Joe Carey Ellington Jr., PH.D., M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

20877 Issued in WV

Practice address

112 Undercliff Ter
Princeton, WV 24740-2174

Phone

(304) 425-3800

Fax

(304) 487-3914

NPI assigned

Oct 15, 2006

Last updated

Dec 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: joe.ellington@3949.securemail.mdnavigatorclinical.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Camc Greenbrier Valley Medical Center Inc

  • Cardiovascular Disease Physician
  • Ronceverte, WV
  • NPI 1588373872
  Medicare reassignment NPD
• Mountain View Obstetrics and Gynecology, PLLC

  • Medical Specialty Clinic/Center
  • Princeton, WV
  • NPI 1780897629
  NPD Authorized official
• Camc Greenbrier Valley Medical Center, Inc.

  dba CAMC Greenbrier Valley Medical Center Primary Care

  • Rural Health Clinic/Center
  • Peterstown, WV
  • NPI 1588485478
  NPD
• Camc Greenbrier Valley Medical Center, Inc.

  dba CAMC GVMC Specialty Clinics

  • Optometrist
  • Ronceverte, WV
  • NPI 1962287722
  NPD
• Camc Greenbrier Valley Medical Center Inc

  • General Acute Care Hospital
  • Ronceverte, WV
  • NPI 1679299408
  NPD (past)
• Princeton Community Hospital Assn., Inc.

  • General Acute Care Hospital
  • Princeton, WV
  • NPI 1558313213
  NPD (past)
• Raleigh General Hospital LLC

  dba Raleigh General Hospital

  • General Acute Care Hospital
  • Beckley, WV
  • NPI 1629015698
  NPD (past)
• Princeton Community Hospital Assn., Inc

  dba Bluefield Internal Medicine

  • Rural Health Clinic/Center
  • Bluefield, VA
  • NPI 1235446485
  NPD (past)

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

{
    "created_epoch": "1160870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197072000000",
    "number": "1093805392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 PIGEON ROOST TRL",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247404247",
            "telephone_number": "304-487-6526",
            "fax_number": "304-487-3914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 UNDERCLIFF TER",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402174",
            "telephone_number": "304-425-3800",
            "fax_number": "304-487-3914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLINGTON",
        "first_name": "JOE",
        "middle_name": "CAREY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PH.D., M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-15",
        "last_updated": "2007-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WV",
            "license": "20877",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101232504",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "9500564",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301057671",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6202021",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1812228-000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• East River Anesthesiology Inc
• East River Primary Care, P.C.
• Kristy East, PRSS
• Robert Wilson Edwards, M.D.
• Elite Therapy Associates Inc
• Christopher Matthew Elliott
• Marlena Elliott
• David T. Ellis, PSY.D.
• Erica Danielle Ellis, LPC, LCPC, LPCC
• Heather Nicole Ellis

• Obstetrics & Gynecology Physician in Princeton, WV
• Providers in Princeton, WV by specialty
• Obstetrics & Gynecology Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.