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

Active since May 22, 2006
17330 NORTHLAND PARK CT, SOUTHFIELD, MI 48075(248) 552-9500(248) 552-8144 Get Directions Write a Review

NPPES record last updated: December 27, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Leonard Ellison Jr Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEONARD ELLISON JR MD PC (NPI 1609821537) is a healthcare organization registered as an internal medicine in Southfield, Michigan and active in the NPI registry since May 2006. The organization lists Leonard Ellison, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1609821537
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLEONARD ELLISON JR MD PC
Location Address17330 NORTHLAND PARK CTSouthfield, MI 48075-4318
Mailing Address17330 Northland Park CtSouthfield, MI 48075-4318 · (248) 552-9500 · Fax (248) 552-8144
Fax(248) 552-8144
Organization SubpartNo
Authorized OfficialLeonard EllisonOwner/physician · (248) 552-9500
Enumeration DateMay 22, 2006
Last NPPES UpdateDecember 27, 2013
NPI 1609821537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MI · 4301068024
Definition

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.

17330 NORTHLAND PARK CT, Southfield, MI 48075

Other Identifiers 5

Other110F312710MI · Bcbs
Medicaid4709307MI
Medicare UPINA76736MI
Other500F382740MI · Bcbs Group
Medicare PIN0P09030MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Physical Therapy)
17330 NORTHLAND PARK CT
SOUTHFIELD, MI 48075
Clinic/Center (Health Service)
17330 NORTHLAND PARK CT, STE 100
SOUTHFIELD, MI 48075
Nurse Practitioner (Primary Care)
17330 NORTHLAND PARK CT
SOUTHFIELD, MI 48075
Nurse Practitioner
17330 NORTHLAND PARK CT
SOUTHFIELD, MI 48075
Social Worker (Clinical)
17330 NORTHLAND PARK CT
SOUTHFIELD, MI 48075
Physical Medicine & Rehabilitation
17330 NORTHLAND PARK CT, 201
SOUTHFIELD, MI 48075
Clinic/Center (Multi-Specialty)
17330 NORTHLAND PARK CT
SOUTHFIELD, MI 48075
Clinical Nurse Specialist (Gerontology)
17330 NORTHLAND PARK CT, SUITE 100
SOUTHFIELD, MI 48075

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leonard Ellison Jr MD PC's NPI number?

The NPI number for Leonard Ellison Jr MD PC is 1609821537. It was assigned to this organization in the NPPES registry on May 22, 2006.

Where is Leonard Ellison Jr MD PC located?

Leonard Ellison Jr MD PC is located at 17330 Northland Park Ct, Southfield, MI 48075. The listed phone number is (248) 552-9500.

What is Leonard Ellison Jr MD PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

What insurance does Leonard Ellison Jr MD PC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Leonard Ellison Jr MD PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Leonard Ellison Jr MD PC was last updated on December 27, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.