David M Ellison, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35-082208 Issued in OH

Practice address

7908 Cincinnati Dayton Rd
Suite J
West Chester, OH 45069-6608

Phone

(937) 241-1830

Fax

(888) 418-2057

NPI assigned

Jun 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

State licenses

Practice roles

Locations

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

• Principled Healthcare Solutions, Inc.

  • General Practice Physician
  • Hamilton, OH
  • NPI 1609154152
  Medicare reassignment NPD
• Chiropractic and Rehabilitation of Elyria

  • Chiropractor
  • Elyria, OH
  • NPI 1588996433
  NPD (past)

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422316800000",
    "number": "1104867795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7908 CINCINNATI DAYTON RD",
            "address_2": "SUITE J",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450696608",
            "telephone_number": "937-241-1830",
            "fax_number": "888-418-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7908 CINCINNATI DAYTON RD",
            "address_2": "SUITE J",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450696608",
            "telephone_number": "937-241-1830",
            "fax_number": "888-418-2057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLISON",
        "first_name": "DAVID",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2015-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OH",
            "license": "35.082208",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-082208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2411830",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elite Transportation and Elderly Services, LLC
• Dena M Elkeeb, MD
• Jenna Michelle Elliot, MSW, LSW
• Savannah Ellis, LSW
• Ellison Medical LLC
• Annelise Clementine Elmore, BCABA
• Sydney Elmore, PHARMD
• Zoey Elsen Bacis
• Randa Elzein
• Ember Medical Services

• Internal Medicine Physician in West Chester, OH
• Providers in West Chester, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; 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.