David Ellenbogen, MD
Orthopaedic Surgery, Pediatric Orthopaedic Surgery in Columbus, OH. Individual provider (NPI-1).
NPI number1417570516
StatusActive
Last updated in NPPESJun 29, 2026
Details
- NPI
- 1417570516
- Entity type
- Individual (NPI-1)
- Name
- David Ellenbogen
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 22, 2020
- Certification date
- Jun 29, 2026
- Last updated
- Jun 29, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207XP3100X | Orthopaedic Surgery, Pediatric Orthopaedic Surgery | 35.156563 | OH | Yes |
| 207X00000X | Orthopaedic Surgery | 4301512404 | MI |
Practice location
700 Childrens DrColumbus, OH 43205-2639
Phone 614-722-3393
Mailing address
700 Childrens DrColumbus, OH 43205-2639
Phone 614-722-3393
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