Individual
DR. RICHARD B. ELLISON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
12108
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00113408
—
MS
01
—
1861428351
GROUP NPI
—
Enumeration date
07/31/2006
Last updated
02/09/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up