JUSTIN L. ELLERMAN (NPI# 1447697743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447697743 |
| Entity Type | Individual |
| Full Name | JUSTIN L. ELLERMAN |
| Credential | MD |
| Practice Address |
2451 University Hospital Dr # 400-k Mobile AL 36617-2300 |
| Mailing Address |
2257 Old Government St Mobile AL 36606-4428 |
| Practice Telephone | 2514559122 |
| Practice Fax Number | 2514701652 |
| Mailing Telephone | 7048067917 |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2020-06-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | MD35678 | SC | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | MD44779 | IA | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | MD37491 | AL | Allopathic & Osteopathic Physicians |
| Street Address |
2451 UNIVERSITY HOSPITAL DR # 400-K |
| City | MOBILE |
| State | AL |
| Zip Code | 36617-2300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710448931 | Sana Ozair | Student in an Organized Health Care Education/Training Program | 2451 University Hospital Dr # 400-k, Mobile, AL 36617-2300 | 2019-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871118760 | Travis Berry | Student in an Organized Health Care Education/Training Program | 2451 University Hospital Dr., Moorer Bldg. Room 120, Mobile, AL 36617 | 2020-06-16 |
| 1164064978 | Crystal Aerin Deweever | Counselor | 2400 Gordon Smith Dr., Mobile, AL 36617 | 2019-10-14 |
| 1871145938 | Sagar Kumar | Student in an Organized Health Care Education/Training Program | 2451 University Hospital Dr. Rm 714, Mobile, AL 36617 | 2019-07-09 |
| 1639630882 | Sarah Anderson | Student in an Organized Health Care Education/Training Program | 2451 University Hospital Drive, Moorer Bldg. Room 120, Mobile, AL 36617 | 2019-03-29 |
| 1215415120 | Fnu Sameeta | Student in an Organized Health Care Education/Training Program | 2451 Usa Med Center Drive, Moorer Building Room 120, Mobile, AL 36617 | 2018-08-02 |
| 1659857670 | Sara Roberta Avalos Hernandez | Student in an Organized Health Care Education/Training Program | 2451 Usa Medical Center Drive, Moorer Building, Rm 120, Mobile, AL 36617 | 2018-07-12 |
| 1669978359 | Colin Thomas Buckley | Student in an Organized Health Care Education/Training Program | 2451 Usa Medical Center Dr. Rm 714, Mobile, AL 36617 | 2018-04-02 |
| 1336644590 | Shuo Shawn Liu | Student in an Organized Health Care Education/Training Program | 2451 Usa Medical Center Dr., Moorer Bldg. Room 120, Mobile, AL 36617 | 2018-03-28 |
| 1609308741 | Kulwant Singh Bath | Student in an Organized Health Care Education/Training Program | 2451 Fillingim St Res Box 7th Floor, Mobile, AL 36617 | 2017-03-29 |
| 1780115238 | Lindsay Dianne Williams | Student in an Organized Health Care Education/Training Program | 2451 Fillingim St., Mst 709, Mobile, AL 36617 | 2017-03-27 |
| Find all providers in zip 36617 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922624097 | Kyle Rolfe | General Practice | 1962 Schillinger Rd S, Mobile, AL 36695-4118 | 2020-06-24 |
| 1598128167 | James Oliver Walls | General Practice | 213 Glenwood St, Mobile, AL 36606-4438 | 2016-03-31 |
| 1073891792 | American Family Care, Inc. | General Practice | 5235 Rangeline Service Rd S, Ste# 101, Mobile, AL 36619-9541 | 2011-07-29 |
| 1649451683 | Chykeetra S. Maltbia | General Practice | 5011 Government Blvd Ste B, Mobile, AL 36693-5029 | 2007-11-19 |
| 1598841322 | Jonathan Ross Moore Sr. | General Practice | 75 S Lafayette St, Mobile, AL 36604-1730 | 2006-10-27 |
| 1477505378 | Charles William Bodie | General Practice | 5580 Inn Rd, Suite 200, Mobile, AL 36619 | 2006-05-17 |
| 1013986785 | Franklin Primary Health Center, Inc. | General Practice | 1904 Bishop Ave, Mobile, AL 36610 | 2006-03-16 |
| 1508398942 | Peter Soh | General Practice | 2451 Fillingim St Ste 10-f, Mobile, AL 36617-2238 | 2017-04-03 |
| 1487003653 | Berney Vincent | General Practice | 801 S University Blvd Ste D, Mobile, AL 36609-2949 | 2016-06-08 |
| 1679932248 | Alabama Providence Healthcare Services | General Practice | 9971 Airport Blvd, Mobile, AL 36608-9525 | 2016-02-11 |
| Find all providers in MOBILE | ||||
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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.