MR. JOSEPH CHARLES ELLUL


Address: 4100 John R St, Detroit, MI 48201-2013
Phone: 8005276266

MR. JOSEPH CHARLES ELLUL (NPI# 1881237485) 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) 1881237485
Entity Type Individual
Full Name MR. JOSEPH CHARLES ELLUL
Credential DNP, NP-C
Practice Address 4100 John R St
Detroit
MI 48201-2013
Mailing Address 1542 N John Daly Rd
Dearborn Heights
MI 48127-4904
Practice Telephone 8005276266
Mailing Telephone 3136051655
Enumeration Date 2019-10-26
Last Update Date 2019-10-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
4704285335 MI Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
31995 Northwestern Hwy, Farmington Hills, MI 483341625 8005276266

Office Location

Street Address 4100 JOHN R ST
City DETROIT
State MI
Zip Code 48201-2013

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518966316 Cynthia Hilda Marsack Nurse Practitioner 4100 John R St, Karmanos Cancer Ctr Midlevels, Detroit, MI 48201-2013 2005-07-14
1467062950 Amy Josephine Skotzke Nurse Practitioner 4100 John R St, Detroit, MI 48201-2013 2020-08-09
1700421294 Nicole Gonzalez Nurse Practitioner 4100 John R St, Detroit, MI 48201-2013 2019-11-08
1841840113 Thoracic Surgical Services, PC Thoracic Surgery (Cardiothoracic Vascular Surgery) 4100 John R St, Detroit, MI 48201-2013 2019-09-18
1568016244 Ellen Wong Dillard Nurse Practitioner 4100 John R St, Detroit, MI 48201-2013 2019-07-30
1700340924 Rita J Dibiase Nurse Practitioner 4100 John R St, Detroit, MI 48201-2013 2019-01-23
1336634468 Linsday Anne Cleveland Nurse Practitioner 4100 John R St, Detroit, MI 48201-2013 2018-07-01
1407347214 Diana Rudnev Nurse Practitioner 4100 John R St, Detroit, MI 48201-2013 2018-05-29
1912408915 Yaukpala Ina Gofan Nurse Practitioner 4100 John R St, Detroit, MI 48201-2013 2018-02-24
1821518572 Barbara Ann Karmanos Cancer Hospital Orthopaedic Surgery 4100 John R St, Detroit, MI 48201-2013 2017-06-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659989838 Saima Sharif Student in an Organized Health Care Education/Training Program 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 2020-07-14
1609494384 Praveen Kumar Boddu Student in an Organized Health Care Education/Training Program 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 2020-07-09
1730707720 Amr Hassan Abdelghaffar Omar Pediatrics 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 2020-07-07
1700400694 Hassan Imtiaz Student in an Organized Health Care Education/Training Program 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 2020-06-05
1598389074 Alaa Awad Elkarim Student in an Organized Health Care Education/Training Program 3901 Beaubien St. 3t72, Detroit, MI 48201 2020-06-01
1891319299 Jeongyeon Hwang Student in an Organized Health Care Education/Training Program 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 2020-06-01
1477176576 Jaudat Fatima Masood Student in an Organized Health Care Education/Training Program 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 2020-05-22
1205459419 Amit Kumar Dahiya Student in an Organized Health Care Education/Training Program 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 2020-05-21
1851914188 Asra Nausheen Shaik Student in an Organized Health Care Education/Training Program 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 2020-05-21
1568085751 Camille Olechowski Student in an Organized Health Care Education/Training Program 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 2020-05-21
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Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093780611 Susan Elaine Harold Internal Medicine 6001 W Outer Dr, Suite 429, Detroit, MI 48235-2614 2006-02-17
1154306355 John W Finn Internal Medicine 400 Mack Ave, Detroit, MI 48201-2136 2005-12-09
1689671455 Lawrence G Lum Internal Medicine 4100 John R, Karmanos Cancer Center, Detroit, MI 48201-2013 2005-07-07
1801273313 Jayadev Reddy Mettu Internal Medicine 4201 Saint Antoine St, Uhc-2e, Detroit, MI 48201-2153 2015-05-05
1306286356 Aparna Basu Internal Medicine 2799 W Grand Blvd, Cfp 5, Detroit, MI 48202-2608 2013-07-03
1003259045 Maria Diab Internal Medicine 4201 Saint Antoine St, 5c-uhc, Detroit, MI 48201-2153 2013-04-09
1881953925 Muhammad Usman Internal Medicine 4201 Saint Antoine St, Suite 2e, Detroit, MI 48201-2153 2012-05-10
1063707958 Misako Nagasaka Internal Medicine 4100 John R St, Detroit, MI 48201-2013 2011-06-18
1851684393 Hadeel Assad Internal Medicine 4100 John R St, Detroit, MI 48201-2013 2011-05-17
1154610236 Dania Khoulani Internal Medicine 2799 W Grand Blvd, Detroit, MI 48202-2608 2011-03-29
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Competitor

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City DETROIT
Zip Code 48201

Improve Information

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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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