Provider Type Icon

DR. MATTHEW BLAIR ELLISON MD NPI 1760689012


NPI Information

NPI: 1760689012
Provider Name: DR. MATTHEW BLAIR ELLISON, MD
Classification: General Practice - 208D00000X
Entity Type: Individual
Organization: WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION

PECOS Registration: Yes

Address:
1 MEDICAL CENTER DRIVE
MORGANTOWN, WV
ZIP 26506
Phone: (304) 598-4929
Get Directions

DR. Matthew Blair Ellison, MD is a general practice in Morgantown, WV with 20 years of experience. DR. Matthew Blair Ellison, MD NPI is 1760689012. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduation Year:2004

The provider's business location address is:

1 MEDICAL CENTER DRIVE
MORGANTOWN, WV
ZIP 26506
Phone: (304) 598-4929
Fax: (304) 598-4930

The NPI 1760689012 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 arterial catheter for blood sampling or infusion, accessed through the skin (HCPCS:36620)
  • Anesthesia for procedure on gastrointestinal tract using an endoscope (HCPCS:00740)
  • Anesthesia for procedure on lower intestine using an endoscope (HCPCS:00810)

The enumeration date for this NPI number is 6/29/2007 and was last updated on 7/8/2007.


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
1208D00000XGeneral Practice208D00000XWEST VIRGINIAYes

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.