RICHARD I. ELLENBOGEN DO – NPI #1093804619
Obstetrics & Gynecology

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

RICHARD ELLENBOGEN is a physician located in WATERFORD TOWNSHIP, MI. NPPES has assigned the NPI number 1093804619 to RICHARD ELLENBOGEN on October 12, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207V00000X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology.

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. 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 RICHARD ELLENBOGEN below.

NPI Profile for
RICHARD I. ELLENBOGEN

NPI Number
1093804619
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
RICHARD I. ELLENBOGEN
Credentials
DO
Primary location
4000 HIGHLAND ROAD
#120
WATERFORD TOWNSHIP, MI 48328
Phone: (248) 682-2109 Fax: (248) 682-4769
Mailing address
Same as primary location
Sole Proprietor
No
Updated
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
207V00000X
- Obstetrics & Gynecology (Primary)
MI 5101006200

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.