Dr. Joseph Robert Ellison
M.D. | Pediatrics | Male
Dr. Joseph Robert Ellison, M.D. is a Omaha, Nebraska based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Joseph Robert Ellison is
12808 Augusta Ave, Omaha, Nebraska - 68144-3733. He can be contacted on phone at
402-330-5690 and fax number 402-330-5689.
Dr. Joseph Robert Ellison is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Joseph Robert Ellison is
1477632420 which was assigned by NPPES on 02 Nov, 2006 and it was last updated on 08 Jul, 2007.
Dr. Joseph Robert Ellison license number is
11477 for Pediatrics (208000000X) in Nebraska.
Dr. Joseph Robert Ellison is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Joseph Robert Ellison basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Joseph Robert Ellison |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. Joseph Robert Ellison address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 12808 Augusta Ave
Omaha, NE, 68144-3733
United States |
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| Phone Number : | 402-330-5690 |
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| Fax Number : | 402-330-5689 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1477632420 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 02 Nov, 2006 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Joseph Robert Ellison are as mentioned. Primary taxonomy code for Dr. Joseph Robert Ellison, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 11477 | NE |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Joseph Robert Ellison such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 47054602612 | MEDICAID | NE | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2725 S 107th St
Omaha, NE, 68124-2429
United States |
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| Phone Number : | 402-393-2860 |
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| Fax Number : | 402-330-5689 |
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Business Location:
Patients can refer following map for directions to
Dr. Joseph Robert Ellison practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.