DO |
| Practice Address |
7057 N Clio Rd Mount Morris MI 48458-8261 |
| Mailing Address |
3495 S Center Rd Burton MI 48519-1455 |
| Practice Telephone | 8106700200 |
| Practice Fax Number | 8106700196 |
| Mailing Telephone | 8104242011 |
| Mailing Fax Number | 8102494037 |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2014-12-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 5101015196 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | HCAP | 381908328 | 01 |
| MI | HEALTH PLUS OF MICHIGAN | 0992950 | 01 |
| MN | MOLINA HEALTHCARE OF MICHIGAN | 1780786707 | 01 |
| MN | GREAT LAKES HEALTH PLAN/UNITED HEALTHCARE | 178241 | 01 |
| MI | HEALTH PLAN OF MICHIGAN | 19870 | 01 |
| MI | BLUE CARE NETWORK OF MICHIGAN | 080G310660 | 01 |
| MN | CARE SOURCE OF MICHIGAN | 381908328-446 | 01 |
| MI | 1780786707 | 05 | |
| MO | MCLAREN HEALTH PLAN | 1051020 | 01 |
| MI | MICHIGAN BLUE CROSS BLUE SHIELD | 080G3610660 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174580013 | Charles A Ellsworth | Pathology | 1 Atwell Rd, Cooperstown, NY 13326-1301 | 2006-04-26 |
| Street Address |
7057 N CLIO RD |
| City | MOUNT MORRIS |
| State | MI |
| Zip Code | 48458-8261 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457768798 | Martin Skokan | Physical Therapist | 7057 N Clio Rd, Mount Morris, MI 48458-8261 | 2014-07-18 |
| 1821422262 | Sacred Heart Rehabilitation Center, Inc | Community/Behavioral Health | 7057 N Clio Rd, Suite 4, Mount Morris, MI 48458-8261 | 2013-08-21 |
| 1073714242 | Louis B Coriasso | Family Medicine | 7057 N Clio Rd, Mount Morris, MI 48458-8261 | 2007-05-29 |
| 1285847525 | Julie A Sawade | Family Medicine | 7057 N Clio Rd, Mount Morris, MI 48458-8261 | 2007-05-07 |
| 1124249180 | Jannell A Tillman | Physical Therapist | 7057 N Clio Rd, Mount Morris, MI 48458-8261 | 2007-05-01 |
| 1902024334 | Genesys Integrated Group Practice PC | Occupational Therapist | 7057 N Clio Rd, Mount Morris, MI 48458-8261 | 2007-04-23 |
| 1558463372 | Allan M Ebert | Family Medicine | 7057 N Clio Rd, Mount Morris, MI 48458-8261 | 2006-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194260364 | Lisa Marie Sarno | Social Worker | 6655 Neff Road, Mount Morris, MI 48458 | 2016-12-27 |
| 1336699958 | Mandy Marie Lyon | Nurse Practitioner | 6655 Neff Rd, Mount Morris, MI 48458 | 2016-10-06 |
| 1083161624 | Khelsey Jefferson | Technician, Other | G6190 North Dort Hwy, Mount Morris, MI 48458 | 2016-09-01 |
| 1467908731 | Kim Baxter | Technician, Other | 1218 W Stanley Road, Mt Morris, MI 48458 | 2016-08-28 |
| 1972989671 | Sharon Cantrell | Driver | 1110 Maginn Ct, Mount Morris, MI 48458 | 2015-08-04 |
| 1437585627 | Louis A Shaheen | Dentist | G9171 North Saginaw St., Mt. Morris, MI 48458 | 2013-09-19 |
| 1992015853 | Makali Inc | Pharmacy | G-6061 N Saginaw St, Mt. Morris, MI 48458 | 2010-10-13 |
| 1982833422 | American Medical Missionary Care | Family Medicine | G-6061 N. Saginaw St., Mt. Morris, MI 48458 | 2009-07-06 |
| 1134383011 | Beecher Pharmacy LLC | Pharmacy | G 6061 N Saginaw St, Mount Morris, MI 48458 | 2008-07-10 |
| 1316022999 | Daniel Reuben Gotlib | Dentist | G-6061 North Saginaw Rd, Mount Morris, MI 48458 | 2006-10-25 |
| Find all providers in zip 48458 | ||||
| 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 |
|---|---|---|---|---|
| 1265867980 | P A Partners Pllc | Family Medicine | 6061 N Saginaw Rd, Mount Morris, MI 48458-2438 | 2013-09-12 |
| 1023169026 | Scott Andrew Graves | Family Medicine | 2337 W Mount Morris Rd, Mount Morris, MI 48458-8256 | 2007-01-16 |
| 1306932611 | Mark Schaaf | Family Medicine | 4485 E Mount Morris Rd, Mount Morris, MI 48458-8963 | 2006-10-05 |
| 1669422028 | Kimberly Gibson-berry | Family Medicine | 3142b Mount Morris Geneseo Rd, Mount Morris, NY 14510-9710 | 2006-05-10 |
| 1790120400 | Scott Wilson | Family Medicine | 118 Main St, Mount Morris, NY 14510-1218 | 2013-05-08 |
| 1154622595 | Mt Morris Family Medicine LLC | Family Medicine | 8434 N Saginaw Rd, Mount Morris, MI 48458-1190 | 2010-11-16 |
| 1730419177 | Scott A Graves Md PC | Family Medicine | 2337 W Mount Morris Rd, Mount Morris, MI 48458-8256 | 2010-01-07 |
| 1528224797 | New Herizons Family Medicine P.C. | Family Medicine | 3142b Mount Morris Geneseo Rd, Mount Morris, NY 14510-9710 | 2008-08-06 |
| 1073714242 | Louis B Coriasso | Family Medicine | 7057 N Clio Rd, Mount Morris, MI 48458-8261 | 2007-05-29 |
| 1285847525 | Julie A Sawade | Family Medicine | 7057 N Clio Rd, Mount Morris, MI 48458-8261 | 2007-05-07 |
| Find all providers in MOUNT MORRIS | ||||
| City | MOUNT MORRIS |
| Zip Code | 48458 |
Please comment or provide details below to improve the information on CHARLES PAUL ELLSWORTH.
| 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.