KENT A ELLIS


Address: 144 State St, Portland, ME 04101-3776
Phone: 2075536787

KENT A ELLIS (NPI# 1457481210) 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) 1457481210
Entity Type Individual
Full Name KENT A ELLIS
Other Name MR. KENT A ELLIS
Practice Address 144 State St
Portland
ME 04101-3776
Mailing Address 96 Tenpenny St
Freeport
ME 04032-6760
Practice Telephone 2075536787
Mailing Telephone 7206249730
Enumeration Date 2007-03-07
Last Update Date 2012-01-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1835X0200X Pharmacist
Specialization: Oncology
10751 OR Pharmacy Service Providers
N 1835X0200X Pharmacist
Specialization: Oncology
11900 ME Pharmacy Service Providers
Y 1835X0200X Pharmacist
Specialization: Oncology
PR3788 ME Pharmacy Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
KAISER-COMMERCIAL NUMBER 015812 01

Other Providers KENT ELLIS

NPI Name Taxonomy Address Enumeration
1649204512 Kent Robert Ellis Emergency Medicine 1841 Woodfield Rd, Martinsville, NJ 08836-2344 2006-07-10

Office Location

Street Address 144 STATE ST
City PORTLAND
State ME
Zip Code 04101-3776

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629078712 Mercy Hospital General Acute Care Hospital 144 State St, Portland, ME 04101-3776 2005-07-29
1518502913 Alex Langton Physician Assistant 144 State St, Portland, ME 04101-3776 2019-11-10
1033777362 John Mladucky Hospitalist 144 State St, Portland, ME 04101-3776 2019-06-01
1679041016 Molly Sue Galasyn Physician Assistant 144 State St, Portland, ME 04101-3776 2018-11-03
1114407004 Heather Lynne Hansen Physician Assistant 144 State St, Portland, ME 04101-3776 2018-08-20
1851891956 Christina Cange Nurse Practitioner 144 State St, Portland, ME 04101-3776 2018-02-15
1760990212 Kelsey Elizabeth Langley Physician Assistant 144 State St, Portland, ME 04101-3776 2018-01-18
1750805982 Michelle Ruth Clark Physician Assistant 144 State St, Portland, ME 04101-3776 2017-07-30
1720441058 Virginia Katherine H Weiss Anesthesiology 144 State St, Portland, ME 04101-3776 2016-04-04
1871951251 Abigail Louise Lee Social Worker 144 State St, Portland, ME 04101-3776 2016-02-01
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306450655 Jocylin Egan Nurse Practitioner 442 Congress Street, 2nd Floor, Portland, ME 04101 2020-09-03
1255963559 Portcity Home Healthcare LLC In Home Supportive Care 525 Forest Avenue, Suite 8, Portland, ME 04101 2020-02-05
1578101929 Mohamed Hassan Mohamed Student in an Organized Health Care Education/Training Program 75 Lancaster St Ste 218a, Portland, ME 04101 2019-12-17
1841855301 Portland Opioid Health Home Counselor 48 Free St., Mezzanine Level, Portland, ME 04101 2019-05-09
1093379224 Alexandra Strawbridge Maurer Acupuncturist 50 A Cove Street, Portland, ME 04101 2019-04-23
1245719541 Scott J Whited Nurse Practitioner 216 Vaughan St., Mcgeachy Hall, Portland, ME 04101 2018-08-08
1144733064 Alixandria Elaine Marie Winchell Massage Therapist One City Center, Portland, ME 04101 2017-11-14
1417473638 Rachel S Schwaner Occupational Therapist 78 Danforth Street, Apartment 6, Portland, ME 04101 2017-08-18
1023538154 Derina Boothroyd Audiologist-Hearing Aid Fitter 985 Forest Ave., Portland, ME 04101 2017-06-20
1881123297 Mark Mccullough Social Worker 57 Exchange Street, Suite 403, Portland, ME 04101 2017-06-08
Find all providers in zip 04101

Taxonomy Information

Taxonomy Code 1835X0200X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Oncology

Taxonomy Definition

A licensed pharmacist who has demonstrated specialized knowledge and skill in developing, recommending, implementing, monitoring, and modifying pharmacotherapeutic plans to optimize outcomes in patients with malignant diseases.
Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114531084 Aaron Pham Pharmacist 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 2020-09-08
1851919013 Margaret Mcguinness Pharmacist 265 N Broadway, Portland, OR 97227-1800 2020-07-13
1821648692 Amber Sarah Diaz Pharmacist 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 2019-09-13
1275186223 Angela Marie Maroon Pharmacist 3600 N Interstate Ave, Portland, OR 97227-1106 2019-07-18
1376109017 Yuliya M Byakina Pharmacist 3600 N Interstate Ave, Portland, OR 97227-1106 2019-05-17
1134599798 Sharon Shiraga Pharmacist 3600 N Interstate Ave, Portland, OR 97227-1106 2015-09-25
1811394380 James Connelly Pharmacist 9135 Sw Barnes Rd, Suite 263, Portland, OR 97225-6646 2014-11-29
1912345000 Alexander Kappelman Pharmacist 22 Bramhall St, Portland, ME 04102-3134 2013-06-11

Competitor

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City PORTLAND
Zip Code 04101

Improve Information

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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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