LEONARD ELLISON JR MD PC
NPI 1609821537
Internal Medicine in Southfield, MI

NPI Status: Active since May 22, 2006

Contact Information

17330 NORTHLAND PARK CT
SOUTHFIELD, MI
ZIP 48075
Phone: (248) 552-9500
Fax: (248) 552-8144

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  • Organization
  • Internal Medicine
  • Accepts Insurance

About LEONARD ELLISON JR MD PC

This page provides the complete NPI Profile along with additional information for Leonard Ellison Jr Md Pc, an internist established in Southfield, Michigan operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1609821537 assigned on May 2006. The practitioner's primary taxonomy code is 207R00000X with license number 4301068024 (MI). The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Leonard Ellison Jr. Md (Owner/physician)

NPI
1609821537
Provider Name
LEONARD ELLISON JR MD PC
Entity Type
Organization
Location Address
17330 NORTHLAND PARK CT SOUTHFIELD, MI 48075
Location Phone
(248) 552-9500
Location Fax
(248) 552-8144
Mailing Address
17330 NORTHLAND PARK CT SOUTHFIELD, MI 48075
Mailing Phone
(248) 552-9500
Mailing Fax
(248) 552-8144
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-22-2006
Last Update Date
12-27-2013
Code Navigator

An internist like Leonard Ellison Jr Md Pc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
4301068024
License State
MI
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Blue Cross� Premier PPO Bronze Extra - PPO
  • Blue Cross� Premier PPO Bronze Saver HSA - PPO
  • Blue Cross� Premier PPO Bronze Secure - PPO
  • Blue Cross� Premier PPO Gold - PPO
  • Blue Cross� Premier PPO Gold Extra - PPO
  • Blue Cross� Premier PPO Silver - PPO
  • Blue Cross� Premier PPO Silver Extra - PPO
  • Blue Cross� Premier PPO Silver Saver HSA - PPO
  • Blue Cross� Premier PPO Value - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. LEONARD ELLISON JR. MD

Authorized Official Title
OWNER/PHYSICIAN
Authorized Official Phone
(248) 552-9500

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
110F312710OTHER (01)MIBCBS
4709307MEDICAID (05)MI 
A76736MEDICARE UPIN (02)MI 
500F382740OTHER (01)MIBCBS GROUP
0P09030MEDICARE PIN (08)MI 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1609821537, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
0
Doubled → 0
Pos 4
9
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
2
Unchanged
Pos 7
1
Doubled → 2
Pos 8
5
Unchanged
Pos 9
3
Doubled → 6
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 8 → 16 → 7 1 → 2 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 0 + 9 + 1 + 6 + 2 + 2 + 5 + 6 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1609821537.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Social Worker (Clinical)
17330 NORTHLAND PARK CT
SOUTHFIELD, MI 48075
Physical Therapist
17330 NORTHLAND PARK CT, SUITE 205
SOUTHFIELD, MI 48075
Pharmacy (Community/Retail Pharmacy)
17330 NORTHLAND PARK CT, STE 100 A
SOUTHFIELD, MI 48075
Physician Assistant
17330 NORTHLAND PARK CT, SUITE 201
SOUTHFIELD, MI 48075
Physical Therapist
17330 NORTHLAND PARK CT, SUITE 201
SOUTHFIELD, MI 48075
Occupational Therapist
17330 NORTHLAND PARK CT, SUITE 201
SOUTHFIELD, MI 48075
Physical Therapist
17330 NORTHLAND PARK CT, SUITE 205
SOUTHFIELD, MI 48075
Optometrist
17330 NORTHLAND PARK CT, SUITE 203A
SOUTHFIELD, MI 48075
Physical Medicine & Rehabilitation
17330 NORTHLAND PARK CT
SOUTHFIELD, MI 48075
Physical Medicine & Rehabilitation
17330 NORTHLAND PARK CT, 201
SOUTHFIELD, MI 48075
Internal Medicine
17330 NORTHLAND PARK CT
SOUTHFIELD, MI 48075
Internal Medicine (Geriatric Medicine)
17330 NORTHLAND PARK CT
SOUTHFIELD, MI 48075
Nurse Practitioner
17330 NORTHLAND PARK CT
SOUTHFIELD, MI 48075
Physiological Laboratory
17330 NORTHLAND PARK CT, SUITE 203C
SOUTHFIELD, MI 48075
Clinic/Center (Health Service)
17330 NORTHLAND PARK CT, STE 100
SOUTHFIELD, MI 48075
Pediatrics
17330 NORTHLAND PARK CT
SOUTHFIELD, MI 48075
Social Worker (Clinical)
17330 NORTHLAND PARK CT
SOUTHFIELD, MI 48075
Physical Therapist
17330 NORTHLAND PARK CT, STE 200
SOUTHFIELD, MI 48075
Nurse Practitioner (Primary Care)
17330 NORTHLAND PARK CT
SOUTHFIELD, MI 48075
Clinic/Center (Multi-Specialty)
17330 NORTHLAND PARK CT
SOUTHFIELD, MI 48075

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609821537, enumerated as an "organization" on May 22, 2006.

The provider is located at 17330 NORTHLAND PARK CT SOUTHFIELD, MI 48075 and the phone number is (248) 552-9500.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.