CHRISTOPHER ELLINGTON (NPI# 1154579605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154579605 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER ELLINGTON |
| Credential | BMBS |
| Practice Address |
1348 Walton Way Ste 5700 Augusta GA 30901-5110 |
| Practice Telephone | 7067228242 |
| Practice Fax Number | 7067228351 |
| Mailing Telephone | 7067228242 |
| Mailing Fax Number | 7067228351 |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2019-03-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 2008023487 | MO | Allopathic & Osteopathic Physicians |
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 52084 | KY | Allopathic & Osteopathic Physicians |
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | TP975 | KY | Allopathic & Osteopathic Physicians |
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 54552 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100571670 | 05 | |
| TN | Q024290 | 05 | |
| IN | 300021105 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9125 Cross Park Dr, Ste 200, Knoxville, TN 379234564 | 8656325900 | 8656372114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053708388 | Christopher R Ellington | Radiology | 510 S Kingshighway Blvd, Dept Radiology, Saint Louis, MO 63110-1016 | 2015-04-24 |
| Street Address |
1348 WALTON WAY STE 5700 |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30901-5110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255321915 | Anthony Dhiantie Goei | Radiology | 1348 Walton Way Ste 5700, Augusta, GA 30901-5110 | 2005-10-25 |
| 1831754738 | Jennifer T Reid | Nurse Practitioner | 1348 Walton Way Ste 5700, Augusta, GA 30901-5110 | 2019-05-06 |
| 1477090900 | Renee Fritz | Physician Assistant | 1348 Walton Way Ste 5700, Augusta, GA 30901 | 2017-01-23 |
| 1952765018 | Rebekah Scout Sanders | Nurse Practitioner | 1348 Walton Way Ste 5700, Augusta, GA 30901-5110 | 2016-04-05 |
| 1770835522 | Justin Michael Croft | Physician Assistant | 1348 Walton Way Ste 5700, Augusta, GA 30901-5110 | 2012-10-03 |
| 1649534314 | Julyn Kendra Burton | Nurse Practitioner | 1348 Walton Way Ste 5700, Augusta, GA 30901-5110 | 2012-06-27 |
| 1780944538 | Tamara Lynn Wyscaver Dirven | Nurse Practitioner | 1348 Walton Way Ste 5700, Augusta, GA 30901 | 2012-05-25 |
| 1407036585 | Bradley Earnest Carr | Technician, Other | 1348 Walton Way Ste 5700, Augusta, GA 30901-5110 | 2007-11-06 |
| 1609815729 | William Clifford Kitchens | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1348 Walton Way Ste 5700, Augusta, GA 30901-5110 | 2006-06-05 |
| 1285691113 | John Salvatore Anastasi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1348 Walton Way Ste 5700, Augusta, GA 30901 | 2006-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477019925 | Courtney Erin Fairchild | Physician Assistant | 1101 15th Street, Pa-224, Augusta, GA 30901 | 2019-02-20 |
| 1699263921 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1022 Walton Way Spc C, Augusta, GA 30901 | 2018-04-23 |
| 1235684192 | Heather Raborn | Allergy & Immunology | 1350 Walton Way Ste 5100, Augusta, GA 30901 | 2016-08-22 |
| 1457690745 | Rehab Without Walls, Inc. | In Home Supportive Care | 820 St Sebastin Way Se, Augusta, GA 30901 | 2013-02-06 |
| 1861788051 | Christina Weidner Belcher | Physical Therapist | 1246 Pine St, Augusta, GA 30901 | 2011-06-25 |
| 1750695979 | C H Martin Company | Durable Medical Equipment & Medical Supplies | 1456 Walton Way Suite B, Augusta, GA 30901 | 2010-07-29 |
| 1366773905 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4027 Wheeler Rd, Augusta, GA 30901 | 2010-01-21 |
| 1851622484 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1715 Forest Drive, Augusta, GA 30901 | 2010-01-21 |
| 1760615280 | Absolute Family PCh | Point of Service | 2035 Old Savannah Rd., Augusta, GA 30901 | 2009-09-01 |
| 1073740643 | Ryan J Altenburg | Internal Medicine | 820 Saint Sebastian Way Ste 8a, Augusta, GA 30901 | 2009-06-22 |
| Find all providers in zip 30901 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295075703 | Holland Victor Moore | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 747 Aumond Rd, Augusta, GA 30909-3258 | 2013-02-20 |
| 1891803821 | Dominic Gallo | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3623 J Dewey Gray Cir Ste 202, Augusta, GA 30909-6554 | 2006-08-29 |
| 1700088143 | Carsten Schroeder | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1120 15th St, Augusta, GA 30912-0004 | 2007-06-05 |
| 1669535522 | M Vinayak Kamath | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1120 15th St, Augusta, GA 30912-0004 | 2006-12-19 |
| 1477613917 | Michael A Watts | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1348 Walton Way, Suite 5700, Augusta, GA 30901-5110 | 2006-12-12 |
| 1932269479 | William R Kitchens | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1348 Walton Way, Suite 5700, Augusta, GA 30901-5110 | 2006-12-12 |
| 1922108976 | Vijaykumar Surendrakant Patel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1120 15th Street, Augusta, GA 30912 | 2006-09-22 |
| 1538268487 | Timothy J Hunter | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 820 Saint Sebastian Way, Suite 6 - B, Augusta, GA 30901-2643 | 2006-09-21 |
| 1942311436 | James D St. Louis | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1120 15th St, Augusta, GA 30912-4619 | 2006-08-31 |
| 1134238728 | Richard Lee | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1120 15th St, Augusta, GA 30912-2539 | 2006-08-29 |
| Find all providers in AUGUSTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.