Josiah Taylor Ellington, APRN | |
1015 E 32nd St Ste 508, Austin, TX 78705-2708 | |
(512) 807-3140 | |
Not Available |
Full Name | Josiah Taylor Ellington |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 3 Years |
Location | 1015 E 32nd St Ste 508, Austin, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851053359 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 1056781 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St David's Medical Center | Austin, TX | Hospital |
St David's South Austin Medical Center | Austin, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Davids Heart And Vascular Pllc | 7012821879 | 171 |
Entity Name | St Davids Heart & Vascular Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700887700 PECOS PAC ID: 7012821879 Enrollment ID: O20031117000103 |
Mailing Address | Practice Location Address |
---|---|
Josiah Taylor Ellington, APRN 1015 E 32nd St Ste 508, Austin, TX 78705-2708 Ph: (512) 807-3140 | Josiah Taylor Ellington, APRN 1015 E 32nd St Ste 508, Austin, TX 78705-2708 Ph: (512) 807-3140 |
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