person
Johnny R. Ellison, DO
Family Medicine Physician in Gallipolis, Ohio
NPI 1669427118

Johnny R. Ellison is a Family Medicine Physician based in Gallipolis, OH. Johnny R. Ellison practices in Gallipolis, OH and has the professional credentials of DO. The NPI Number for Johnny R. Ellison is 1669427118 and holds a License No. 34-00-3700 (Ohio).

The current practice location address for Johnny R. Ellison is 1051 4Th Ave, Gallipolis, OH and can be reached out via phone at 740-446-5244 and via fax at 740-446-5625. You can also correspond with Johnny R. Ellison through the mailing address at 90 JACKSON PIKE, GALLIPOLIS, OH - 45631-1560 (mailing address contact number: 740-446-5000).

Location: 1051 4Th Ave, Gallipolis, OH, 45631-1560
person
Provider Profile Details
NPI Number
1669427118
Provider Name
Johnny R. Ellison
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1051 4Th Ave, Gallipolis, OH, 45631-1560
Phone Number
740-446-5244
Fax Number
740-446-5625
Provider Enumeration Date
05/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001714065 01 MOUNTAIN STATE BCBS
0555340 01 OH MOLINA MEDICAID
000000181981 01 OH UNISON MEDICAID
310917085105 01 OH CARESOURCE MEDICAID
0051040000 05 WV
000000007522 01 ANTHEM BCBS
0555340 05 OH
080056559 01 RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
1051 4Th Ave
City
State
Zip
45631-1612
Phone Number
740-446-5244
Fax Number
740-446-5625
person
Provider Business Mailing Address Details
Address
1051 4Th Ave
City
State
Zip
45631-1612
Phone Number
740-446-5244
Fax Number
740-446-5625
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
34-00-3700 (Ohio)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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