DR. WENDY DREW ELLIS (NPI# 1205053865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205053865 |
Entity Type | Individual |
Full Name | DR. WENDY DREW ELLIS |
Other Name | DR. WENDY DREW WILSON |
Credential | M.D. |
Practice Address |
210 25th Ave N Ste 602 Nashville TN 37203-1631 |
Practice Telephone | 6153120600 |
Practice Fax Number | 6153203259 |
Mailing Telephone | 6153120600 |
Mailing Fax Number | 6153203259 |
Enumeration Date | 2007-04-18 |
Last Update Date | 2019-01-31 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
MD47125 | TN | Allopathic & Osteopathic Physicians |
N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
47125 | TN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | 1524205 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
Department of Radiology Vanderbilt Medical Ctr, 1611 21st Ave, S, Nashville, TN 372320001 | 6153225000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720209349 | Wendy Ellis | Counselor | 7301 E. Second St., Suite #210, Scottsdale, AZ 85251 | 2007-05-01 |
1407992084 | Wendy Lerner Ellis | Speech-Language Pathologist | 4 Bragg St, Peabody, MA 01960-1413 | 2007-01-30 |
1558370437 | Wendy M Ellis | Registered Nurse | 200 St. Mary's Plaza, Ste 301, Jefferson City, MO 65101 | 2006-08-07 |
1457664872 | Wendy Ellis | Dietitian, Registered | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2010-07-15 |
1912236159 | Wendy Leigh Ellis | Naturopath | 2611 Ne 125th St, Suite 228, Seattle, WA 98125-4373 | 2009-12-17 |
Street Address |
210 25TH AVE N STE 602 |
City | NASHVILLE |
State | TN |
Zip Code | 37203-1631 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902801384 | Lee M Lefler | Radiology | 210 25th Ave N Ste 602, Nashville, TN 37203-1631 | 2005-06-14 |
1265892723 | Thomas Kerry Evans | Nurse Practitioner | 210 25th Ave N Ste 602, Nashville, TN 37203-1631 | 2016-02-26 |
1194144295 | Clare Murphy Martinez | Radiology | 210 25th Ave N Ste 602, Nashville, TN 37203-1631 | 2014-04-16 |
1740609684 | Stephen Cole | Radiology | 210 25th Ave N Ste 602, Nashville, TN 37203-1631 | 2014-04-08 |
1659799559 | Steven M. Link | Registered Nurse | 210 25th Ave N Ste 602, Nashville, TN 37203 | 2014-03-29 |
1588096697 | Nakul Edula Reddy | Radiology | 210 25th Ave N Ste 602, Nashville, TN 37203-1631 | 2013-07-31 |
1992065445 | John Clarke Jackson | Radiology | 210 25th Ave N Ste 602, Nashville, TN 37203 | 2012-05-17 |
1750673083 | Michael Douglas Hellman Jr. | Radiology | 210 25th Ave N Ste 602, Nashville, TN 37203-1631 | 2011-05-04 |
1346530284 | Samuel Walton Fairbrother | Radiology | 210 25th Ave N Ste 602, Nashville, TN 37203 | 2011-04-12 |
1316236086 | Anjali Khurana | Radiology | 210 25th Ave N Ste 602, Nashville, TN 37203 | 2011-04-04 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265031843 | Results-ast Jv, LLC | Physical Therapist | 1000 Church Street, Nashville, TN 37203 | 2020-10-23 |
1922607159 | Results-ast Jv, LLC | Physical Therapist | 222 22nd Avenue North, Suite 100, Nashville, TN 37203 | 2020-10-19 |
1427663152 | Amber Nicole Fox | Nurse Practitioner | 2300 Patterson Street-endo Dept, Nashville, TN 37203 | 2020-09-10 |
1144839648 | Tasha Yarris | Nurse Practitioner | 412 Dr D.b. Todd Jr Blvd., Nashville, TN 37203 | 2020-07-30 |
1013536655 | Colby Wollenman | Student in an Organized Health Care Education/Training Program | Vanderbilt Orthopaedic Institute 1215 21st Ave S, Medical Center East, South Tower, Suite 4200, Nashville, TN 37203 | 2020-04-14 |
1477193738 | Ames Center for Counseling LLC | Social Worker | 1900 Church Street #300, Nashville, TN 37203 | 2020-01-14 |
1750922498 | Lisa Michelle Gregory Beck | Nurse Practitioner | 2221 Murphy Avenue, Nashville, TN 37203 | 2019-10-03 |
1235634023 | Jackson Primary Care | Family Medicine | 2010 Church St Ste 526, Nashville, TN 37203 | 2018-03-26 |
1932614237 | Caitlin Butcher | Social Worker | 402 22nd Ave North, Nashville, TN 37203 | 2017-12-08 |
1780194068 | Casey Lynn O'quinn | Behavioral Analyst | 2108 Hayes St, Nashville, TN 37203 | 2017-10-02 |
Find all providers in zip 37203 |
Taxonomy Code | 2085P0229X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Pediatric Radiology |
A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972577336 | Stephen B Little | Radiology | 3601the Vanderbilt Clinic, Nashville, TN 37232-1605 | 2006-02-14 |
1417290024 | Rekha Krishnasarma | Radiology | 1161 21st Ave S Ste Ccc 1118, Nashville, TN 37232-1437 | 2013-04-02 |
1356609481 | Elizabeth J Snyder | Radiology | 719 Thompson Ln Ste 30330, Nashville, TN 37204 | 2012-04-26 |
1265702492 | Asha Sarma | Radiology | 1161 21st Ave S, Nashville, TN 37232 | 2012-01-04 |
1386805430 | Yu Luo | Radiology | 2200 Childrens Way, Dept. Radiology, Nashville, TN 37232-0034 | 2008-06-21 |
1598931032 | Gabriella Leite Crane | Radiology | 3601 Tvc, Nashville, TN 37232-0001 | 2008-05-05 |
1831315266 | Gregory L Verville | Radiology | 210 25th Ave N Ste 602, Nashville, TN 37203 | 2007-04-17 |
1851448674 | Christopher Baron | Radiology | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0001 | 2007-01-04 |
1386728491 | Marta Hernanz-schulman | Radiology | 3601 Tvc, Nashville, TN 37232-0001 | 2006-10-25 |
1609950708 | Sudha Singh | Radiology | 3601 Tvc, Nashville, TN 37232-0001 | 2006-10-25 |
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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.