Ellington, Matthew David
Ellington, Matthew David is an individual health care provider with primary practice located at 1301 Barbara Jordan Blvd Suite 300, Austin TX 78723-3077. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery is his primary health care specialty. Ellington, Matthew David can be contacted via phone (512) 478-8116.Contact Information
Primary practice address
1301 Barbara Jordan Blvd Suite 300
Austin TX 78723-3077
Phone: (512) 478-8116
Fax: (512) 478-9368
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery | 207XP3100X | Q7037 | Texas |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | Q7037 | Texas |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | Q7037 | Texas |
Profile Details
| NPI number | 1013237080 |
|---|---|
| LBN Legal business name | Ellington, Matthew David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2010 |
| Last updated | Jul 26th, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013237080 | NPPES |
| Texas | MEDICAID | 3581332-01 | |
| Texas | MEDICAID | 3581332-02 | |
| Texas | MEDICAID | 3581332-04 | |
| Texas | MEDICAID | 3581332-03 |
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