DR. GEORGE FREDERICK ELLIS (NPI# 1033144597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033144597 |
| Entity Type | Individual |
| Full Name | DR. GEORGE FREDERICK ELLIS |
| Credential | MD |
| Practice Address |
89 W Copeland Dr Orlando FL 32806-2002 |
| Mailing Address |
571 Saint Josephs Blvd Fl 2 Elmira NY 14901-3230 |
| Practice Telephone | 3218426910 |
| Practice Fax Number | 3218435998 |
| Mailing Telephone | 6072712050 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2018-10-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208800000X | Urology | ME49437 | FL | Allopathic & Osteopathic Physicians |
| Y | 208800000X | Urology | 163161 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICAL LICENSE | ME49437 | 01 |
| FL | 273075800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235347436 | George E Ellis | Dentist | 108 Trade Center Ln, Hazlehurst, MS 39083-2319 | 2007-05-19 |
| 1487729141 | George David Ellis | Psychiatry & Neurology | 3121 Route 38, Mount Laurel, NJ 08054-9725 | 2006-11-21 |
| 1891805834 | George Lewis Ellis | Dentist | 2650 Highway 109 Ste C, Grover, MO 63040-1163 | 2006-08-30 |
| 1699799841 | George Ellis | Family Medicine | 432 Rankin Drive, Marion, NC 28752 | 2006-07-27 |
| 1649242322 | George Arthur Ellis | Pharmacist | 26317 W Washington Street, Petersburg, VA 23803-0030 | 2006-02-06 |
| 1366428484 | George Ellis Jr. | Emergency Medicine | 910 Boardman-canfield Road, Boardman, OH 44512 | 2005-12-20 |
| 1497873350 | George C Ellis | Internal Medicine | 1185 Park Avenue, # 1c, New York, NY 10128-1310 | 2007-03-27 |
| 1700828613 | George S. Ellis Jr. | Ophthalmology | 200 Henry Clay Ave, Suite 3106, New Orleans, LA 70118-5720 | 2006-06-12 |
| 1508849175 | George L Ellis | Emergency Medicine | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2005-11-28 |
| Street Address |
89 W COPELAND DR |
| City | ORLANDO |
| State | FL |
| Zip Code | 32806-2002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023013737 | George John Haidukewych | Orthopaedic Surgery | 89 W Copeland Dr, 3rd Floor, Orlando, FL 32806-2028 | 2005-06-17 |
| 1194344929 | Ryan Findlay | Student in an Organized Health Care Education/Training Program | 89 W Copeland Dr, Orlando, FL 32806-2002 | 2020-04-12 |
| 1518586593 | Susan Rifai | Student in an Organized Health Care Education/Training Program | 89 W Copeland Dr, Orlando, FL 32816-2002 | 2020-04-10 |
| 1821617044 | April Simforoza Rutherford | Student in an Organized Health Care Education/Training Program | 89 W Copeland Dr, Orlando, FL 32806-2002 | 2020-04-09 |
| 1386263424 | Hannah Hong | Student in an Organized Health Care Education/Training Program | 89 W Copeland Dr, Orlando, FL 32806-2002 | 2020-04-09 |
| 1124647326 | Carlos Eduardo Linares | Student in an Organized Health Care Education/Training Program | 89 W Copeland Dr, Orlando, FL 32806-2002 | 2020-04-09 |
| 1760001960 | Marcella Riley | Student in an Organized Health Care Education/Training Program | 89 W Copeland Dr, Orlando, FL 32806-2002 | 2020-04-09 |
| 1730711151 | Jack Hanson Anzilotti | Physician Assistant | 89 W Copeland Dr, Orlando, FL 32806-2002 | 2020-02-05 |
| 1386295574 | Emmanuel O Okelola | Physician Assistant | 89 W Copeland Dr, Orlando, FL 32806-2002 | 2019-09-27 |
| 1255988150 | Justin Daniel Murray | Physician Assistant | 89 W Copeland Dr, Orlando, FL 32806-2002 | 2019-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710585674 | Erika Williams | Pharmacist | 2715 South Orlando Ave, Orlando, FL 32806 | 2020-10-13 |
| 1013545664 | Johanna Yadira Cook | Registered Nurse | Orlando Health Orlando Regional Medical Center, 52 W. Underwood St, Orlando, FL 32806 | 2020-03-30 |
| 1396372306 | Warren Andrew Williams | Student in an Organized Health Care Education/Training Program | 1222 S. Orange Ave., 5th Fl, Mp# 43, Orlando, FL 32806 | 2020-03-27 |
| 1225665433 | Astrid Helen Casin | Student in an Organized Health Care Education/Training Program | 1222 S. Orange Avenue, 5th Fl., Mp#43, Orland, FL 32806 | 2020-03-26 |
| 1508404211 | Hidden Potential Florida LLC | Assistant Behavior Analyst | 2857 South Bumby Avenue, Orlando, FL 32806 | 2019-12-12 |
| 1720639883 | Cynthia Lee Kling | Clinical Nurse Specialist | Arnold Palmer Hospital, 92 W. Miller St., Orlando, FL 32806 | 2019-09-20 |
| 1033769930 | Darleen Ann Williams | Clinical Nurse Specialist | 52 W. Underwood, Orlando, FL 32806 | 2019-09-13 |
| 1508412644 | Trischaday Kimberley Demetrius | Nurse Practitioner | Orlando Epilepsy Center, 226 W Michigan Street, Orlando, FL 32806 | 2019-08-14 |
| 1962964809 | Ajc Software Inc | Prosthetic/Orthotic Supplier | 1405 South Orange Avenue Suite 308, Orlando, FL 32806 | 2019-04-01 |
| 1598232852 | Sodo Smiles Dentistry, Pa | Dentist | 3123 S. Orange Ave., Suite 107, Orlando, FL 32806 | 2018-10-25 |
| Find all providers in zip 32806 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982919056 | Florida Urology Group Pa | Urology | 226 W Michigan St, Orlando, FL 32806-4446 | 2010-08-13 |
| 1790017010 | Dwarka Nath Mishra | Urology | 9975 Lake Georgia Dr, Orlando, FL 32817 | 2010-02-11 |
| 1033265392 | Florida Urology Group, P.a. | Urology | 2690 Orange Peel Court, Attn: Lee B. Cecil, Cpcs, Orlando, FL 32806 | 2007-01-26 |
| 1558417808 | Patrick T. Hunter | Urology | 226 West Michigan Street, Orlando, FL 32806 | 2007-01-26 |
| 1922168830 | Gaines Wardlaw Hammond Jr. | Urology | 303 E Par St, Orlando, FL 32804-4003 | 2006-12-11 |
| 1326120783 | Pasquale Casale | Urology | 615 E Princeton St Ste 310, Orlando, FL 32803-1468 | 2006-10-19 |
| 1093815797 | Urology Associates, P.a. | Urology | 11 W Columbia Street, Orlando, FL 32806 | 2006-09-22 |
| 1023041332 | Nabil Hilwa | Urology | 7301 Stonerock Cir, Orlando, FL 32819-8004 | 2006-07-09 |
| 1932131752 | Cletus R Georges | Urology | 1812 N. Mills Ave., Orlando, FL 32803 | 2006-07-06 |
| 1275578395 | Mid-florida Urological Associates Pa | Urology | 1616 Woodward St, Orlando, FL 32803-4142 | 2006-06-20 |
| Find all providers in ORLANDO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.