RICHARD LEROY ELLIS (NPI# 1104010206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104010206 |
| Entity Type | Individual |
| Full Name | RICHARD LEROY ELLIS |
| Credential | MD |
| Practice Address |
2657 Park Lane Ct East--unit F Birmingham AL 35223 |
| Practice Telephone | 2058791386 |
| Mailing Telephone | 2058791386 |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2007-08-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | DO145 | AL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841537388 | Richard A. Ellis | Technician/Technologist | 109 Clwyd Rd, Bala Cynwyd, PA 19004-2302 | 2013-01-03 |
| 1790965416 | Richard Ellis | Radiology | 134 Birch Hill Rd, Weston, CT 06883-1710 | 2007-11-09 |
| 1477604700 | Richard Dwayne Ellis | Counselor | 2434 Crescent Dr, Abilene, TX 79605-5614 | 2007-01-15 |
| 1386702140 | Richard Ashley Ellis | General Practice | Marine Corps Base Hawaii, 1st Battalion 3rd Marines Battalion Aid Station, Kaneohe Bay, HI 96863 | 2006-12-05 |
| 1336173434 | Richard D Ellis | Chiropractor | 2609 N Broadway St, Pittsburg, KS 66762-2622 | 2006-07-11 |
| 1134153521 | Richard Mark Ellis | Dentist | Central Texas Veterans Health Care System, 1901 Veterans Memorial Dr, Temple, TX 76504 | 2006-07-10 |
| 1952354607 | Richard R. Ellis | Pathology | 1300 W. 7th Street, San Pedro, CA 90732 | 2006-05-17 |
| 1174581623 | Richard Alan Ellis | Surgery | 7705 Poplar Ave, Suite 310, Germantown, TN 38138-3930 | 2006-05-03 |
| 1174591051 | Richard L Ellis | Pediatrics | 7509 Farmington Way, Madison, WI 53717-1810 | 2006-03-08 |
| 1114402484 | Richard Ellis | Community/Behavioral Health | 830 N Summit St, Toledo, OH 43604-1884 | 2018-10-02 |
| Street Address |
2657 PARK LANE CT EAST--UNIT F |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619403508 | David Schaeffer | Optometrist | 2737 Highway 280 S Ste 191, Mountain Brk, AL 35223 | 2017-05-11 |
| 1265887632 | Inheritance House | Community Based Residential Treatment Facility, Mental Illness | 2305 Montevallo Park Road, Birmingham, AL 35223 | 2016-05-04 |
| 1104200344 | Insight Therapy, LLC | Psychologist | 166 Office Park Dr., St. 245, Birmingham, AL 35223 | 2015-07-17 |
| 1003211871 | Protective Life | Family Medicine | 2801 Us 280, Birmingham, AL 35223 | 2014-10-23 |
| 1649614330 | Furnie Wesley Johnston | Orthopaedic Surgery | 3328 East Briarcliff, Birmingham, AL 35223 | 2013-04-24 |
| 1346594314 | Morgan Stacy King | Chiropractor | 16 Office Park Cir Ste 8, Mountain Brk, AL 35223 | 2012-10-30 |
| 1659637684 | Austin Adams | Otolaryngology | 2700 Highway 280 S Ste 300w, Mountain Brk, AL 35223 | 2012-04-04 |
| 1205165008 | Rebecca Winston Brewbaker | Pediatrics | 3940 Montclair Rd #404, Birmingham, AL 35223 | 2009-12-08 |
| 1891948949 | Birmingham Speech & Hearing Associates | Speech-Language Pathologist | 4 Office Park Circle Suite 301, Birmingham, AL 35223 | 2008-11-01 |
| 1255598884 | William Edgar Feist | Internal Medicine | 2801 Highway 280 South, Protective Life Insurance Company, Birmingham, AL 35223 | 2008-05-21 |
| Find all providers in zip 35223 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871059212 | Southeast Medical Group LLC | General Practice | 1930 Edwards Lake Rd Ste 138b, Birmingham, AL 35235-3720 | 2019-02-11 |
| 1558898874 | B Vitality Pllc | General Practice | 3425 Colonnade Pkwy Ste C, Birmingham, AL 35243-2356 | 2017-05-17 |
| 1588028120 | Carli Erin Calderone | General Practice | 1129 52nd St S, Birmingham, AL 35222-3924 | 2016-04-10 |
| 1811327463 | Sudha Ramesh | General Practice | 125 20th Street South, Suite 103, Birmingham, AL 35233-3110 | 2013-11-19 |
| 1972818045 | Frank Jefferson Tombrello | General Practice | 2909 Thornhill Rd, Birmingham, AL 35213-3520 | 2010-08-13 |
| 1659524379 | Robert Henry Carlson IIi | General Practice | 5454 Overton Rd, Birmingham, AL 35210-4103 | 2008-10-25 |
| 1841480993 | Jodel Gazo Jampayas | General Practice | 255 W Oxmoor Rd, Birmingham, AL 35209-6343 | 2007-07-25 |
| 1083620496 | American Family Care, Inc. | General Practice | 9232 Parkway E, Birmingham, AL 35206-1509 | 2006-07-31 |
| 1598771990 | American Family Care, Inc. | General Practice | 1652 Montclair Rd, Birmingham, AL 35210-2410 | 2006-07-31 |
| 1578579983 | American Family Care Inc | General Practice | 7 Office Park Cir, 201, Birmingham, AL 35223-2596 | 2006-07-31 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35223 |
Please comment or provide details below to improve the information on RICHARD LEROY ELLIS.
| 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.