Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1841309762 Individual Practitioner Male Practitioner

Dr. Robert Stanfill Ellison , MD, MPH

Specialist • Boone, NC

Professional Overview & Biography Verified Profile Summary

Dr. Robert Ellison, MD, MPH is a registered healthcare professional specializing in Specialist in Boone, NC. Practice services are available at 614 HOWARD STREET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

614 Howard Street
Asu Student Health Service

Boone, NC 28607

Telephone 8282623100
Fax 8282626262
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Boone, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 28.0 Yrs
State Avg: 35.4 Yrs
Regional Practice Density
8 Specialists

Practicing in Boone, NC (945 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

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License NC 28181

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
3404395 (NC)

Practice Associates & Co-Workers

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

9 Associated Practitioners
NPI 1003929985

Doctor of Medicine (M.D.)

Cassandra Stull , MPAS, PA-C

Physician Assistant

NPI 1023068624

MPAS, Physician Assistant (Certified)

Susan Sweeting , RN, FNP

Nurse Practitioner

NPI 1043206063

Registered Nurse, Family Nurse Practitioner

Karen Goodman , ANP

Nurse Practitioner - Adult Health

NPI 1215377007

Adult Nurse Practitioner

NPI 1295717494

Doctor of Medicine (M.D.)

NPI 1346220704

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 January 12, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location January 12, 2010

Registered at 614 HOWARD STREET, ASU STUDENT HEALTH SERVICE, BOONE, NC 28607 (Tel: 8282623100)

📍
Updated Business Mailing Address January 12, 2010

Registered at PO BOX 32070, 614 HOWARD STREET, BOONE, NC 286082070 (Tel: 8282623100)

👤
Provider Name / Credentials Updated January 12, 2010

Recorded as ROBERT ELLISON, MD, MPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 12, 2010

Specialist (License #28181 in NC)

🟢
Initial NPI Registration & Enumeration August 30, 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: 1841309762
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 30, 2006
Last Update: January 12, 2010
Sole Proprietor: No

Mailing Address

Po Box 32070, 614 Howard Street

Boone, NC 286082070

Phone: 8282623100

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.