RENEE ANN ELLIS (NPI# 1134391733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134391733 |
| Entity Type | Individual |
| Full Name | RENEE ANN ELLIS |
| Credential | M.D. |
| Practice Address |
121 Park Central Drive Suite 200 Columbia Nephrology Columbia SC 29203 |
| Practice Telephone | 8032529907 |
| Practice Fax Number | 8032529906 |
| Mailing Telephone | 8032529907 |
| Mailing Fax Number | 8032529906 |
| Enumeration Date | 2008-03-24 |
| Last Update Date | 2017-08-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
31193 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 48355 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083867436 | Renee T. Ellis | Mechanotherapist | 13038 26th Ave S, Seatac, WA 98168-3014 | 2008-10-29 |
| 1932726718 | Renee Ellis | Dietitian, Registered | 818 E Broadway St, Sparta, IL 62286-1820 | 2020-06-29 |
| 1508267949 | Renee M Ellis | Licensed Practical Nurse | 5535 N 67th Ave, Glendale, AZ 85301-8214 | 2014-09-04 |
| 1992012900 | Renee Denise Ellis | Speech-Language Pathologist | 120 Rathbun Ave, Staten Island, NY 10312-3006 | 2010-09-13 |
| Street Address |
121 PARK CENTRAL DRIVE SUITE 200 COLUMBIA NEPHROLOGY |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475284 | Matthew Leon Brigmon | Surgery | 2 Richland Medical Park, Suite 300, Columbia, SC 29203 | 2020-10-23 |
| 1730706839 | John James Gannon | Family Medicine | Prisma Health Medical Group Family Medicine, 3209 Colonial Drive, Columbia, SC 29203 | 2020-07-06 |
| 1790302362 | Klariz Teves Tucker | Internal Medicine | Internal Medcine Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-30 |
| 1811514482 | Esther Ruth Swan | Psychiatry & Neurology | Prisma Health General Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1447877014 | Jordan Kaitlyn Merrels | Psychiatry & Neurology | Prisma Health Medical Group General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1306463187 | Jessica Leigh Watson | Psychiatry & Neurology | Prisma Health General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-29 |
| 1053938852 | Garrison Glenn Rice | Family Medicine | Prisma Health Medical Group Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 | 2020-06-29 |
| 1053938977 | Rachel Ellen Harper | Obstetrics & Gynecology | The Womens Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-26 |
| 1609493592 | Elizabeth Marie Kern | Orthopaedic Surgery | Prisma Health Medical Group Orthopedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2020-06-26 |
| 1891312799 | Kathryn Victoria Steverson | Psychiatry & Neurology | Prisma Health Medical Group Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-26 |
| Find all providers in zip 29203 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811549389 | Sana Hasan | Internal Medicine | Ce 422, One Hospital Drive University of Missouri, Columbia, MO 65212-0001 | 2019-07-15 |
| 1295291409 | Zeeshan Azeem | Internal Medicine | 1 Hospital Drive University Hospital, Columbia, MO 65212-0001 | 2019-02-12 |
| 1932614153 | Mohammad Walid Abuzeineh | Internal Medicine | 1 Hospital Drive Department of Nephrology, Columbia, MO 65211-0001 | 2017-12-11 |
| 1982924304 | Walter Garland Edwards Jr. | Internal Medicine | 6447 Eastshore Rd, Columbia, SC 29206-3305 | 2010-06-08 |
| 1215269568 | Zbylut Jozef Twardowski | Internal Medicine | 304 Devine Ct, Columbia, MO 65203-0218 | 2010-02-10 |
| 1578728283 | Cesar Yamil Cardona | Internal Medicine | 854 W. James Campbell Blvd., Ste. 101a, Columbia, TN 38401 | 2008-07-22 |
| 1639337835 | Muhammad Amir Rafiq | Internal Medicine | 1655 Bernardin Ave Ste 200, Columbia, SC 29204-2044 | 2008-05-26 |
| 1629235700 | Abdul Basit Usmani | Internal Medicine | 1655 Bernadin Ave, Suite 200, Columbia, SC 29204 | 2008-05-17 |
| 1619156957 | Asha Lenora Bailey | Internal Medicine | 121 Park Central Drive, Suite 200, Columbia, SC 29203 | 2007-11-02 |
| 1285660431 | Garry Paul Reams | Internal Medicine | 3300 Lemone Industrial Blvd, Columbia, MO 65201-8246 | 2006-06-22 |
| Find all providers in COLUMBIA | ||||
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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.