MARK H ELLIS (NPI# 1144317462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144317462 |
| Entity Type | Individual |
| Full Name | MARK H ELLIS |
| Credential | MD |
| Practice Address |
1234 Empire St Fairfield CA 94533-5711 |
| Mailing Address |
Po Box 255668 Sacramento CA 95865-5668 |
| Practice Telephone | 7074263911 |
| Practice Fax Number | 7074342043 |
| Mailing Telephone | 8004700071 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207R00000X | Internal Medicine | A26035 | CA | Allopathic & Osteopathic Physicians |
| X | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
A26035 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A260350 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972897080 | Mark Ellis | Podiatrist | 12592 S 150 E, Draper, UT 84020-8611 | 2011-06-06 |
| 1659682219 | Mark Kenneth Ellis | Emergency Medicine | 2 5th Ave Apt 2d, New York, NY 10011-8832 | 2010-06-29 |
| 1174661672 | Mark Joseph Ellis | Chiropractor | 41 Western Avenue, Rochester, NH 03867 | 2007-02-05 |
| 1336204171 | Mark J Ellis | Respiratory Therapist, Certified | 1101 Jefferson Blvd, Hagerstown, MD 21742-5037 | 2006-12-22 |
| 1184719262 | Mark Allen Ellis | Dentist | 910 Averitt Rd, Greenwood, IN 46143-9540 | 2006-10-04 |
| 1437240124 | Mark Owen Ellis | Podiatrist | 582 22nd Street, Astoria, OR 97103 | 2006-09-27 |
| 1083632244 | Mark Brian Ellis | Family Medicine | 1018 Rucker Blvd, Ste A, Enterprise, AL 36330-3675 | 2006-07-17 |
| 1265426894 | Mark Alan Ellis | Dentist | 951 Riverfront Pkwy, Suite 302, Chattanooga, TN 37402-2185 | 2005-09-09 |
| 1316580509 | Mark Duane Ellis | Licensed Practical Nurse | 2600 Se Belmont St, Portland, OR 97214-2916 | 2019-10-21 |
| 1629427752 | Mark Andrew Ellis | Otolaryngology | 169 Ashley Ave, Room 202 Main Hospital, Msc 333, Charleston, SC 29425-9080 | 2016-06-09 |
| Street Address |
1234 EMPIRE ST |
| City | FAIRFIELD |
| State | CA |
| Zip Code | 94533-5711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215024591 | Henry H Collins | Pediatrics | 1234 Empire St, Fairfield, CA 94533-5711 | 2006-10-06 |
| 1144870304 | Diandria Aliysha Donaldson | Counselor | 1234 Empire St, Fairfield, CA 94533-5711 | 2019-09-18 |
| 1790265833 | Yasmina Ehab Bazaraa | Counselor | 1234 Empire St, Fairfield, CA 94533-5711 | 2018-08-17 |
| 1730686171 | Miarah Jones | Counselor | 1234 Empire St, Fairfield, CA 94533 | 2018-04-11 |
| 1609376920 | Roxanne Michelle Rodeznomedearis | Counselor | 1234 Empire St, Fairfield, CA 94533-5711 | 2018-02-13 |
| 1255882577 | Amanda Raquel Portillo | Marriage & Family Therapist | 1234 Empire St, Suite 2300, Fairfield, CA 94533-5711 | 2016-10-21 |
| 1699224659 | Melissa Mae Torrez | Counselor | 1234 Empire St, Fairfield, CA 94533-5711 | 2016-09-30 |
| 1144680513 | Kevin Anderson | Marriage & Family Therapist | 1234 Empire St, Fairfield, CA 94533-5711 | 2016-02-29 |
| 1194198580 | Camilia Kaye Shoulders | Counselor | 1234 Empire St, Fairfield, CA 94533-5711 | 2015-11-05 |
| 1770959181 | Rosemary O'leary | Counselor | 1234 Empire St, Fairfield, CA 94533-5711 | 2015-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609487347 | Shayondelice Sledge | Case Manager/Care Coordinator | 3001 N. Texas St., #27, Fairfield, CA 94533 | 2020-08-16 |
| 1508401191 | Tiffany Ann Garcia | Social Worker | 1301 Roman Way, Martinez, CA 94533 | 2019-11-07 |
| 1609424175 | Andrew Stephens | Student in an Organized Health Care Education/Training Program | Dgmc, 101 Bodin Cir, Fairfield, CA 94533 | 2019-08-28 |
| 1821645383 | Michelle Marie Hackett | Marriage & Family Therapist | 1745 Enterprise Dr., Bldg. 2, Ste 1a, Fairfield, CA 94533 | 2019-08-20 |
| 1780154369 | Maria Leonila Ramos Corpuz | Behavior Technician | 744 Empire Street Suite 160, Fairfield, CA 94533 | 2018-11-27 |
| 1629575303 | Jeanne Ann Kiernan | Dentist | 690 Airman Dr, Apo, AA 94533 | 2018-04-10 |
| 1629596820 | Max Kardos | Student in an Organized Health Care Education/Training Program | 801 Empire St., Fairfield, CA 94533 | 2017-09-07 |
| 1780119867 | Justin Denhart Dickson | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir Fairfield Ca 94533, David Grant Medical Center, Fpo, AA 94533 | 2017-04-26 |
| 1639613409 | Behrooz Shafiezadeh | Marriage & Family Therapist | Caminar, 601 Madison Street, Suite D, Fairfield, CA 94533 | 2016-12-13 |
| 1427500164 | Tanya Ayers | Counselor | 801 Empire Street, Fairfield, CA 94533 | 2016-10-28 |
| Find all providers in zip 94533 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1023664125 | Emily Knowlton | Internal Medicine | 2000 Post Rd Ste 202, Fairfield, CT 06824-5730 | 2019-08-14 |
| 1508215377 | Robert S Galvin | Internal Medicine | 376 Hillside Rd, Fairfield, CT 06824-2140 | 2016-06-12 |
| 1023472040 | Genieve Marie Martinez-hernandez | Internal Medicine | 60 Mdg/sgomi, 101 Bodin Circle, Fairfield, CA 94535 | 2016-04-06 |
| 1376920264 | Darshan Patel | Internal Medicine | 4520 Business Center Dr, Fairfield, CA 94534 | 2015-04-30 |
| 1588083075 | Clarisse Elaine Cadang | Internal Medicine | 4520 Business Center Dr Ste 200, Fairfield, CA 94534-6888 | 2014-04-10 |
| 1912262643 | Khushleen Jaggi | Internal Medicine | 3900 Business Center Dr Apt 9303, Fairfield, CA 94534-4238 | 2012-07-09 |
| 1831462951 | Vincent E Kerr | Internal Medicine | 77 Mailands Rd, Fairfield, CT 06824-3999 | 2012-02-21 |
| 1154614543 | Center for The Healing Arts, PC | Internal Medicine | 501 Kings Highway East, Suite 108, C/o Whole Body Medicine, Fairfield, CT 06825 | 2011-05-18 |
| 1992038285 | Absolute Health Medical Spa | Internal Medicine | 4820 Business Center Dr, Suite 110, Fairfield, CA 94534-1696 | 2009-09-17 |
| 1962653576 | Wallace Bernard Lebowitz | Internal Medicine | 1699 Fairfield Beach Rd, Fairfield, CT 06824-6522 | 2008-10-02 |
| Find all providers in FAIRFIELD | ||||
Please comment or provide details below to improve the information on MARK H 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.