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DR. DEREK ELLINGSON D.O. NPI 1487848644


NPI Information

NPI: 1487848644
Provider Name: DR. DEREK ELLINGSON, D.O.
Classification: Pathology - 207ZP0102X
Entity Type: Individual

Specialization: Anatomic Pathology & Clinical Pathology

Organization: ASSOCIATED PATHOLOGISTS LLC

PECOS Registration: Yes

Address:
7950 W JEFFERSON BLVD
FORT WAYNE, IN
ZIP 46804
Phone: (260) 435-7001
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DR. Derek Ellingson, D.O. is an anatomic pathology and clinical pathology pathology in Fort Wayne, IN with 17 years of experience. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. DR. Derek Ellingson, D.O. NPI is 1487848644. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7950 W JEFFERSON BLVD
FORT WAYNE, IN
ZIP 46804-140
Phone: (260) 435-7001

The NPI 1487848644 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/30/2007 and was last updated on 8/25/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ZP0102XPathologyAnatomic Pathology & Clinical Pathology02006527AINDIANAYes
2207ZP0102XPathologyAnatomic Pathology & Clinical Pathology2007018750MISSOURINo
3207ZP0102XPathologyAnatomic Pathology & Clinical PathologyMEDO7423ALASKANo
4207ZP0102XPathologyAnatomic Pathology & Clinical PathologyDO05260IOWANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.