DR. KENNETH MARK ELLNER


Address: 1265 Upper Hembree Rd, Suite 100, Roswell, GA 30076-1143
Phone: 7707501133

DR. KENNETH MARK ELLNER (NPI# 1447259577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447259577
Entity Type Individual
Full Name DR. KENNETH MARK ELLNER
Credential M.D.
Practice Address 1265 Upper Hembree Rd
Suite 100
Roswell
GA 30076-1143
Practice Telephone 7707501133
Practice Fax Number 7707517410
Mailing Telephone 7707501133
Mailing Fax Number 7707517410
Enumeration Date 2005-07-20
Last Update Date 2020-11-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology 032377 GA Allopathic & Osteopathic Physicians

Office Location

Street Address 1265 UPPER HEMBREE RD
SUITE 100
City ROSWELL
State GA
Zip Code 30076-1143

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366882383 Alexandria Lauren Schuetz Physician Assistant 1265 Upper Hembree Rd, Suite 100, Roswell, GA 30076-1257 2013-07-05
1518263342 Norma Gordon Physician Assistant 1265 Upper Hembree Rd, Roswell, GA 30076-1257 2011-01-26
1609009174 Tamu Tayari Brown Dermatology 1265 Upper Hembree Rd, Suite 101, Roswell, GA 30076-1257 2009-08-31
1396957973 Gilbert Charles Goldman Dermatology 1265 Upper Hembree Rd, Suite 100, Roswell, GA 30076-1143 2007-05-04
1740245950 Northside Plastic Surgery Plastic Surgery 1265 Upper Hembree Rd, Ste 100, Roswell, GA 30076-1143 2006-04-19
1417910431 Atlanta Center for Dermatologic Diseases PC Dermatology 1265 Upper Hembree Rd, Ste 100, Roswell, GA 30076-1143 2006-04-10
1336118983 Kevin S Berman Dermatology 1265 Upper Hembree Rd, Ste 100, Roswell, GA 30076-1143 2006-03-16
1770566523 Stephen E Mikos Internal Medicine 1265 Upper Hembree Rd, Suite 200, Roswell, GA 30076-1143 2005-11-25
1225037161 Michael Scott Fisher Dermatology 1265 Upper Hembree Rd, Suite 100, Roswell, GA 30076-1143 2005-07-21
1457350316 Maher Talaat Hassan Plastic Surgery 1265 Upper Hembree Rd, Suite 100, Roswell, GA 30076-1143 2005-07-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689275505 Apex Spine and Neurosurgery LLC Neurological Surgery 1295 Hembree Rd Ste 200 Bldg B, Roswell, GA 30076 2020-11-06
1841776689 Scott Gunter Brunson Hearing Instrument Specialist 777 Old Roswell Pl # E100, Roswell, GA 30076 2018-07-16
1861998197 Daniel B Charek Clinical Neuropsychologist 11685 Alpharetta Hwy Ste 170, Roswell, GA 30076 2018-04-04
1427575554 A One Home Care, Inc. In Home Supportive Care 1875 Old Alabama Road, Suite 420, Roswell, GA 30076 2017-08-29
1053836023 Madelon Morgan Counselor 555 Sun Valley Dr Bldg F, Roswell, GA 30076 2017-08-10
1245769637 Family Behavioral Health, LLC Clinic/Center 9275 Martin Rd, Roswell, GA 30076 2017-06-08
1093163750 Ryann Soutar Counselor 702 Macy Dr, Roswell, GA 30076 2016-06-02
1447618707 Concierge Medical Mgmt Group Contractor 760 Old Roswell Rd Ste 117, Roswell, GA 30076 2016-02-02
1063877710 Augustine Young Community/Behavioral Health 427 Royal Creek Dr, Roswell, GA 30076 2015-12-23
1710360441 Currents Massage LLC Massage Therapist 760 Old Roswell Road, Suite 230, Roswell, GA 30076 2015-06-30
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Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003479254 Kiley Katherine Fagan Dermatology 775 Aronson Lake Ct, Roswell, GA 30075-7172 2019-04-15
1194209163 Live Oak Dermatology Dermatology 135 Norcross St # 8, Roswell, GA 30075-3867 2018-09-17
1346503810 Shaanan Satish Shetty Dermatology 1265 Upper Hembree Rd Ste 100, Roswell, GA 30076-1258 2012-06-20
1407075880 Marcus Brian Goodman Dermatology 2500 Hospital Blvd Ste 280, Roswell, GA 30076-4918 2007-04-24
1568556017 John C Henry Dermatology 207 N. Union, Suite C, Roswell, NM 88201 2006-10-02
1285730952 Jack L Graham, Md, PC Dermatology 1600 Se Main St Ste E, Roswell, NM 88203-5423 2006-09-16
1902842214 Harry R. Mccarthy Jr. Dermatology 600 Currin Ct, Roswell, GA 30076-3583 2006-06-22
1265927230 Jennifer Erin Millsap Dermatology 415 E Crossville Rd, Roswell, GA 30075-7626 2018-06-22
1174916365 Alexandria Bass Glass Dermatology 2500 Hospital Blvd Ste 280, Roswell, GA 30076-4918 2015-03-11
1326357799 Eugene Sanik Dermatology 2500 Hospital Blvd, Suite 280, Roswell, GA 30076-4907 2010-10-01
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Competitor

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City ROSWELL
Zip Code 30076

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Dataset Information

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.

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