DR. JOHN ELLIE JR. (NPI# 1427311455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427311455 |
| Entity Type | Individual |
| Full Name | DR. JOHN ELLIE JR. |
| Credential | D.P.M. |
| Practice Address |
1500 Portland Ave Rochester NY 14621-3065 |
| Mailing Address |
1500 Portland Ave Rochester NY 14621 |
| Practice Telephone | 5859224325 |
| Practice Fax Number | 5854135011 |
| Mailing Telephone | 5859224325 |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
P84311 | NY | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 04203352 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1160 Chili Ave Ste 140, Rochester, NY 146243035 | 5859224325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023026069 | John Ellie | Anesthesiology | 338 Harris Hill Rd, Suite 207, Williamsville, NY 14221-7470 | 2006-08-04 |
| Street Address |
1500 PORTLAND AVE |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14621-3065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649276676 | John Jurik | Internal Medicine | 1500 Portland Ave, Rochester, NY 14621-3065 | 2005-06-23 |
| 1801497862 | St Anns Podiatry PC | Podiatrist | 1500 Portland Ave, Rochester, NY 14621-3065 | 2020-11-05 |
| 1518421510 | Rachel Renee Holmes | Nurse Practitioner | 1500 Portland Ave, Rochester, NY 14621-3065 | 2019-01-24 |
| 1265918395 | Rachel Ann Salisbury | Nurse Practitioner | 1500 Portland Ave, Rochester, NY 14621-3065 | 2018-07-11 |
| 1427561356 | Mansura Malik | Nurse Practitioner | 1500 Portland Ave, Rochester, NY 14621-3065 | 2017-11-14 |
| 1770003857 | Wound Care Medical Associates PC | Specialist | 1500 Portland Ave, Rochester, NY 14621-3065 | 2017-06-21 |
| 1003356668 | Nancy Lm Wilcox | Nurse Practitioner | 1500 Portland Ave, Rochester, NY 14621-3065 | 2017-03-02 |
| 1154772028 | Anne May | Registered Nurse | 1500 Portland Ave, Rochester, NY 14621-3065 | 2016-06-22 |
| 1437545936 | Rebecca Kant | Internal Medicine | 1500 Portland Ave, Rochester, NY 14621-3065 | 2015-04-10 |
| 1861808107 | Kathleen Gleason | Dietitian, Registered | 1500 Portland Ave, Rochester, NY 14621-3065 | 2014-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619515327 | Patti Humphrey | Occupational Therapist | 1831 Ridge Rd. East, Rochester, NY 14621 | 2019-12-12 |
| 1861956682 | Sonya Thomas | Counselor | Sonya Thomas, 490 East Ridge Road, Rochester, NY 14621 | 2019-01-25 |
| 1811478357 | Laura Iannella | Student in an Organized Health Care Education/Training Program | 1455 East Ridge, Rochester, NY 14621 | 2018-08-23 |
| 1982180345 | Naman Sharma | Student in an Organized Health Care Education/Training Program | Rochester General Hospital, 1425 Portland Avenue, Rochester, NY 14621 | 2018-07-18 |
| 1699213447 | Kara Mcallister | Nurse Practitioner | 370 East Ridge Road, Suite 400, Rochester, NY 14621 | 2017-02-01 |
| 1285082982 | Universal Care Services, LLC | In Home Supportive Care | 64 Delamaine Drive, Rochester, NY 14621 | 2016-06-03 |
| 1700243896 | Kenroy King I | Registered Nurse | 67 Warsaw Street, Rochester, NY 14621 | 2016-01-21 |
| 1154794808 | Shari Venisee | Licensed Practical Nurse | 67 Carthage St, Rochester, NY 14621 | 2015-11-03 |
| 1114349024 | Anthony Michael Plavsity | Registered Nurse | 1450 Clifford Ave, Rochester, NY 14621 | 2014-01-11 |
| 1033541107 | The Community Place of Greater Rochester, Inc | Case Management | 500 Carter Street, Rochester, NY 14621 | 2013-07-31 |
| Find all providers in zip 14621 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023538493 | Foot and Ankle Clinic | Podiatrist | 2768 Superior Dr Nw Ste B, Rochester, MN 55901-8394 | 2017-06-26 |
| 1346603701 | Laura M Buehler | Podiatrist | 2768 Superior Dr Nw, Rochester, MN 55901-3063 | 2016-04-03 |
| 1770710683 | Katrina Jeanne Manos | Podiatrist | 2236 Ridge Rd W., Rochester, NY 14626-2804 | 2009-06-18 |
| 1336272517 | Stephen Edward Panetta | Podiatrist | 2768 Superior Drive Nw, Rochester, MN 55901 | 2007-03-14 |
| 1518054485 | Metro Footcare Associates L.l.p. | Podiatrist | 2225 Clinton Ave S, Rochester, NY 14618-2623 | 2006-10-10 |
| 1053417014 | Genesee Valley Podiatry LLP | Podiatrist | 500 W Whitney Road, Rochester, NY 14621-3064 | 2006-09-16 |
| 1942243993 | Kevin D Lind | Podiatrist | 210 9th St Se Ste 1, Rochester, MN 55904-6400 | 2006-06-14 |
| 1598718017 | Massimo Pietrantoni | Podiatrist | 382 White Spruce Blvd, Rochester, NY 14623-1604 | 2006-05-18 |
| 1902863863 | Louis J Tallo | Podiatrist | 2225 S Clinton Ave, Rochester, NY 14618-2623 | 2006-04-26 |
| 1386606630 | Joseph Larry Carbone | Podiatrist | 490 Titus Ave, Rochester, NY 14617-3541 | 2006-04-03 |
| Find all providers in ROCHESTER | ||||
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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.