MARK OWEN ELLIS (NPI# 1437240124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437240124 |
| Entity Type | Individual |
| Full Name | MARK OWEN ELLIS |
| Credential | DPM |
| Practice Address |
582 22nd Street Astoria OR 97103 |
| Practice Telephone | 5033250045 |
| Practice Fax Number | 5033253242 |
| Mailing Telephone | 5033250045 |
| Mailing Fax Number | 5033253242 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | DP00095 | OR | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 056416 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972897080 | Mark Ellis | Podiatrist | 12592 S 150 E, Draper, UT 84020-8611 | 2011-06-06 |
| 1659682219 | Mark Kenneth Ellis | Emergency Medicine | 2 5th Ave Apt 2d, New York, NY 10011-8832 | 2010-06-29 |
| 1174661672 | Mark Joseph Ellis | Chiropractor | 41 Western Avenue, Rochester, NH 03867 | 2007-02-05 |
| 1336204171 | Mark J Ellis | Respiratory Therapist, Certified | 1101 Jefferson Blvd, Hagerstown, MD 21742-5037 | 2006-12-22 |
| 1184719262 | Mark Allen Ellis | Dentist | 910 Averitt Rd, Greenwood, IN 46143-9540 | 2006-10-04 |
| 1083632244 | Mark Brian Ellis | Family Medicine | 1018 Rucker Blvd, Ste A, Enterprise, AL 36330-3675 | 2006-07-17 |
| 1265426894 | Mark Alan Ellis | Dentist | 951 Riverfront Pkwy, Suite 302, Chattanooga, TN 37402-2185 | 2005-09-09 |
| 1316580509 | Mark Duane Ellis | Licensed Practical Nurse | 2600 Se Belmont St, Portland, OR 97214-2916 | 2019-10-21 |
| 1629427752 | Mark Andrew Ellis | Otolaryngology | 169 Ashley Ave, Room 202 Main Hospital, Msc 333, Charleston, SC 29425-9080 | 2016-06-09 |
| 1366808677 | Mark Ellis | Behavioral Analyst | 453 King St, Cocoa, FL 32922-7621 | 2016-01-04 |
| Street Address |
582 22ND STREET |
| City | ASTORIA |
| State | OR |
| Zip Code | 97103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730552845 | Kpg Oregon, LLC | Internal Medicine | 486 12th Street #200, Astoria, OR 97103 | 2015-11-11 |
| 1205239043 | Brittany Dawn Vigoren | Dental Hygienist | 433 30th St., Astoria, OR 97103 | 2014-10-08 |
| 1497188858 | Jennifer U Boggs | Counselor | 10 Pier 1 Ste 203, Astoria, OR 97103 | 2013-08-20 |
| 1780022046 | Judy J Curnow | Massage Therapist | 1 12th Street Suite 10, Astoria, OR 97103 | 2013-06-10 |
| 1659626612 | Megan Lampson | Physical Therapist | 646 16th Ave., Astoria, OR 97103 | 2012-07-16 |
| 1043580947 | Matthew Thomas Cassity | Physical Therapy Assistant | 646 16th St., Astoria, OR 97103 | 2012-01-09 |
| 1881975969 | Rebecca Nicole Roe | Contractor | 25 Whitebush Way, Astoria, OR 97103 | 2011-09-02 |
| 1346542214 | Michele Lynn Hart | Social Worker | 2120 Exchange, Astoria, OR 97103 | 2010-11-29 |
| 1447551197 | Barbara Ellen Arnold | Pharmacist | 3250 Leif Erickson Dr, Astoria, OR 97103 | 2010-11-11 |
| 1083915219 | Christina Louise Jones | Pharmacist | 3250 Lief Erickson Dr, Astoria, OR 97103 | 2010-11-04 |
| Find all providers in zip 97103 | ||||
| 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 |
|---|---|---|---|---|
| 1275826000 | Wayne Axman | Podiatrist | 3016 30th Dr Fl 3, Astoria, NY 11102-1874 | 2011-05-26 |
| 1154571578 | Steinway Foot Care Group, LLP | Podiatrist | 4105 31st Ave, Astoria, NY 11103-3462 | 2008-09-22 |
| 1902071194 | Dr Jerome Glassmith | Podiatrist | 41 05 31st Ave, Astoria, NY 11103-2221 | 2008-04-28 |
| 1396874343 | Jerome B Glassmith | Podiatrist | 4105 31st Avenue, Astoria, NY 11103-3462 | 2007-03-05 |
| 1942365234 | Nancy Ray | Podiatrist | 2120 Exchange St Ste 110, Astoria, OR 97103-3322 | 2006-12-27 |
| 1578660288 | Philip Joseph Lupo | Podiatrist | 3217 29th St, Astoria, NY 11106-3403 | 2006-09-17 |
| 1477570372 | Gianni Persich | Podiatrist | 2856 41st St, Suite2a, Astoria, NY 11103-3302 | 2006-07-16 |
| 1376540021 | Thomas K Barlis | Podiatrist | 2747 Crescent St, Suite 204, Astoria, NY 11102-3142 | 2005-07-07 |
| 1487123519 | Astoria Podiatry Office PC | Podiatrist | 3141 45th St, Astoria, NY 11103-1621 | 2018-11-19 |
| 1003324179 | Metroplus Podiatry Care PC | Podiatrist | 2519 30th Dr Ste 1l, Astoria, NY 11102-2701 | 2018-01-11 |
| Find all providers in ASTORIA | ||||
Please comment or provide details below to improve the information on MARK OWEN 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.