# BEVERLY TURNER ELLINGTON

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1003984857
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | 158067 | NY | — |
| 208000000X | Pediatrics Physician | 9953 | SC | Yes |

## Other

- **Enumeration date:** 12/01/2006
- **Last updated:** 01/18/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 099538 | — | SC |
| 01 | — | 102463DL | PREFERRED CARE | NY |
| 05 | — | 1147117 | — | NY |
| 01 | — | 158067CP | WORKER'S COMP | NY |
| 01 | — | 2697340 | GHI | NY |
| 01 | — | P010158067 | BLUE CHOICE | NY |
