Active NPI 1477632420 Individual Practitioner Male Practitioner

Dr. Joseph Robert Ellison , MD

Pediatrics • Omaha, NE

Professional Overview & Biography Verified Profile Summary

Dr. Joseph Ellison, MD is a registered healthcare professional specializing in Pediatrics in Omaha, NE. Practice services are available at 12808 AUGUSTA AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12808 Augusta Ave

Omaha, NE 681443733

Telephone 4023305690

Fax 4023305689

Associated Practice Facility / Clinic

🏢 Omaha Childrens Cinic P.c. Facility NPI 1851496947

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Omaha, NE

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 17.2 Yrs

State Avg: 17.4 Yrs

Regional Practice Density

225 Specialists

Practicing in Omaha, NE (396 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License NE 11477

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

47054602612 (NE)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Nicholle Bruhn , CPNP-PC

Nurse Practitioner - Pediatrics

NPI 1124549860

CPNPPC

Dr. Tricia Schmit , MD

Pediatrics

NPI 1609806652

Doctor of Medicine (M.D.)

Dr. John Vann , MD

Pediatrics

NPI 1922177690

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 12808 AUGUSTA AVE, OMAHA, NE 681443733 (Tel: 4023305690)

📍

Updated Business Mailing Address July 08, 2007

Registered at 2725 S 107TH ST, OMAHA, NE 681242429 (Tel: 4023932860)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as JOSEPH ELLISON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (License #11477 in NE)

🟢

Initial NPI Registration & Enumeration November 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477632420

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 02, 2006

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2725 S 107th St

Omaha, NE 681242429

Phone: 4023932860

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.