Clinton R Ellingson (NPI# 1326332776, PAC ID# 4587979430) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1326332776 |
| PAC ID by PECOS | 4587979430 |
| Professional Enrollment ID | I20180810002657 |
| Full Name | Clinton R Ellingson |
| Organization Legal Name | TALLEY MEDICAL-SURGICAL EYE CARE ASSOCIATES PC |
| Address |
960 S Commercial St Harrisburg IL 62946-2637 |
| Phone Number | 8124242020 |
| Gender | M |
| Medical School | PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 3779551122 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150082 | DEACONESS HOSPITAL INC |
| Address | Phone | Organization |
|---|---|---|
| 6149 E Columbia St, Evansville, IN 47715-9134 | 8124242020 | TALLEY MEDICAL-SURGICAL EYE CARE ASSOCIATES PC |
| 960 S Commercial St, Harrisburg, IL 62946-2637 | 8124242020 | TALLEY MEDICAL-SURGICAL EYE CARE ASSOCIATES PC |
| Organization Legal Name | TALLEY MEDICAL-SURGICAL EYE CARE ASSOCIATES PC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathaniel P Pelsor | Optometry | Talley Medical-surgical Eye Care Associates PC | 6149 E Columbia St, Evansville, IN 47715-9134 |
| Thomas A Brummer | Ophthalmology | Talley Medical-surgical Eye Care Associates PC | 101 E Delaware St, Suite C, Fairfield, IL 62837-2111 |
| Dwight A Silvera | Ophthalmology | Talley Medical-surgical Eye Care Associates PC | 303 E 13th St, Huntingburg, IN 47542-9269 |
| Michael Alan Morris | Ophthalmology | Talley Medical-surgical Eye Care Associates PC | 960 S Commercial St, Harrisburg, IL 62946-2637 |
| Drew N Sommerville | Ophthalmology | Talley Medical-surgical Eye Care Associates PC | 200 Saint Charles St, Jasper, IN 47546-9053 |
| Monica Kalia | Optometry | Talley Medical-surgical Eye Care Associates PC | 328 N 2nd St, Suite 208, Vincennes, IN 47591-1353 |
| Street Address |
960 S COMMERCIAL ST |
| City | HARRISBURG |
| State | IL |
| Zip | 62946-2637 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Krystina L Eubanks | Optometry | Eubanks and Daugherty, LLC | 960 S Commercial St, Harrisburg, IL 62946-2637 |
| Michael Alan Morris | Ophthalmology | Talley Medical-surgical Eye Care Associates PC | 960 S Commercial St, Harrisburg, IL 62946-2637 |
| Benna K Daugherty | Optometry | Eubanks and Daugherty, LLC | 960 S Commercial St, Harrisburg, IL 62946-2637 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kari Koster | Nurse Practitioner | Community Health and Emergency Services Inc | 205 N Main St, Harrisburg, IL 62946-1256 |
| Tony Fry | Chiropractic | 101 N Gum St, Suite 3, Harrisburg, IL 62946-1567 | |
| Danielle L Baker | Nurse Practitioner | Integrated Health of Southern Illinois Ltd | 303 S Commercial St, Suite 10, Harrisburg, IL 62946-2125 |
| Noah J Stearns | Physical Therapy | Joyner Therapy Services | 924 S Commercial St, Harrisburg, IL 62946-2637 |
| Jami M Thomas | Occupational Therapy | Joyner Therapy Services | 924 S Commercial St, Harrisburg, IL 62946-2637 |
| Bric A Steward | Chiropractic | 608 Rollie Moore Dr, Suite 2, Harrisburg, IL 62946-2641 | |
| Brent M Jones | Family Medicine | Southern Illinois Medical Services, Nfp | 117 E Clark St, Harrisburg, IL 62946-2702 |
| Brahm Jyot | General Surgery | Southern Illinois Medical Services, Nfp | 117 E Clark St, Harrisburg, IL 62946-2702 |
| Matthew C Winkleman | Family Medicine | Southern Illinois Medical Services, Nfp | 117 E Clark St, Harrisburg, IL 62946-2702 |
| Roger D Watters | Family Medicine | Southern Illinois Medical Services, Nfp | 117 E Clark St, Harrisburg, IL 62946-2702 |
| Find all physicians in zip 62946 | |||
| City | HARRISBURG |
| Zip Code | 62946 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | HARRISBURG + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Clinton R Ellingson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.