CHARLES P. ELLSWORTH DO – NPI #1780786707
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

CHARLES ELLSWORTH is a physician located in MOUNT MORRIS, MI. NPPES has assigned the NPI number 1780786707 to CHARLES ELLSWORTH on September 01, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 11 years ago on Dec 09, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHARLES ELLSWORTH below.

NPI Profile for
CHARLES P. ELLSWORTH

NPI Number
1780786707
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
CHARLES P. ELLSWORTH
Credentials
DO
Primary location
7057 N CLIO RD
MOUNT MORRIS, MI 48458-8261
Phone: (810) 670-0200 Fax: (810) 670-0196
Mailing address
3495 S CENTER RD
BURTON, MI 48519-1455
Phone: (810) 424-2011 Fax: (810) 249-4037
Sole Proprietor
No
Updated
Identifiers

Identifiers for CHARLES ELLSWORTH

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERBLUE CARE NETWORK OF MICHIGANMI080G310660
OTHERCARE SOURCE OF MICHIGANMN381908328-446
OTHERGREAT LAKES HEALTH PLAN/UNITED HEALTHCAREMN178241
OTHERHCAPMI381908328
OTHERHEALTH PLAN OF MICHIGANMI19870
OTHERHEALTH PLUS OF MICHIGANMI0992950
OTHERMCLAREN HEALTH PLANMO1051020
OTHERMICHIGAN BLUE CROSS BLUE SHIELDMI080G3610660
OTHERMOLINA HEALTHCARE OF MICHIGANMN1780786707
MEDICAIDMI1780786707
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 MI 5101015196

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
CHARLES ELLSWORTH is affiliated with the following medical group(s):
  • HOSPITAL
    • ASCENSION GENESYS HOSPITAL
      ONE GENESYS PARKWAY
      GRAND BLANC, MI 48439
    • ASCENSION ST JOHN HOSPITAL
      22101 MOROSS RD
      DETROIT, MI 48236
  • HOME HEALTH AGENCY
    • KINDRED AT HOME
      4458 OAKBRIDGE DRIVE, SUITE B
      FLINT, MI 48532

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.