DR. JIM PATRICK ELLISON


Address: 100 Rice Mine Rd N Ste B, Tuscaloosa, AL 35406-2375
Phone: 2053494200

DR. JIM PATRICK ELLISON (NPI# 1811251291) 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) 1811251291
Entity Type Individual
Full Name DR. JIM PATRICK ELLISON
Credential M.D.
Practice Address 100 Rice Mine Rd N Ste B
Tuscaloosa
AL 35406-2375
Practice Telephone 2053494200
Practice Fax Number 2053494285
Mailing Telephone 2053494200
Mailing Fax Number 2053494285
Enumeration Date 2012-06-29
Last Update Date 2019-11-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 32955 AL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AL BLUE CROSS AND BLUE SHIELD OF ALABAMA 51164222 01
AL FULL UNRESTRICTED MD 32955 01

Office Location

Street Address 100 RICE MINE RD N STE B
City TUSCALOOSA
State AL
Zip Code 35406-2375

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447739974 Julienne Edith Marie Sullivan Nurse Practitioner 100 Rice Mine Rd N Ste B, Tuscaloosa, AL 35406-2375 2018-08-06
1710407150 Alisha Marie Moore Internal Medicine 100 Rice Mine Rd N Ste B, Tuscaloosa, AL 35406-2375 2017-06-27
1720447048 Internal Medicine Associates of Tuscaloosa, P.C. Nurse Practitioner 100 Rice Mine Rd N Ste B, Tuscaloosa, AL 35406-2375 2016-02-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134757735 Susan Tingle Mills Counselor 1470 Northbank Parkway, Tuscaloosa, AL 35406 2020-03-30
1508416314 Carehere LLC Family Medicine Carehere Clinic-mercedes Tuscaloosa Health and Wellness, 971 Fairfax Park, Suite B, Tuskaloosa, AL 35406 2019-09-13
1093275364 Medfusions Nurse Anesthetist, Certified Registered 120 Rice Mine Road N, Tuscaloosa, AL 35406 2019-03-22
1891144259 Gregory Chad Green, Od, PC Optometrist 1490 Northbank Parkway, Suite 120, Tuscaloosa, AL 35406 2016-06-07
1164767083 First Care LLC Clinic/Center 1251 Mcfarland Blvd. Ne, Tuscaloosa, AL 35406 2012-12-04
1144520487 Ladonna Demetrice Snider Registered Nurse 825 Rice Mine Road No., Tuscaloosa, AL 35406 2010-11-02
1699923102 Nancy M. Tactuk Romanenko Internal Medicine 1015 Rice Valley Rd N, Tuscaloosa, AL 35406 2008-09-09
1912042433 Patrick Bruce Atkins Psychiatry & Neurology 1649 Mcfarland Boulevard North, Suite 201, Tuscaloosa, AL 35406 2007-02-21
1073663555 Mark Linden Prohaska Clinical Neuropsychologist 100 Rice Mine Road, Suite 303, Tuscaloosa, AL 35406 2007-01-10
1225197155 Jane Watkins Phd Counselor 150 Rice Mine Road, Suite B, Tuscalcosa, AL 35406 2006-12-06
Find all providers in zip 35406

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922657147 Julie Anna Wright Internal Medicine 100 Rice Mine Rd N Ste 100, Tuscaloosa, AL 35406-3905 2019-09-10
1689146250 Faith Internal Medicine PC Internal Medicine 755 55th Pl E, Tuscaloosa, AL 35405-4140 2018-12-20
1376035543 North River Internal Medicine Internal Medicine 100 Rice Mine Rd N Suite 150, Tuscaloosa, AL 35406-2375 2018-06-04
1699923102 Nancy M. Tactuk Romanenko Internal Medicine 1015 Rice Valley Rd N, Tuscaloosa, AL 35406 2008-09-09
1679772891 Vijaya K Kommareddi Internal Medicine 3701 Loop Road Suite 210, Va Medical Center, Tuscaloosa, AL 35405 2007-07-17
1679774384 Nada Bashir Memon Internal Medicine 701 University Blvd E Ste 809, Dch Regional Medical Center, Tuscaloosa, AL 35401-7479 2007-05-30
1134336886 Keisha Gibson Lowther Internal Medicine 6531 Highway 69 S, Suite A, Tuscaloosa, AL 35405-4087 2007-05-16
1275673196 Leon H Campbell Jr. Internal Medicine 2720 7th St, Tuscaloosa, AL 35401-1806 2007-02-08
1780746719 Tuscaloosa Medical Associates Internal Medicine 1120 Ruby Tyler Parkway, Tuscaloosa, AL 35404 2006-12-15
1912008491 George P Miller Internal Medicine 1100 Ruby Tyler Pkwy, Tuscaloosa, AL 35404-2959 2006-09-26
Find all providers in TUSCALOOSA

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City TUSCALOOSA
Zip Code 35406

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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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