CRAIG W. ELLIS (NPI# 1225067770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225067770 |
| Entity Type | Individual |
| Full Name | CRAIG W. ELLIS |
| Credential | D.P.M. |
| Practice Address |
4 Eastern Blvd York PA 17402-2801 |
| Practice Telephone | 7177572818 |
| Practice Fax Number | 7177579178 |
| Mailing Telephone | 7177572818 |
| Mailing Fax Number | 7177579178 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2010-06-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | SC001626L | PA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HIGHMARK | 0069123000 | 01 |
| PA | CAPITAL BLUE CROSS | 02320100 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366995672 | Craig Ellis | Counselor | 1512 Fairview St, Houston, TX 77006-1814 | 2016-08-03 |
| Street Address |
4 EASTERN BLVD |
| City | YORK |
| State | PA |
| Zip Code | 17402-2801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265053987 | Hope Renewed Counseling Services LLC | Social Worker | 879 Clare Lane, York, PA 17402 | 2020-05-04 |
| 1912462292 | Andventure, Inc. | Home Health | Andventure, Inc., 3415c Concord Rd., York, PA 17402 | 2019-01-31 |
| 1407327992 | Tariro Manamike | Pharmacist | Weis Markets Pharmacy, 2400 E Market Street, York, PA 17402 | 2018-12-10 |
| 1689120925 | Benjamin Stahle | Emergency Medicine | 70 Locust Grove Road, York, PA 17402 | 2016-08-28 |
| 1275905614 | Ultra Dental I, LLC | Dentist | 233 Pauline Drive, York, PA 17402 | 2015-10-26 |
| 1215323878 | Sonya Maria Korda | Dentist | 332 Shasta Dr., York, PA 17402 | 2015-04-10 |
| 1588909691 | Kimberly Sue Marsico | Counselor | 3110 East Market St, York, PA 17402 | 2012-11-29 |
| 1184995797 | Ivan Lewis Butler | General Practice | 204 St. Charles Way, Unit 364e, York, PA 17402 | 2012-01-13 |
| 1801117783 | Active Life Chiropractic | Chiropractor | 1915 E. Market Street, York, PA 17402 | 2010-06-15 |
| 1578881652 | Oss Orthopaedic Hospital, LLC | General Acute Care Hospital | 1861 Powder Mill Rd., York, PA 17402 | 2010-05-13 |
| Find all providers in zip 17402 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083998231 | Bradley Bryan Boyer | Podiatrist | 2069 Carlisle Rd, York, PA 17408-4055 | 2011-10-06 |
| 1972602423 | Richard Dimario | Podiatrist | 1 Brickyard Lane, Unit A, York, ME 03909 | 2006-09-21 |
| 1700843158 | Edgewood Podiatry Medical Center PC | Podiatrist | 3230 Eastern Blvd, York, PA 17402-3030 | 2006-04-28 |
| 1972567519 | Bruce Carroll Summers | Podiatrist | 1910 Kenneth Road, York, PA 17404 | 2006-04-12 |
| 1326018714 | Stephen Michael Concino | Podiatrist | 814 S George St, York, PA 17403-3124 | 2006-01-26 |
| 1386621381 | Jeffrey A. Dunkerley | Podiatrist | 2300 Pleasant Valley Rd, York, PA 17402-9627 | 2005-12-30 |
| 1740281260 | Kenneth D Dunlap Jr. | Podiatrist | 500 Greenbriar Rd, York, PA 17404-1335 | 2005-08-09 |
| 1568460509 | Brian M Elias | Podiatrist | 25 Monument Rd Ste 290, York, PA 17403 | 2005-07-13 |
| 1720509896 | Rachel Louise Moyer | Podiatrist | 2300 Pleasant Valley Rd, York, PA 17402-9627 | 2017-06-29 |
| 1073041778 | Eric Paul Krznaric | Podiatrist | 2300 Pleasant Valley Rd, York, PA 17402-9627 | 2017-05-25 |
| Find all providers in YORK | ||||
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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.