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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207R00000X | Internal Medicine | 32955 | AL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AL | BLUE CROSS AND BLUE SHIELD OF ALABAMA | 51164222 | 01 |
AL | FULL UNRESTRICTED MD | 32955 | 01 |
Street Address |
100 RICE MINE RD N STE B |
City | TUSCALOOSA |
State | AL |
Zip Code | 35406-2375 |
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 |
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 Code | 207R00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
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. |
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 |
City | TUSCALOOSA |
Zip Code | 35406 |
Please comment or provide details below to improve the information on DR. JIM PATRICK ELLISON.
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.