Tammy L Ellinger, RN, FNP
Family Medicine in Oriskany, NY. Individual provider (NPI-1).
NPI number1407058043
StatusActive
Last updated in NPPESSep 17, 2024
Details
- NPI
- 1407058043
- Entity type
- Individual (NPI-1)
- Name
- Tammy L Ellinger
- Credential
- RN, FNP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 5, 2007
- Certification date
- Sep 17, 2024
- Last updated
- Sep 17, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | F350658-01 | NY | Yes |
| 374T00000X | Religious Nonmedical Nursing Personnel | 477645-1 | NY |
Practice location
6075 Judd RdOriskany, NY 13424-4218
Phone 315-425-5390 · Fax 315-426-3908
Mailing address
610 Parry StRome, NY 13440-4343
Phone 315-337-8382 · Fax 315-281-0080
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