David A. Ellis, Md, Pa

LBN: David A. Ellis, Md, Pa
David A. Ellis, Md, Pa is an health care organization with primary practice located at 727 Oakland St , Hendersonville NC 28791-3647. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. David A. Ellis, Md, Pa can be contacted via phone (828) 698-5500, or through Ellis, Deanna Shasteen via phone (828) 698-5500.

Contact Information

Primary practice address
727 Oakland St Hendersonville NC 28791-3647
Phone: (828) 698-5500
Fax: (828) 698-5503
Website:
Map and Directions
Authorized official contact:
Name: Ellis, Deanna Shasteen Master of Education (MED)
Phone: (828) 698-5500

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 31499 North Carolina

Profile Details

NPI number 1093811945
LBN Legal business name David A. Ellis, Md, Pa
DBA Doing business as
Authorized official Ellis, Deanna Shasteen Master of Education (MED)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 16th, 2006
Last updated Jan 21st, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093811945 NPPES
North Carolina Other 0101G BLUE CROSS BLUE SHIELD
North Carolina MEDICAID 790101G BLUE CROSS BLUE SHIELD
North Carolina Other DH 2191 BLUE CROSS BLUE SHIELD

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