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ROBERT G ELLISON JR MD
NPI 1699979203
Specialist in Jacksonville, FL

Active since June 14, 2007
836 PRUDENTIAL DR, SUITE 1405, JACKSONVILLE, FL 32207(904) 388-7521 Get Directions Write a Review

NPPES record last updated: August 10, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Robert G Ellison Jr Md NPPES

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

ROBERT G ELLISON JR MD (NPI 1699979203) is a healthcare organization registered as a specialist in Jacksonville, Florida and active in the NPI registry since June 2007. The organization lists Robert G Ellison, Owner, as its authorized official.

NPPES Registry Identity

NPI1699979203
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameROBERT G ELLISON JR MD P A
Location Address836 PRUDENTIAL DR, SUITE 1405Jacksonville, FL 32207-8334
Mailing Address836 Prudential Dr, Suite 1405Jacksonville, FL 32207-8334 · (904) 388-7521
Phone(904) 388-7521
Organization SubpartNo
Authorized OfficialRobert G EllisonOwner · (904) 388-7521
Enumeration DateJune 14, 2007
Last NPPES UpdateAugust 10, 2007
✔ NPI 1699979203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · ME39556
Definition

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.

836 PRUDENTIAL DR, Jacksonville, FL 32207
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Other Names 1

Doing Business AsRobert G Ellison Jr Md

Other Identifiers 3

Medicare ID-Type Unspecified14190AFL
Medicare UPIND61757FL
Medicaid0434438800FL

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

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.

DR. MARK R FLEISHER
Internal Medicine (Gastroenterology)
836 PRUDENTIAL DR, SUITE 801
JACKSONVILLE, FL 32207
Duval County (904) 288-0433
DR. KEVIN L. WINSLOW M.D.
Obstetrics & Gynecology (Reproductive Endocrinology)
836 PRUDENTIAL DR, SUITE 902
JACKSONVILLE, FL 32207
Duval County (904) 399-5620
DON N. LERNER MD
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
836 PRUDENTIAL DR, SUITE 1802
JACKSONVILLE, FL 32207
Duval County (904) 398-5301
RICHARD POSTLETHWAIT PA
Physician Assistant
836 PRUDENTIAL DR, UFJP NEUROSURGERY PEDIATRICS
JACKSONVILLE, FL 32207
Duval County (904) 398-5021
HECTOR EDWARD JAMES MD
Neurological Surgery
836 PRUDENTIAL DR, UFJP NEUROSURGERY - PEDIATRICS
JACKSONVILLE, FL 32207
Duval County (904) 398-5201
MELISSA SEELEY EDWARDS PA-C
Physician Assistant
836 PRUDENTIAL DR, SUITE 1700
JACKSONVILLE, FL 32207
Duval County (904) 398-0125
DR. JOHN M. CRUMP M. D.
Surgery
836 PRUDENTIAL DR, SUITE 1107
JACKSONVILLE, FL 32207
Duval County (904) 398-0033
DR. GARY J. BOWERS M. D.
Surgery
836 PRUDENTIAL DR, SUITE 1107
JACKSONVILLE, FL 32207
Duval County (904) 398-0033

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 Robert G Ellison Jr MD P A's NPI number?

The NPI number for Robert G Ellison Jr MD P A is 1699979203. It was assigned to this organization in the NPPES registry on June 14, 2007.

Where is Robert G Ellison Jr MD P A located?

Robert G Ellison Jr MD P A is located at 836 Prudential Dr Suite 1405, Jacksonville, FL 32207. The listed phone number is (904) 388-7521.

What is Robert G Ellison Jr MD P A's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Robert G Ellison Jr MD P A was last updated on August 10, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.