Randall E Ellis in Clarksville - Emergency Medicine
Randall E Ellis - NPI 1396784138
Randall E Ellis is a Emergency Medicine in Clarksville, Tennessee. Randall E Ellis practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Randall E Ellis is 1396784138. The last update date is 2007-07-08.
Randall E Ellis's current location address is 2320 Wilma Rudolph Blvd, Clarksville, Tennessee. You can contact this provider via phone number 9316451564 and fax number 9316453842. The mailing address for Randall E Ellis is 2320 Wilma Rudolph Blvd, Clarksville, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randall E Ellis |
|---|---|
| Address | 2320 Wilma Rudolph Blvd, Clarksville, Tennessee |
| Phone Number | 9316451564 |
| Fax Number | 9316453842 |
| Sole Proprietor | X |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1396784138 |
|---|---|
| Provider Enumeration Date | 2006-06-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2320 Wilma Rudolph Blvd |
|---|---|
| City | Clarksville |
| State | Tennessee (TN) |
| Post Code | 370405821 |
| Phone Number | 9316451564 |
| Fax Number | 9316453842 |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medicine |
|---|---|
| Taxonomy | 207P00000X |
| Licence No | MD27444 |
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Definition: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4041098 | TN | BLUECROSS BLUESHIELD |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Randall E Ellis by the Centers for Medicare & Medicaid Services?
The Randall E Ellis has been issued the NPI (National Provider Identifier) 1396784138, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Randall E Ellis?
The Randall E Ellis is physically situated at 2320 Wilma Rudolph Blvd, in the city of Clarksville, state of TN, with the postal code 370405821.
What is the area of specialization for Randall E Ellis, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Randall E Ellis is Emergency Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207P00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1396784138 to Randall E Ellis?
The Centers for Medicare & Medicaid Services assigned the 1396784138 to Randall E Ellis on 2006-06-06.
As of what date were the details pertaining to Randall E Ellis last refreshed?
The information related to the Randall E Ellis, including its address, specialty, and other relevant details, was last updated on 2007-07-08.