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Dr. Clinton Ellingson, MD

Retina Specialist (Ophthalmology) Physician in Idaho Falls, ID · enumerated 2011 · practices at Premier Eye Care of Eastern Idaho.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1326332776

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Registry record

Entity type Individual (Type 1)
Name Dr. Clinton Ellingson
Credential MD
Sex Male
Practice address 2100 Providence Way, Idaho Falls, ID, 83404
Phone (208) 529-6600
Fax (208) 529-6602
Enumeration date Jun 2, 2011
Last updated in NPPES Sep 16, 2025

Taxonomy & licenses

207WX0107X Retina Specialist (Ophthalmology) Physician Allopathic & Osteopathic Physicians · License M-15285 (ID) Primary
207WX0107X Retina Specialist (Ophthalmology) Physician Allopathic & Osteopathic Physicians · License 49026 (KY) Secondary
207W00000X Ophthalmology Physician Allopathic & Osteopathic Physicians · License 01080410A (IN) Secondary
207W00000X Ophthalmology Physician Allopathic & Osteopathic Physicians · License 49026 (KY) Secondary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
1326332776 Medicaid WV -
0160321 Medicaid OH -
1326332776 Medicaid ID -
7100279250 Medicaid KY -
300021246 Medicaid IN -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What specialty is Clinton Ellingson?
Clinton Ellingson is registered in NPPES with the primary taxonomy of Retina Specialist (Ophthalmology) Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-16.