DR. DAVID JASON ELLENBOGEN


Address: 2826 Randolph Rd, Charlotte, NC 28211-1386
Phone: 7043580308

DR. DAVID JASON ELLENBOGEN (NPI# 1831222090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831222090
Entity Type Individual
Full Name DR. DAVID JASON ELLENBOGEN
Credential DPM
Practice Address 2826 Randolph Rd
Charlotte
NC 28211-1386
Mailing Address Po Box 60447
Charlotte
NC 28260-0447
Practice Telephone 7043580308
Practice Fax Number 7043580039
Enumeration Date 2007-03-14
Last Update Date 2020-10-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 213EP1101X Podiatrist
Specialization: Primary Podiatric Medicine
615 NC Podiatric Medicine & Surgery Service Providers
Y 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery
615 NC Podiatric Medicine & Surgery Service Providers
N 213ES0131X Podiatrist
Specialization: Foot Surgery
615 NC Podiatric Medicine & Surgery Service Providers

Other Providers DAVID ELLENBOGEN

NPI Name Taxonomy Address Enumeration
1942351176 David Michael Ellenbogen Chiropractor 504 W Osage St, Pacific, MO 63069-1335 2007-01-15
1417570516 David Ellenbogen Student in an Organized Health Care Education/Training Program 675 Hoes Ln W, Piscataway, NJ 08854-8021 2020-05-22

Office Location

Street Address 2826 RANDOLPH RD
City CHARLOTTE
State NC
Zip Code 28211-1386

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588660716 Glenn Bradford Perry Orthopaedic Surgery 2826 Randolph Rd, Charlotte, NC 28211-1019 2005-06-22
1942858733 Jonathan Oakes Physician Assistant 2826 Randolph Rd, Charlotte, NC 28211-1386 2019-08-27
1083127419 Jodi Ann Arreguin Physician Assistant 2826 Randolph Rd, Charlotte, NC 28211-1386 2017-11-07
1659819126 Lauren Scollin Physical Therapist 2826 Randolph Rd, 2nd Floor, Charlotte, NC 28211-1386 2017-02-06
1538601695 Chelsea Parker Physical Therapist 2826 Randolph Rd, 2nd Floor, Charlotte, NC 28211-1386 2016-11-07
1437605169 Select Physical Therapy Clinic/Center 2826 Randolph Rd, 2nd Floor, Charlotte, NC 28211 2016-09-01
1861945156 Justin R.n. Kocan Physical Therapist 2826 Randolph Rd, 2nd Floor, Charlotte, NC 28211-1386 2016-08-03
1265771505 Kristine Ann Pumpa Physical Therapist 2826 Randolph Rd, Charlotte, NC 28211-1386 2013-02-06
1043581754 Jeffrey Bennett Specialist/Technologist 2826 Randolph Rd, Charlotte, NC 28211-1386 2012-01-26
1306116421 John Ryan Maynard Physician Assistant 2826 Randolph Rd, Charlotte, NC 28211-1386 2012-01-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184277832 I and J Wheelchair Transportation Non-emergency Medical Transport (VAN) 1512 Delane Avenue, Charlotte, NC 28211 2019-07-22
1922563923 The Charlotte-mecklenburg Hospital Authority Psychiatry & Neurology 447 Billingsley Rd, Cottage A, Charlotte, NC 28211 2019-02-04
1649798273 Ally Home Care Charlotte LLC In Home Supportive Care 3711 Latrobe Drive Suite 520, Charlotte, NC 28211 2017-09-04
1154866770 Vaibhav Bajaj Dentist 2809 Coltsgate Rd Ste 200, Charlotte, NC 28211 2017-01-05
1508254939 Lindsay Marie Smits Speech-Language Pathologist 427 N. Wendover Rd., Charlotte, NC 28211 2015-01-08
1457755480 Kristen Hammer Physical Therapy Assistant 4120 Providence Rd Apt D, Charlotte, NC 28211 2014-10-20
1669805610 Carla Elizabeth Scott Physical Therapist 3500 Ellington Street, Dr. Carlton Watkins Center, Charlotte, NC 28211 2013-08-14
1760726368 Jill Hensdale Shipp Social Worker 307 Hunter Lane, Charlotte, NC 28211 2012-11-20
1346592722 Danielle Marie Benoit Occupational Therapist 3541 Randolph Road Suite 100 W, Charlotte, NC 28211 2012-10-09
1487910832 John Joseph Marcel Jr. Orthopaedic Surgery 449 North Wendover Rd Ste A, Charlotte, NC 28211 2012-04-10
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Taxonomy Information

Taxonomy Code 213ES0103X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Foot & Ankle Surgery

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497376370 Carolina Foot & Ankle of Huntersville, PC Podiatrist 10310 Couloak Dr Ste 200, Charlotte, NC 28216-7673 2020-05-01
1710381777 Instride Foot and Ankle Specialists, Pllc Podiatrist 9216 Ardrey Kell Rd Ste 100, Charlotte, NC 28277-4954 2014-10-20
1134463060 Instride Foot and Ankle Specialists, Pllc Podiatrist 2607 East Seventh St., Suite 100, Charlotte, NC 28204-4308 2012-11-15
1396099511 Instride Foot and Ankle Specialists, Pllc Podiatrist 12610 N Community House Rd Ste 202, Charlotte, NC 28277-3838 2012-11-09
1891046454 Matthew Borns Podiatrist 6831 Fairview Rd, Charlotte, NC 28210-3386 2012-09-23
1821251737 Michael J. Ryan, Dpm, Pa Podiatrist 8912 Blakeney Profession Center, A2, Charlotte, NC 28277 2008-07-10
1770631384 Michael J Ryan Dpm Pa Podiatrist 8310 Medical Plaza Dr Ste E, Charlotte, NC 28262-6703 2007-01-08
1275693509 Mark Miceli Podiatrist 8301 University Exec Park Dr Ste 112, Charlotte, NC 28262-3593 2006-12-08
1174606156 John Josph Longobardo Podiatrist 9124 S Tryon St, Suite J, Charlotte, NC 28273-3114 2006-10-23
1871524595 Charlotte Foot Clinic Podiatrist 4016 Wilkinson Blvd, Ste A, Charlotte, NC 28208 2006-07-05
Find all providers in CHARLOTTE

Competitor

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City CHARLOTTE
Zip Code 28211

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Dataset Information

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.

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