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Deactivated NPI 1710108279 Deactivated / Inactive NPI Male Practitioner

Dr. Martin Ellbogen , MD

Skilled Nursing Facility • Casper, WY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Martin Ellbogen has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 01, 2007
NPI Deactivation Date October 02, 2017
Total Practice Duration ~10 Years of Practice (2007 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Martin Ellbogen, MD was a registered Skilled Nursing Facility practicing in Casper, WY. Throughout an active medical career spanning 10 years, Dr. Ellbogen provided care at the practice location at 60 MAGNOLIA ST until profile deactivation on 2017-10-02.

Practice Location & Contact Primary Location

Practice Address

60 Magnolia St

Casper, WY 826044035

Telephone 3072349381
Fax 3072346205
Associated Practice Facility / Clinic
🏢 Empres At Casper, Llc Facility NPI 1306318274

Specialty Benchmarks & Practice Insights

Comparative analytics for Skilled Nursing Facility in Casper, WY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Casper, WY (2 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

Skilled Nursing Facility Primary Specialty

NUCC Taxonomy Code: 314000000X

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

Practice Associates & Co-Workers

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

4 Associated Practitioners
Cammy Robertson , OTR

Occupational Therapist

NPI 1225716160

Occupational Therapist Registered

Dr. Hilliard Chesteen , PhD

Social Worker - Clinical

NPI 1548351695

Doctor of Philosophy (Ph.D.)

Christine Gordon , PTA

Physical Therapy Assistant

NPI 1699475772

Physical Therapist Assistant

Megan Mcneil , COTA, L

Occupational Therapy Assistant

NPI 1780579169

Certified Occupational Therapy Assistant, L

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated October 02, 2017

Record deactivated on October 02, 2017

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 60 MAGNOLIA ST, CASPER, WY 826044035 (Tel: 3072349381)

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Updated Business Mailing Address July 08, 2007

Registered at 60 MAGNOLIA ST, CASPER, WY 826044035 (Tel: 3072349381)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MARTIN ELLBOGEN, M.D.

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

Skilled Nursing Facility

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Initial NPI Registration & Enumeration May 01, 2007

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: 1710108279
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 01, 2007
Last Update: July 08, 2007
Deactivation Date: October 02, 2017

Mailing Address

60 Magnolia St

Casper, WY 826044035

Phone: 3072349381

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.