AMY R ELLINGSON MD PA (NPI# 1295907152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295907152 |
| Entity Type | Organization |
| Organization Name | AMY R ELLINGSON MD PA |
| Other Organization Name | ALLERGY & ASTHMA SPECIALTY CLINIC |
| Practice Address |
1037 19th Ave Sw Willmar MN 56201-5005 |
| Mailing Address |
Po Box 1015 Willmar MN 56201-1015 |
| Practice Telephone | 3202141100 |
| Practice Fax Number | 3202141155 |
| Mailing Telephone | 3202141100 |
| Mailing Fax Number | 3202141155 |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2008-03-31 |
| Authorized Official Name | DR. AMY R ELLINGSON (PRESIDENT) |
| Authorized Official Telephone | 3202141100 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
1538 | MN | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Allergy & Asthma Specialty Clinic | Doing Business As Name - Organization |
| Street Address |
1037 19TH AVE SW |
| City | WILLMAR |
| State | MN |
| Zip Code | 56201-5005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417032160 | Amy Rillo Ellingson | Allergy & Immunology | 1037 19th Ave Sw, Willmar, MN 56201-5005 | 2006-10-25 |
| 1124677190 | Daniele J Welvaert | Nurse Practitioner | 1037 19th Ave Sw, Willmar, MN 56201-5005 | 2019-09-11 |
| 1437234127 | Catherine Anderson | Nurse Practitioner | 1037 19th Ave Sw, Willmar, MN 56201-5005 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730793472 | Sarah Erickson | Counselor | 2120 60th Ave N.w., Willmar, MN 56201 | 2020-09-01 |
| 1417560681 | Amy Engle | Nurse Practitioner | 1125 Se 8th Street, Willmar, MN 56201 | 2020-08-28 |
| 1154856524 | Mude Transportation Inc | Non-emergency Medical Transport (VAN) | 1712 Monongalia Ave Sw Ap1, Willmar, MN 56201 | 2017-04-24 |
| 1285025874 | Jill Fellows | Occupational Therapist | 611 5th St. Sw, Willmar, MN 56201 | 2015-02-18 |
| 1700294881 | Brenda Wiese | Counselor | 1617 Hwy 12 E, Suite 230, Willmar, MN 56201 | 2014-08-01 |
| 1275955932 | Courtney Regnier | Marriage & Family Therapist | 2320 E Hwy 12 Ste 2, Willmar, MN 56201 | 2014-01-15 |
| 1568732402 | Pamela Jean Kubesh | Social Worker | 328 Sw 3rd Street, Willmar, MN 56201 | 2012-01-10 |
| 1699931824 | Community Behavioral Health Hospital-willmar | Psychiatric Hospital | 1208 Olena Ave Se, Willmar, MN 56201 | 2008-08-07 |
| 1700053345 | Nathan Schrick | Marriage & Family Therapist | 513 Sw 5th Street, Box 1810, Willmar, MN 56201 | 2008-05-13 |
| 1831381680 | Joan M Blonigan Christianson | Chiropractor | 1101 S 1st Street, Willmar, MN 56201 | 2007-08-15 |
| Find all providers in zip 56201 | ||||
| Taxonomy Code | 207KA0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| Specialization | Allergy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265802052 | Integrative Immunity Health System PC | Allergy & Immunology | 6600 France Ave S Ste 600, Edina, MN 55435-1813 | 2015-10-06 |
| 1740393198 | Allergy, Asthma & Pulmonary Associates, Pa | Allergy & Immunology | 1511 Northway Dr Ste 101, Saint Cloud, MN 56303-1262 | 2006-08-17 |
| 1023022613 | Richard John Morris | Allergy & Immunology | 12000 Elm Creek Blvd, Suite 200, Maple Grove, MN 55369-7073 | 2006-07-28 |
| 1154335990 | Pramod S Kelkar | Allergy & Immunology | 12000 Elm Creek Blvd N Ste 360, Maple Grove, MN 55369-7076 | 2006-07-28 |
| 1952315509 | Thomas J Helm | Allergy & Immunology | 12000 Elm Creek Blvd, Suite 360, Maple Grove, MN 55369-7076 | 2006-07-28 |
| 1114962206 | North Clinic, Pa | Allergy & Immunology | 9201 W Broadway Ave, Suite 601, Brooklyn Park, MN 55445-1923 | 2006-06-20 |
| 1821057910 | Amy M Berglin | Allergy & Immunology | 3833 Coon Rapids Blvd Nw Ste 120, Coon Rapids, MN 55433-2599 | 2006-03-20 |
| 1598756157 | William B Hicks | Allergy & Immunology | 3100 Kennard St, Maplewood, MN 55109-5439 | 2005-11-02 |
| 1932523321 | Center for Eosinophilic Esophagitis and Food Allergy | Allergy & Immunology | 1511 Northway Dr Ste 101, Saint Cloud, MN 56303-1262 | 2014-02-06 |
| 1548550916 | Britta Sundquist | Allergy & Immunology | 3955 Parklawn Ave Ste 120, Edina, MN 55435 | 2011-04-19 |
| 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.