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JOHN F. ELLENBERG M.D. P.C. NPI 1376853507


NPI Information

NPI: 1376853507
Provider Name: JOHN F. ELLENBERG, M.D., P.C.
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Organization

Specialization: Gynecology

Address:
2500 STARLING ST
406
BRUNSWICK, GA
ZIP 31520
Phone: (912) 261-0447
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JOHN F. ELLENBERG, M.D., P.C. is a gynecology obstetrics gynecology in Brunswick, GA. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee JOHN F. ELLENBERG, M.D., P.C. NPI is 1376853507. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2500 STARLING ST
406
BRUNSWICK, GA
ZIP 31520-265
Phone: (912) 261-0447
Fax: (912) 261-1847

The provider's authorized official is John F. Ellenberg .
The authorized official title is President and has the following contact phone number (912) 261-0447.

The enumeration date for this NPI number is 10/21/2010 and was last updated on 10/21/2010.


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
1207VG0400XObstetrics & GynecologyGynecology021451GEORGIAYes

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
1E76307MEDICARE UPINGEORGIA
2000384315AMEDICAIDGEORGIA
316BDBKWMEDICARE PINGEORGIA

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

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