DR. DONALD T ELLIS II (NPI# 1326048760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326048760 |
| Entity Type | Individual |
| Full Name | DR. DONALD T ELLIS II |
| Credential | MD |
| Practice Address |
2100 Erwin Rd Durham NC 27710-0001 |
| Practice Telephone | 9196848111 |
| Mailing Telephone | 9196848111 |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2009-05-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PP0204X |
Emergency Medicine Specialization: Pediatric Emergency Medicine |
2009-00740 | NC | Allopathic & Osteopathic Physicians |
| N | 207PP0204X |
Emergency Medicine Specialization: Pediatric Emergency Medicine |
37699 | TN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699911230 | Donald Alan Ellis | Dentist | 2440 Meadow St, San Luis Obispo, CA 93401-5630 | 2009-01-04 |
| 1649394313 | Donald Lance Ellis | Specialist | 2610 B Colby Ave., Everett, WA 98201 | 2007-03-19 |
| 1306911581 | Donald Michael Ellis | Dentist | 4600 John Marr Dr Ste 401, Annandale, VA 22003-3310 | 2006-11-22 |
| 1861586695 | Donald C. Ellis | Chiropractor | 1412 Dauphin St, Mobile, AL 36604-2124 | 2006-10-03 |
| 1134613763 | Donald Ellis | Technician, Other | 3350 Collingwood Blvd, Toledo, OH 43610-1173 | 2018-06-18 |
| 1700893377 | Donald Ellis | Family Medicine | 5939 N Huron Rd, Oscoda, MI 48750-9710 | 2006-08-03 |
| Street Address |
2100 ERWIN RD |
| City | DURHAM |
| State | NC |
| Zip Code | 27710-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215930417 | Raymond C Barfield | Pediatrics | 2100 Erwin Rd, Durham, NC 27710-0001 | 2005-05-23 |
| 1477058584 | Natalie Louise Tammen | Physician Assistant | 2100 Erwin Rd, Durham, NC 27705-3941 | 2018-03-29 |
| 1205350691 | Deema Elchoufi | Student in an Organized Health Care Education/Training Program | 2100 Erwin Rd, Durham, NC 27705-3941 | 2017-07-28 |
| 1164965372 | Duke Family Medicine | Preferred Provider Organization | 2100 Erwin Rd, Durham, NC 27705-3941 | 2016-11-21 |
| 1306391560 | Jesslyn Patrice Doody | Physician Assistant | 2100 Erwin Rd, Durham, NC 27705-3941 | 2016-08-17 |
| 1134579147 | Tyler Henderson Knowles | Nurse Anesthetist, Certified Registered | 2100 Erwin Rd, Durham, NC 27705-3941 | 2016-06-21 |
| 1962852665 | David Tallon | Nurse Practitioner | 2100 Erwin Rd, Durham, NC 27705-3941 | 2016-06-14 |
| 1780079608 | Jeanna J Bateson | Physician Assistant | 2100 Erwin Rd, Durham, NC 27705 | 2015-03-30 |
| 1184034431 | Walter F Wiggins | Radiology | 2100 Erwin Rd, Durham, NC 27705-3941 | 2014-05-07 |
| 1629499108 | Joshua Harris | Social Worker | 2100 Erwin Rd, Durham, NC 27705-3941 | 2013-12-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255978334 | Anna Rapoport | Nurse Practitioner | Duke Medicine Center, 40 Duke Medicine Circle, Durham, NC 27710 | 2019-12-08 |
| 1649764846 | Kelly Johanna Valencia | Nurse Practitioner | 2301 Erwin Road Duke North Box # 3677, Durham, NC 27710 | 2018-06-20 |
| 1437656717 | Hugh Khoi Quach | Student in an Organized Health Care Education/Training Program | 2301 Erwin Road, Durham, Durham, NC 27710 | 2018-04-12 |
| 1154827046 | Shannon M Beeley | Registered Nurse | Duke Rheumatology Clinic 40 Medicine Circle Cinic 1j, Durham, NC 27710 | 2018-04-01 |
| 1669902862 | Hilary Kristina Dietz | Student in an Organized Health Care Education/Training Program | 30 Duke Medicine Circle Drive, Morris Building Room 25169, Durham, NC 27710 | 2017-06-20 |
| 1174071443 | Gabriel Streisfeld | Physical Therapist | 2301 Erwin Rd Dumc 3965, Durham, NC 27710 | 2016-09-15 |
| 1568810505 | Amber Mcvey | Nurse Practitioner | 04276 Hospital South Box 3677, Durham, NC 27710 | 2016-06-01 |
| 1891149696 | Tiziana T Coppola | Student in an Organized Health Care Education/Training Program | 2301 Erwin Rd, Durham, NC 27710 | 2016-04-18 |
| 1568822864 | Nicole Smith | Nurse Practitioner | 2301 Erwin Rd Box 3116, Durham, NC 27710 | 2016-02-29 |
| 1548656150 | Jesse David Rhodes | Hospitalist | Hospital Medicine, Duke University Hospital, 40 Duke Medicine Circle, Durham, NC 27710 | 2015-04-09 |
| Find all providers in zip 27710 | ||||
| Taxonomy Code | 207PP0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Pediatric Emergency Medicine |
| Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/ Board certification is provided by the American Board of Emergency Medicine. Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619932746 | Joanna E York | Emergency Medicine | 1900 Randolph Road, Suite 900, Charlotte, NC 28207-1117 | 2006-04-20 |
| 1558361246 | Douglas L Boertje | Emergency Medicine | 501 S Sharon Amity Rd Ste 300, Charlotte, NC 28211-0035 | 2005-07-26 |
| 1639559883 | Lindly Theroux | Emergency Medicine | 1 Medical Center Blvd, Winston Salem, NC 27157-2038 | 2015-06-03 |
| 1477729556 | Lindsey Chaudoin | Emergency Medicine | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2008-05-07 |
| 1770756157 | Timothy M Galey | Emergency Medicine | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2008-04-08 |
| 1093987794 | James Robert Young | Emergency Medicine | 501 S Sharon Amity Rd Ste 300, Charlotte, NC 28211 | 2008-04-02 |
| 1962686089 | Ross Jacob Kuhner | Emergency Medicine | 1200 N Elm St, Greensboro, NC 27401-1004 | 2007-12-26 |
| 1689881625 | Chad David Mccalla | Emergency Medicine | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2007-05-17 |
| 1922154533 | Michael S Mitchell | Emergency Medicine | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2007-01-26 |
| 1497804603 | Thomas Davis Miller IIi | Emergency Medicine | 501 S Sharon Amity Rd Ste 300, Charlotte, NC 28211-0035 | 2007-01-09 |
| Find all providers with the same taxonomy | ||||
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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.