DR. PANAYIOTIS A ELLINAS II (NPI# 1154322741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154322741 |
| Entity Type | Individual |
| Full Name | DR. PANAYIOTIS A ELLINAS II |
| Credential | MD, MPH |
| Practice Address |
100 E 5th St Cqch Billing Dept Douglas AZ 85607-2859 |
| Mailing Address |
101 Cole Ave Cqch Billing Dept Bisbee AZ 85603-1327 |
| Practice Telephone | 5203647659 |
| Mailing Telephone | 5204326452 |
| Mailing Fax Number | 5204328018 |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2015-07-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 23114 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 322214 | 05 |
| Street Address |
100 E 5TH ST CQCH BILLING DEPT |
| City | DOUGLAS |
| State | AZ |
| Zip Code | 85607-2859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073007787 | Southwest Cancer Care LLC | Clinic/Center | 100 E 5th St, Douglas, AZ 85607-2859 | 2018-06-15 |
| 1184156895 | Akdhc, LLC | Internal Medicine | 100 E 5th St, Douglas, AZ 85607-2859 | 2017-03-31 |
| 1720536915 | Bisbee Hospital Association | General Acute Care Hospital | 100 E 5th St, Douglas, AZ 85607-2859 | 2016-09-15 |
| 1225405202 | Jennifer Chamness | Nurse Practitioner | 100 E 5th St, Douglas, AZ 85607-2859 | 2015-08-26 |
| 1104213461 | Sean Marshall Spurr | Internal Medicine | 100 E 5th St, Douglas, AZ 85607-2859 | 2015-04-23 |
| 1790182871 | Bisbee Hospital Association | Clinic/Center | 100 E 5th St, Douglas, AZ 85607-2859 | 2014-12-04 |
| 1801299417 | Bethzaida Perez-kyles | Nurse Practitioner | 100 E 5th St, Douglas, AZ 85607-2859 | 2014-09-27 |
| 1194169102 | Pearlie Wilson-natal | Nurse Practitioner | 100 E 5th St, Douglas, AZ 85607-2859 | 2013-04-20 |
| 1942217088 | Copper Queen Medical Associates Douglas | Clinic/Center | 100 E 5th St, Douglas, AZ 85607-2859 | 2006-08-02 |
| 1669426144 | Heidi L Lodge | Internal Medicine | 100 E 5th St, Ste 350, Douglas, AZ 85607-2859 | 2006-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811472665 | Chiricahua Community Health Centers, Inc | Clinic/Center | 1151 16th Street, Douglas, AZ 85607 | 2018-09-27 |
| 1457758609 | Angela Leah Overturf | Nurse Practitioner | 100 East 5th Street, Douglas, AZ 85607 | 2014-12-02 |
| 1609279108 | Walter Tucker | Counselor | 2100 E 8th, Douglas, AZ 85607 | 2014-09-29 |
| 1851700488 | Gerardo Grijalva | Non-emergency Medical Transport (VAN) | 2714 E 6th St, Douglas, AZ 85607 | 2014-08-07 |
| 1174933246 | Caring Connections for Special Needs, LLC | Community/Behavioral Health | 1019 F Ave, Douglas, AZ 85607 | 2014-04-29 |
| 1831473164 | Cheryl Lynn Mcneeley | Speech-Language Pathologist | 815 E. 15th Street, Douglas, AZ 85607 | 2011-10-05 |
| 1245523364 | Community Intervention Associates | Community/Behavioral Health | 1701 North Douglasave, Douglas, AZ 85607 | 2011-05-23 |
| 1174820898 | Chiricahua Community Health Centers, Inc | Clinic/Center | 815 15th Street, Douglas, AZ 85607 | 2011-02-15 |
| 1033319512 | Community Healthcare of Douglas Inc | Clinic/Center | 1906 11th Street, Douglas, AZ 85607 | 2007-07-23 |
| 1538360888 | Jay Daniel Zamora | Chiropractor | 1915 E 10th St, Douglas, AZ 85607 | 2007-05-31 |
| Find all providers in zip 85607 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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|---|---|---|---|---|
| 1568625838 | Diskin G. Morgan Md PC | General Practice | 1020 Ward Street Ext W, Suite D, Douglas, GA 31533-2204 | 2008-07-08 |
| 1740649623 | Crh Physician Practices, LLC | General Practice | 100 Doctors Dr, Suite G, Douglas, GA 31533-2210 | 2016-02-19 |
| 1760856405 | Crh Physician Practices LLC | General Practice | 200 Doctors Dr, Suite S, Douglas, GA 31533-2201 | 2015-11-18 |
| 1700137684 | Crh Physician Practices LLC | General Practice | 100 Doctors Dr, Ste 102, Douglas, GA 31533-2210 | 2012-10-02 |
| 1356496491 | Memorial Hospital of Converse County | General Practice | 111 S 5th St, Douglas, WY 82633-2434 | 2007-01-25 |
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| 1417570664 | Compass Medical Center Heber, Pllc | General Practice | 2931 Highway 260, Overgaard, AZ 85933 | 2020-05-22 |
| 1700408689 | Cottonwood Physician Group | General Practice | 1760 E Villa Dr Ste E&f, Cottonwood, AZ 86326-4679 | 2020-05-13 |
| 1457973406 | Pima County Physician Group | General Practice | 5155 E Farness Dr Ste 111b, Tucson, AZ 85712-2158 | 2020-05-13 |
| 1124649637 | Peoria Physician Group | General Practice | 13760 N 93rd Ave Ste 105, Peoria, AZ 85381-4260 | 2020-05-06 |
| 1366080475 | Madison Taylor Phillips | General Practice | 15741 Bering St, Ehrenberg, AZ 85334-0010 | 2019-12-19 |
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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.