MR. CARROL WENDALL ELLISON MD NPI 1912903774

NPI Information

NPI: 1912903774
Provider Name: MR. CARROL WENDALL ELLISON, MD
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
500 EAST PARKER RD
MORGANTON, NC
ZIP 28655
Phone: (828) 433-5700
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MR. Carrol Wendall Ellison, MD is a general practice in Morganton, NC. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee MR. Carrol Wendall Ellison, MD NPI is 1912903774. 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:

500 EAST PARKER RD
MORGANTON, NC
ZIP 28655
Phone: (828) 433-5700
Fax: (828) 433-5702

The enumeration date for this NPI number is 6/24/2005 and was last updated on 3/17/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207V00000X	Obstetrics & Gynecology		19994	NORTH CAROLINA	No
2	208D00000X	General Practice		19994	NORTH CAROLINA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	C85277	MEDICARE UPIN
2	8930648	MEDICAID	NORTH CAROLINA
3	201614A	MEDICARE PIN	NORTH CAROLINA
4	C85277	MEDICARE UPIN	NORTH CAROLINA

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: 5/5/2024

NPI Synchronization or Removal

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