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CHARLES PAUL ELLSWORTH DO NPI 1780786707


NPI Information

NPI: 1780786707
Provider Name: CHARLES PAUL ELLSWORTH, DO
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: ASCENSION MEDICAL GROUP GENESYS

PECOS Registration: Yes

Address:
5103 W PIERSON RD
FLINT, MI
ZIP 48504
Phone: (810) 733-7503
Get Directions

Charles Paul Ellsworth, DO is a family medicine in Flint, MI with 27 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Charles Paul Ellsworth, DO NPI is 1780786707. 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:

5103 W PIERSON RD
FLINT, MI
ZIP 48504-395
Phone: (810) 733-7503
Fax: (810) 733-5368

The NPI 1780786707 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • Urinalysis, manual test (HCPCS:81002)
  • Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • Blood glucose (sugar) test performed by hand-held instrument (HCPCS:82962)
  • Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory (HCPCS:Q0091)
  • Cervical or vaginal cancer screening; pelvic and clinical breast examination (HCPCS:G0101)

The enumeration date for this NPI number is 9/1/2006 and was last updated on 10/22/2011.


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
1207Q00000XFamily Medicine5101015196MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10992950OTHERMICHIGANHEALTH PLUS OF MICHIGAN
2G36111118MEDICARE PINMICHIGAN
31780786707OTHERMINNESOTAMOLINA HEALTHCARE OF MICHIGAN
41780786707MEDICAIDMICHIGAN
5080G3610660OTHERMICHIGANMICHIGAN BLUE CROSS BLUE SHIELD
6381908328-446OTHERMINNESOTACARE SOURCE OF MICHIGAN
7381908328OTHERMICHIGANHCAP
819870OTHERMICHIGANHEALTH PLAN OF MICHIGAN
9H58292MEDICARE UPINMICHIGAN
101051020OTHERMISSOURIMCLAREN HEALTH PLAN
11080G310660OTHERMICHIGANBLUE CARE NETWORK OF MICHIGAN
12178241OTHERMINNESOTAGREAT LAKES HEALTH PLAN/UNITED HEALTHCARE

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: 4/28/2024

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.