DR. PAUL T ELLIS (NPI# 1356317325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356317325 |
| Entity Type | Individual |
| Full Name | DR. PAUL T ELLIS |
| Credential | MD |
| Practice Address |
391 Serpentine Dr Suite 500 Spartanburg SC 29303-3083 |
| Mailing Address |
107 Club Pointe Dr Spartanburg SC 29302-6313 |
| Practice Telephone | 8645858211 |
| Mailing Telephone | 8645827098 |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2008-01-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 17866 | SC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376805689 | Paul S Ellis | Radiology | 1067 Wellington Rd, Jenkintown, PA 19046-3837 | 2012-06-12 |
| 1740490515 | Paul Joseph Ellis | Dentist | 8699 Gull Rd, Richland, MI 49083-9647 | 2007-05-23 |
| 1750309878 | Paul Roscoe Ellis IIi | Specialist | 3600 Gaston Ave Ste 450, Dallas, TX 75246-1904 | 2006-07-17 |
| 1295183408 | Paul Ellis | Counselor | 17 Court St, Boston, MA 02108 | 2016-05-27 |
| 1750723854 | Paul Ellis | Dentist | 8849 Shelby St, A-1, Indianapolis, IN 46227-7508 | 2013-07-18 |
| 1740297811 | Paul Devere Ellis | Family Medicine | 11459 Johns Creek Pkwy, Ste 250, Johns Creek, GA 30097-3517 | 2006-08-02 |
| 1528025673 | Paul D Ellis | Radiology | 130 W Ravine Rd, Kingsport, TN 37660 | 2006-05-01 |
| 1174594873 | Paul W Ellis | Physician Assistant | 2001 Randolph Rd, Charlotte, NC 28207-1215 | 2006-01-30 |
| Street Address |
391 SERPENTINE DR SUITE 500 |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29303-3083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528061561 | Richard Lee Conn | Surgery | 391 Serpentine Dr, Ste 250, Spartanburg, SC 29303-3080 | 2005-05-23 |
| 1245765841 | Christina L Blake | Registered Nurse | 391 Serpentine Dr, Suite 400, Spartanburg, SC 29303-3096 | 2017-04-21 |
| 1083099857 | Kristin Elena Klimbal | Nurse Practitioner | 391 Serpentine Dr, Suite 400, Spartanburg, SC 29303-3096 | 2015-07-22 |
| 1972997179 | Destiny Moore Moss | Nurse Practitioner | 391 Serpentine Dr, Suite 500, Spartanburg, SC 29303-3096 | 2015-03-25 |
| 1053724450 | Spartanburg Medical Center | Dermatology | 391 Serpentine Dr, Suite 300, Spartanburg, SC 29303-3080 | 2014-06-04 |
| 1831534486 | John Charles Barnett | Counselor | 391 Serpentine Dr, Suite 400, Spartanburg, SC 29303-3096 | 2013-05-08 |
| 1982948410 | Craig Stephen Williams | Psychologist | 391 Serpentine Dr, Suite 400, Spartanburg, SC 29303-3096 | 2012-11-21 |
| 1912279837 | Nicole Marcantonio Pierce | Social Worker | 391 Serpentine Dr, Spartanburg, SC 29303-3096 | 2012-02-08 |
| 1821226960 | Erin Anderson | Urology | 391 Serpentine Dr, Suite 500, Spartanburg, SC 29303-3096 | 2009-06-28 |
| 1629220132 | The Carolina Hand Center | Durable Medical Equipment & Medical Supplies | 391 Serpentine Dr, Suite 440, Spartanburg, SC 29303-3096 | 2008-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013532126 | Adam Joseph Fulcher | Family Medicine | Center for Family Medicine, 853 N. Church Street, Suite 510, Spartanburg, SC 29303 | 2020-06-15 |
| 1275011652 | Tri-state Medical Supplies, North Grove | Durable Medical Equipment & Medical Supplies | 1330 Boiling Springs Rd Ste 2900, Spartanburg, SC 29303 | 2018-07-30 |
| 1992227151 | Roxanne Pope | Speech-Language Pathologist | 290 N Grove Medical Park Dr., Spartanburg, SC 29303 | 2017-07-10 |
| 1861934879 | Cortney Redmond Mckinney I | Counselor | 250 Dewey Sve., Spartanburg, SC 29303 | 2016-11-08 |
| 1578011474 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 269 North Grove Medical Drive, Spartanburg, SC 29303 | 2016-09-20 |
| 1023477536 | Whitney Brooke Terry | Physician Assistant | 391 Serpentine Dr Ste 250, Spartanburg, SC 29303 | 2016-02-12 |
| 1306244348 | Medcare Urgent Care Spartanburg, LLC | Clinic/Center | 301 E Wood Street, Spartanburg, SC 29303 | 2014-12-08 |
| 1508201393 | Tom Ju | Anesthesiology | 1330 Boiling Springs Rd Ste 2700, Spartanburg, SC 29303 | 2013-05-07 |
| 1295072312 | Marie O'dell | Registered Nurse | 7 698 Howard Street, Spartanburg School District, Spartanburg, SC 29303 | 2013-01-09 |
| 1518203330 | Sherard Hamilton Ansley | Speech-Language Pathologist | 698 Howard St., Spartanburg School District 7, Spartanburg, SC 29303 | 2012-12-26 |
| Find all providers in zip 29303 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467893404 | Robert Strehlow Vi | Urology | 391 Serpentine Dr Ste 500, Spartanburg, SC 29303-3083 | 2013-07-06 |
| 1376551713 | Mary Black Health System, LLC | Urology | 1 Doctors Park Dr, Spartanburg, SC 29307-1021 | 2006-08-03 |
| 1598717951 | R Bruce Bass | Urology | 1 Doctors Park Drive, Suite B, Spartanburg, SC 29307-1008 | 2006-05-16 |
| 1689143786 | Spartanburg Medical Center | Urology | 11 Doctors Park Dr Ste 220, Spartanburg, SC 29307-1008 | 2018-11-19 |
| 1821226960 | Erin Anderson | Urology | 391 Serpentine Dr, Suite 500, Spartanburg, SC 29303-3096 | 2009-06-28 |
| 1699711317 | Michael B Pryor | Urology | 391 Serpentine Dr, Suite 200, Spartanburg, SC 29303-3083 | 2006-06-21 |
| 1639130628 | Gerald W Hull IIi | Urology | 391 Serpentine Dr, Suite 500, Spartanburg, SC 29303-3083 | 2006-03-29 |
| 1093775926 | Robert G Britanisky | Urology | 391 Serpentine Dr., Suite500, Spartanburg, SC 29303-3083 | 2006-03-24 |
| 1912903659 | Michael Curtis Staley | Urology | 391 Serpentine Dr, Suite 500, Spartanburg, SC 29303-3096 | 2005-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295393098 | Christopher William Ritchie | Urology | 135 Rutledge Ave Fl 5, Charleston, SC 29425-8903 | 2019-06-05 |
| 1780248211 | Spartanburg Medical Center | Urology | 2755 S Highway 14 Ste 2050a, Greer, SC 29650-4902 | 2019-04-30 |
| 1609345982 | Spartanburg Medical Center | Urology | 1552 N Limestone St Ste A, Gaffney, SC 29340-4750 | 2018-11-16 |
| 1942775952 | Roper Saint Francis Physicians Network | Urology | 300 Callen Blvd Ste 220, Summerville, SC 29486-2809 | 2018-10-05 |
| 1790131522 | Urology Clinic At Carolinas | Urology | 1594 Freedom Blvd Ste 203, Florence, SC 29505-6046 | 2016-05-11 |
| 1912368457 | Urology Clinic, Inc. | Urology | 1285 Wilson Hall Rd, Sumter, SC 29150 | 2016-03-11 |
| 1154700367 | Gregory Slachta | Urology | 407 Broadview Dr, Ridgeland, SC 29936-5157 | 2015-05-20 |
| 1326487588 | Tracy Jon Tipton | Urology | 125 Doughty St Ste 300, Charleston, SC 29403 | 2013-06-21 |
| 1790121424 | Philip Andre Fontenot Jr. | Urology | 50 Bear Dr, Greenville, SC 29605 | 2013-05-21 |
| 1679828750 | Thomas Alexander Kirkland Jr. | Urology | 2 Ladson St, Apt. A, Charleston, SC 29401-2757 | 2012-07-16 |
| Find all providers with the same taxonomy | ||||
| City | SPARTANBURG |
| Zip Code | 29303 |
Please comment or provide details below to improve the information on DR. PAUL T 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.