DR. MICHAEL JOHN ELLISON (NPI# 1861465932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861465932 |
Entity Type | Individual |
Full Name | DR. MICHAEL JOHN ELLISON |
Credential | MD |
Practice Address |
700 Frederick St Ste 203 Santa Cruz CA 95062 |
Practice Telephone | 8314251906 |
Practice Fax Number | 8314698764 |
Mailing Telephone | 8314251906 |
Mailing Fax Number | 8314698764 |
Enumeration Date | 2006-02-09 |
Last Update Date | 2016-05-23 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
G64790 | CA | Allopathic & Osteopathic Physicians |
Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
G64790 | CA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720382393 | Michael Joseph Ellison | Physician Assistant | 115 Mall Dr, Hanford, CA 93230-5786 | 2010-12-22 |
1649598616 | Michael James Ellison | Social Worker | 703 Frisco Ave, Clinton, OK 73601-3320 | 2010-05-14 |
1417158734 | Michael G. Ellison | Counselor | 11940 Fm 730 N, Azle, TX 76020-5442 | 2007-05-31 |
1740357797 | Michael A Ellison | Internal Medicine | 1435 Waukegan Rd, Glenview, IL 60025-2120 | 2006-11-28 |
Street Address |
700 FREDERICK ST STE 203 |
City | SANTA CRUZ |
State | CA |
Zip Code | 95062 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083085039 | Cindy Vu | Nurse Practitioner | 700 Frederick St Ste 203, Santa Cruz, CA 95062-2239 | 2015-10-16 |
1972510048 | David Leo Kipps | Internal Medicine | 700 Frederick St Ste 203, Santa Cruz, CA 95062 | 2006-08-02 |
1649205733 | Laura Louise Likar | Internal Medicine | 700 Frederick St Ste 203, Santa Cruz, CA 95062 | 2006-07-11 |
1174556724 | Randall James Rea | Internal Medicine | 700 Frederick St Ste 203, Santa Cruz, CA 95062 | 2006-07-08 |
1598721235 | Tuong Nguyen Vu | Internal Medicine | 700 Frederick St Ste 203, Santa Cruz, CA 95062-2239 | 2006-04-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730706698 | Laura Lynn Rabb-jancola | Home Health | 275 Lake Ave #8, Santa Cruz, CA 95062 | 2020-06-26 |
1043792740 | New Life Community Services, Inc | Substance Abuse Rehabilitation Facility | 521 Capitola Rd Ext, Santa Cruz, CA 95062 | 2018-08-30 |
1780180380 | Philips Patton | Acupuncturist | 129 Dake Ave, Santa Cruz, CA 95062 | 2018-04-03 |
1477069896 | Wei Jiang | Acupuncturist | 1099 38th Ave #46, Santa Cruz, CA 95062 | 2017-12-21 |
1336679885 | Camm Nelsen | Counselor | 200 7th Avenue. Suite 150, Santa Cruz, CA 95062 | 2017-06-18 |
1639601784 | Catharine Lee Sheets | Registered Nurse | 21507 East Cliff Drive, Santa Cruz, CA 95062 | 2017-03-29 |
1972968857 | Brenda M. Williams | Counselor | 941 Eldorado Ave, Santa Cruz, CA 95062 | 2015-12-21 |
1124490347 | Emily Fittante | Social Worker | 343 Soquel Ave #195, Santa Cruz, CA 95062 | 2015-10-27 |
1578935839 | Jennifer Langon, Lmft | Community/Behavioral Health | 5905 Soquel Ave Suite 400, Aptos, CA 95062 | 2015-10-27 |
1255718581 | Joanne Gramo | Acupuncturist | 316a Oceanview Ave., Santa Cruz, CA 95062 | 2015-05-06 |
Find all providers in zip 95062 |
Taxonomy Code | 207RP1001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Pulmonary Disease |
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
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 |
---|---|---|---|---|
1699099192 | Andrea Ling | Internal Medicine | 1595 Soquel Dr Ste 230, Santa Cruz, CA 95065-1721 | 2010-03-26 |
1891139762 | Maly Nathalie Oron | Internal Medicine | 2025 Soquel Ave, Santa Cruz, CA 95062-1323 | 2013-04-23 |
1073531513 | Santa Cruz Pulmonary Medical Group | Internal Medicine | 700 Frederick St, Suite 203, Santa Cruz, CA 95062-2239 | 2006-07-17 |
1093784027 | Aaron B Morse | Internal Medicine | 1665 Dominican Way, Suite 222a, Santa Cruz, CA 95065-1580 | 2006-03-14 |
1437139284 | Don Hodges | Internal Medicine | 2025 Soquel Ave, Santa Cruz, CA 95062-1323 | 2006-01-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184221137 | Newport Superior Medical & Infusion Inc | Internal Medicine | 1501 Superior Ave Ste 111, Newport Beach, CA 92663-3661 | 2020-10-02 |
1205472339 | Christian Gronbeck IIi | Internal Medicine | 37 E Mission Ave, San Rafael, CA 94901-4208 | 2019-11-25 |
1497304497 | Ralph Zitnik | Internal Medicine | 606 E Valerio St, Santa Barbara, CA 93103-1954 | 2019-09-11 |
1578118295 | Adventist Health Physicians Network | Internal Medicine | 1231 W Vine St Ste 19, Lodi, CA 95240-5109 | 2019-08-08 |
1063079176 | Kasra Sedarati M.d. Inc. | Internal Medicine | 325 N Maple Dr Unit 1863, Beverly Hills, CA 90213-4754 | 2019-05-23 |
1124586367 | Coast Concierge Medicine Inc | Internal Medicine | 31852 Coast Hwy Ste 201, Laguna Beach, CA 92651-6765 | 2019-03-06 |
1801373352 | Antelope Valley Lung & Sleep Institute, Inc | Internal Medicine | 1331 W Avenue J Ste 101, Lancaster, CA 93534-2942 | 2018-07-26 |
1659864338 | Orange County Respiratory Physicians Corp | Internal Medicine | 18111 Brookhurst St Ste 4600, Fountain Valley, CA 92708 | 2018-06-07 |
1841780301 | San Joaquin Critical Care Medical Group, Inc. | Internal Medicine | 1801 E March Ln Ste C300, Stockton, CA 95210-6657 | 2018-05-10 |
1912408691 | Northern California Medical Assoc | Internal Medicine | 2315 Dean St, Eureka, CA 95501-3208 | 2018-02-27 |
Find all providers with the same taxonomy |
City | SANTA CRUZ |
Zip Code | 95062 |
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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.