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

DR. DAVID JASON ELLENBOGEN, DPM

Active

DR. DAVID JASON ELLENBOGEN, DPM is a Foot & Ankle Surgery Podiatrist healthcare provider located in CHARLOTTE, North Carolina. NPI 1831222090 is currently active in the NPPES registry. Verify at CMS.

Foot & Ankle Surgery Podiatrist · CHARLOTTE, NC

Registration Details

NPI Number
1831222090
Provider Type
Individual
Gender
Male
NPI Issued
Mar 14, 2007 (19.379448955216 yrs)
Last Updated
Feb 14, 2023
Licenses
615 (NC)
615 (NC)
615 (NC)

Practice Information

Address
10035 PARK CEDAR DR STE 100
CHARLOTTE, NC, 282108910
Browse NC providers · Browse ZIP 28210
Phone
7044429011
Fax
7046259484
Primary Specialty
Foot & Ankle Surgery Podiatrist
213ES0103X
Additional Specialty
Foot Surgery Podiatrist

Other Foot & Ankle Surgery Podiatrist Providers in CHARLOTTE, NC

Name Credential NPI
DR. KRISTINE MARIE STRAUSS DPM 1164418406
DR. JEFFREY JAMES GLASER D.P.M. 1780640359
DAVID J GARCHAR DPM 1992761399
MS. CHAITALEE VITHAL KARDANI DPM 1023075470
DR. REGINALD BARNETTE RICHARDSON JR. DPM 1104083427
DR. ROSHNI GANDHI PATEL D.P.M. 1073871737
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.