ROBERT C ELLISON (NPI# 1275570475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275570475 |
| Entity Type | Individual |
| Full Name | ROBERT C ELLISON |
| Credential | M.D. |
| Practice Address |
88 East Newton Street Boston Med Ctr B-612 Roxbury MA 02118 |
| Mailing Address |
201 Pleasant St Framingham MA 01701-4761 |
| Practice Telephone | 6176388080 |
| Mailing Telephone | 6176388080 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
30844 | MA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407138837 | Robert P Ellison | Dentist | 615 Professional Park Dr, New Haven, IN 46774-1850 | 2011-09-12 |
| 1285290395 | Robert Andrew Ellison | Registered Nurse | 4000 Laurel St, Anchorage, AK 99508-5333 | 2019-05-14 |
| 1245725035 | Robert Ellison | Dentist | 113 Harbor Town Sq Ste 203, Memphis, TN 38103-8890 | 2018-06-25 |
| 1982117453 | Robert Jeffrey (jeff) Ellison | Counselor | 2 Station Way Rd, Chadds Ford, PA 19317-9782 | 2017-11-07 |
| 1285026302 | Robert Brian Ellison | Counselor | 1664 Broadway, El Cajon, CA 92021-5201 | 2015-02-26 |
| 1265526412 | Robert J Ellison | Psychologist | 1601 Highway 13 E, Ste. 101, Burnsville, MN 55337-6865 | 2006-10-03 |
| 1841309762 | Robert Stanfill Ellison | Specialist | 614 Howard Street, Asu Student Health Service, Boone, NC 28607 | 2006-08-30 |
| 1477571008 | Robert G Ellison Jr. | Surgery | 836 Prudential Dr, Suite 1405, Jacksonville, FL 32207-8334 | 2006-07-18 |
| 1508832114 | Robert J Ellison | Physical Therapist | 2488 E 81st St Ste 290, Tulsa, OK 74137-4265 | 2006-02-23 |
| 1265425714 | Robert L Ellison | Anesthesiology | 2300 W A St, Moscow, ID 83843-4038 | 2005-08-30 |
| Street Address |
88 EAST NEWTON STREET BOSTON MED CTR B-612 |
| City | ROXBURY |
| State | MA |
| Zip Code | 02118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870023 | Carlos E Salazar | Counselor | Hcrc 23 Bradston St., Boston, MA 02118 | 2020-10-27 |
| 1780292607 | Jinal Gandhi | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Boston, MA 02118 | 2020-07-16 |
| 1669094777 | German Eduardo Velez | Student in an Organized Health Care Education/Training Program | One Boston Medical Center Place Boston Medical Center, Boston, MA 02118 | 2020-05-12 |
| 1255969895 | Isabela Medeiros Heringer Pereira | Student in an Organized Health Care Education/Training Program | 670 Albany Stree, 4th Floor, Boston, MA 02118 | 2020-03-30 |
| 1033746466 | Karan Sunil Hingorani | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Precepting Room, Boston, MA 02118 | 2020-03-25 |
| 1326672791 | Azza Ahmed | Dentist | 635 Albany St. G-744, Boston, MA 02118 | 2020-02-25 |
| 1538707401 | Jane Margolis | Social Worker | 840 Harrison Ave., Dowling 2 South, Boston, MA 02118 | 2019-12-11 |
| 1871134833 | Supontep Teerakanok | Dentist | Henry Goldman School of Dental Medicine, 635 Albany St, Boston, MA 02118 | 2019-10-01 |
| 1750939583 | Qasim Silman Ajmi | Orthopaedic Surgery | Department of Orthopaedic Surgery Boston Medical Center, 850 Harrison Ave Dowling 2 North, Boston, MA 02118 | 2019-08-26 |
| 1922655539 | Jami Ryan Pollard | Physician Assistant | 840 Harrison Avenue, Menino Building, Boston, MA 02118 | 2019-08-20 |
| Find all providers in zip 02118 | ||||
| Taxonomy Code | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659596013 | David M Ozonoff | Preventive Medicine | Boston Univ Sch Public, 80 E Concord Street, Roxbury, MA 02118 | 2007-04-13 |
| 1114048360 | Wayne W Lamorte | Preventive Medicine | Boston Univ Shc of Med, 80 East Concord Street, Roxbury, MA 02118 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831705904 | New Moon Acupuncture Pllc | Preventive Medicine | 557 Mount Auburn St Ste 2, Watertown, MA 02472-4102 | 2020-09-23 |
| 1659912533 | Passport Health Holdings, LLC | Preventive Medicine | 111 Williard Street, Suite Gc, Quincy, MA 02169-1200 | 2019-10-02 |
| 1528593761 | Passport Health Holdings, LLC | Preventive Medicine | 18 Tremont Street, Suite 404, Boston, MA 02108-2304 | 2017-04-25 |
| 1720510977 | Zen Den Medical Inc. | Preventive Medicine | 392 Washington St, Norwell, MA 02061-2008 | 2017-03-28 |
| 1992121024 | Passport Health Holdings, LLC | Preventive Medicine | 500 West Cummings Park, Suite 2475, Woburn, MA 01801-5536 | 2014-03-13 |
| 1720217441 | Anthony F Milano | Preventive Medicine | 110 Keveney Lane, Cummaquid, MA 02637 | 2009-07-02 |
| 1508037169 | Aneel Advani | Preventive Medicine | 57 Wall St, Wellesley, MA 02481-4819 | 2008-03-21 |
| 1609095751 | Lewis Mantel | Preventive Medicine | Board of Health, 16 Gr. Neck Rd. North, Mashpee, MA 02649 | 2007-04-25 |
| 1942429261 | Eleanor G Shore | Preventive Medicine | 62 Meadowbrook Rd, Needham, MA 02492-1914 | 2007-04-25 |
| 1780808246 | Stan N Finkelstein | Preventive Medicine | 117 Lexington Rd, Lincoln, MA 01773-2206 | 2007-04-13 |
| Find all providers with the same taxonomy | ||||
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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.