DR. ENRIQUE ELLENBOGEN M.D.
NPI 1972671709
Ophthalmology in Troy, OH

Active since December 01, 2006
700 S STANFIELD RD, SUITE B, TROY, OH 45373(937) 335-7121(937) 335-7124 Get Directions Write a Review

NPPES record last updated: January 18, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Enrique Ellenbogen M.d. NPPES

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

DR. ENRIQUE ELLENBOGEN M.D. (NPI 1972671709) is an individual ophthalmology provider in Troy, Ohio, licensed in Ohio (35100246) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1972671709
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. ENRIQUE ELLENBOGENCredential: M.D.
Location Address700 S STANFIELD RD, SUITE BTroy, OH 45373-2569
Mailing Address700 S Stanfield Rd, Suite BTroy, OH 45373-2569 · (937) 335-7121 · Fax (937) 335-7124
Fax(937) 335-7124
Sole ProprietorYes
Enumeration DateDecember 1, 2006
Last NPPES UpdateJanuary 18, 2012
NPI 1972671709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in OH · 35100246
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

700 S STANFIELD RD, Troy, OH 45373

Other Identifiers 6

Medicare UPINA75323
Other000000010310Anthem
Medicare ID-Type Unspecified0411763
MedicaidL0277598OH
Other311024334OH · Tax Identification Number
OtherD00246Humana

Other Providers at the Same Location NPPES 7

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

Clinic/Center
700 S STANFIELD RD, SUITE B
TROY, OH 45373
Nurse Practitioner (Family)
700 S STANFIELD RD, STE. A
TROY, OH 45373
Family Medicine
700 S STANFIELD RD, STE. A
TROY, OH 45373
Family Medicine
700 S STANFIELD RD
TROY, OH 45373
Specialist
700 S STANFIELD RD
TROY, OH 45373
Nurse Practitioner (Gerontology)
700 S STANFIELD RD, STE. A
TROY, OH 45373
Family Medicine
700 S STANFIELD RD, STE. A
TROY, OH 45373

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 Enrique Ellenbogen's NPI number?

The NPI number for Enrique Ellenbogen is 1972671709. It was assigned to this individual provider in the NPPES registry on December 1, 2006.

Where is Enrique Ellenbogen located?

Enrique Ellenbogen practices at 700 S Stanfield Rd Suite B, Troy, OH 45373. The listed phone number is (937) 335-7121.

What is Enrique Ellenbogen's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

When was this NPI record last updated?

The NPPES record for Enrique Ellenbogen was last updated on January 18, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.