Joseph Trent Ellenburg, D.O.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

2640 Issued in TN

Practice address

2121 Highland Ave
Knoxville, TN 37916-1111

Phone

(865) 525-2640

NPI assigned

Jul 1, 2010

Last updated

Jun 27, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Allergy/ImmunologyAlso: Internal Medicine, Pediatric Medicine

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Allergy and Asthma Affiliates, PCGroup PAC ID 7012981772, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Allergy & Asthma Affiliates, PC

  • Allergy & Immunology Physician
  • Knoxville, TN
  • NPI 1780809012
  Medicare reassignment Care Compare group NPD
• Allergy & Asthma Affiliates, PC

  • Allergy & Immunology Physician
  • Farragut, TN
  • NPI 1619474855
  NPD
• Allergy & Asthma Affiliates, PC

  • Allergy & Immunology Physician
  • Knoxville, TN
  • NPI 1881864882
  NPD (past)

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

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466985600000",
    "number": "1760794093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 CATALINA RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379184510",
            "telephone_number": "601-502-7410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 HIGHLAND AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379161111",
            "telephone_number": "865-525-2640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLENBURG",
        "first_name": "JOSEPH",
        "middle_name": "TRENT",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-01",
        "last_updated": "2016-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TN",
            "license": "2640",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "2640",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MS",
            "license": "T-2304",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "2640",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Ella
• Allison Renee Elledge, PHD
• Jordan Elledge, PT, DPT
• Lawrence Christian Elledge, PH.D.
• Donald T. Ellenburg, M.D.
• Nathaniel Robert Ellens, MD
• Christopher R Ellington, MD
• Elizabeth Ellington, FNP
• Gayron Stewart Ellington, CRNA
• Tamara L. Ellington, DNP, PMHNP-BC, APRN

• Allergy & Immunology Physician in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Allergy & Immunology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.