James Junior Ellerbe II

Primary specialty

Critical Care Certified Respiratory TherapistTaxonomy code 2278C0205X

License

3614 Issued in SC

Practice address

911 Miles Rd
Summerville, SC 29485-8744

Phone

(315) 955-9374

NPI assigned

Oct 24, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414108800000",
    "number": "1558766261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 MILES RD",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858744",
            "telephone_number": "315-955-9374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 MILES RD",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858744",
            "telephone_number": "315-955-9374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLERBE",
        "first_name": "JAMES",
        "middle_name": "JUNIOR",
        "name_suffix": "II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-24",
        "last_updated": "2014-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2278C0205X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, Critical Care",
            "state": "SC",
            "license": "3614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rachel Ellingson, ED.S.
• Yvonne Ellington
• Corinne Elliott, FNP-C
• Kim Marie Elliott
• Mattie Devin Elliott, COTA/L

• Certified Respiratory Therapist in Summerville, SC
• Providers in Summerville, SC by specialty
• Certified Respiratory Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; 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.