C W Ellison MD PA

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

19994 Issued in NC

Legal business name

C W ELLISON MD PA

Practice address

500 E Parker Rd
Morganton, NC 28655-5113

Phone

(828) 433-5700

Fax

(828) 433-5702

NPI assigned

Jul 2, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Carrol Wendall Ellison, M.D.

Title

Owner

Phone

(828) 433-5700

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359936000000",
    "number": "1023047800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E PARKER RD",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286555113",
            "telephone_number": "828-433-5700",
            "fax_number": "828-433-5702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E PARKER RD",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286555113",
            "telephone_number": "828-433-5700",
            "fax_number": "828-433-5702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C W ELLISON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2013-02-04",
        "status": "A",
        "authorized_official_last_name": "ELLISON",
        "authorized_official_first_name": "CARROL",
        "authorized_official_middle_name": "WENDALL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-433-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NC",
            "license": "19994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5901279",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Marie Butler, PH.D.
• Kristi W Byers, RN
• Lynn Albright Bynum, MA, CCC-SLP
• Wendy Renee Byrd-Bradshaw
• Debra Wulfhorst Byrd, MD
• Amy L Cable, FNP-C
• Caldwell Family Care, Inc
• Edisa Griffin Caldwell, FNP-C
• Fontaina Caldwell, MSW
• Aida Camanguian, AGACNP-BC

• Medical Specialty Clinic/Center in Morganton, NC
• Providers in Morganton, NC by specialty
• Medical Specialty Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.