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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. CLINTON ELLINGSON, MD

Active

DR. CLINTON ELLINGSON, MD is a Sports Medicine (Emergency) healthcare provider located in IDAHO FALLS, Idaho. NPI 1326332776 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine (Emergency) · IDAHO FALLS, ID

Registration Details

NPI Number
1326332776
Provider Type
Individual
Gender
Male
NPI Issued
Jun 2, 2011 (15.24003371407 yrs)
Last Updated
Sep 16, 2025
Licenses
M-15285 (ID)
49026 (KY)
01080410A (IN)
49026 (KY)

Practice Information

Address
2100 PROVIDENCE WAY
IDAHO FALLS, ID, 834044951
Browse ID providers · Browse ZIP 83404
Phone
2085296600
Fax
2085296602
Primary Specialty
Sports Medicine (Emergency)
207WX0107X
Additional Specialty
Sports Medicine (Emergency)
Additional Specialty
Ophthalmology
Additional Specialty
Ophthalmology

Other Sports Medicine (Emergency) Providers in IDAHO FALLS, ID

Name Credential NPI
DR. KYLE G THOMPSON M.D. 1710111224
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.