ERIC R ELLIS (NPI# 1477528644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477528644 |
| Entity Type | Individual |
| Full Name | ERIC R ELLIS |
| Credential | M.D. |
| Practice Address |
605 Glenwood Drive Suite 200 Chattanooga TN 37404-1130 |
| Mailing Address |
Po Box 440261 Nashville TN 37244-0261 |
| Practice Telephone | 4236981844 |
| Practice Fax Number | 4236242226 |
| Mailing Telephone | 4236981844 |
| Mailing Fax Number | 4236242226 |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2013-01-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | MD0000019592 | TN | Other Service Providers |
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
MD0000019592 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3047073 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154741692 | Eric Daniel Ellis | Specialist/Technologist | 414 Bryan St, Havertown, PA 19083-4311 | 2014-04-23 |
| 1093971749 | Eric Edward Ellis | Dentist | 31307 N 137th Ave, Peoria, AZ 85383-7941 | 2008-08-01 |
| 1215968409 | Eric Lee Ellis | Emergency Medicine | 77 Lincoln Blvd Ste 1, Lincoln, CA 95648-7422 | 2006-07-05 |
| 1396178216 | Eric D Ellis | Physical Therapist | 1031 S Roselle Rd, Schaumburg, IL 60193-3960 | 2013-08-14 |
| 1609021021 | Eric Ellis | Dentist | 4600 Fairmont Pkwy, Suite 204, Pasadena, TX 77504-3335 | 2008-11-26 |
| Street Address |
605 GLENWOOD DRIVE SUITE 200 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37404-1130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750375333 | Ann H. Rybolt | Internal Medicine | 605 Glenwood Drive, Suite 404, Chattanooga, TN 37404 | 2005-09-09 |
| 1770780686 | Marcus M Wagner | Internal Medicine | 605 Glenwood Drive, Suite 200, Chattanooga, TN 37404-1130 | 2007-07-03 |
| 1689887788 | Mark S Womack Iv | Internal Medicine | 605 Glenwood Drive, Suite 200, Chattanooga, TN 37404-1130 | 2007-05-07 |
| 1831210152 | Betsy J Washburn | Surgery | 605 Glenwood Drive, Suite 103, Chattanooga, TN 37404-1108 | 2007-04-03 |
| 1205996014 | Bertrand M Anz IIi | Internal Medicine | 605 Glenwood Drive, Suite 200, Chattanooga, TN 37404-1130 | 2006-12-11 |
| 1619062924 | Frank Charles Kimsey | Radiology | 605 Glenwood Drive, Suite 208, Chattanooga, TN 37404 | 2006-10-03 |
| 1063510618 | Interventional Cardiology, Pllc | Internal Medicine | 605 Glenwood Drive, Suite 412, Chattanooga, TN 37404-1175 | 2006-09-20 |
| 1952379455 | Chattanooga Oncology and Hematology Associates | Internal Medicine | 605 Glenwood Drive, Ste 200, Chattanooga, TN 37404-1130 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306494216 | Cynthia Caffey | Technician | 1305 E. 28th St. Apt A, Chatta, TN 37404 | 2019-09-04 |
| 1851944482 | Stacey Stokes | Peer Specialist | 1413 Bailey Ave, Chattanooga, TN 37404 | 2019-07-23 |
| 1306354790 | Erlanger Behavioral Health, LLC | Psychiatric Hospital | 804 North Holtzclaw Avenue, Chattanooga, TN 37404 | 2018-01-19 |
| 1245746171 | Davis Supportive Living Home Inc. | Custodial Care Facility | 1106 Duncan Avenue, Chattanooga, TN 37404 | 2017-12-14 |
| 1124544762 | Rachael Anne Maciver | Nurse Practitioner | 1909 South Willow Street, Chattanooga, TN 37404 | 2017-08-15 |
| 1447796214 | Esli Castillo | Nurse Practitioner | 281 N.lyerly St., Suite 200, Chattanooga, TN 37404 | 2017-01-17 |
| 1922542158 | Natasha Elliott | Community Health Worker | 2804 Cannon Ave, Chattanooga, TN 37404 | 2016-12-07 |
| 1730630153 | Jonathan Easter | Taxi | 1611 Anderson Avenue, Apt A, Chattanooga, TN 37404 | 2016-10-20 |
| 1477946143 | Thomas Jereme Holcomb | Nurse Practitioner | 281 N. Lyerly St, Suite 200, Chattanooga, TN 37404 | 2015-03-05 |
| 1922426709 | Sarah Mccary Baker | Internal Medicine | 605 Glenwood Drive, Suite 300, Chattanooga Internal Medicine Group, Chattanooga, TN 37404 | 2014-03-31 |
| Find all providers in zip 37404 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205270428 | Nitesh G Rana | Radiology | 1635 Gunbarrel Rd Ste 100, Chattanooga, TN 37421-4983 | 2013-04-18 |
| 1457317075 | Deanna Davidson | Radiology | 2895 Stuart Ter, Chattanooga, TN 37415-6106 | 2006-04-22 |
| 1164828869 | Patrick A Williams | Radiology | 1635 Gunbarrel Rd Ste 100, Chattanooga, TN 37421-3126 | 2014-11-07 |
| 1609210269 | Ryan K Cleary | Radiology | 605 Glenwood Dr Ste 200, Chattanooga, TN 37404 | 2013-04-24 |
| 1770893547 | Jeffrey W Gefter M.d., P.C. | Radiology | 979 E 3rd St, Suite G-20, Chattanooga, TN 37403-2136 | 2010-10-14 |
| 1730313404 | Chattanooga Radiation Oncology Center, Pllc | Radiology | 605 Glenwood Dr, Suite 212, Chattanooga, TN 37404-1108 | 2009-05-11 |
| 1669616132 | Jonathan Taylor Whaley | Radiology | 605 Glenwood Dr, Suite 200, Chattanooga, TN 37404-1108 | 2009-04-28 |
| 1750549119 | Norleena Poynter Gullett | Radiology | 975 E. Third Street, Attn: Provider Enrollment, Chattanooga, TN 37403-2147 | 2008-06-01 |
| 1942490859 | Radiation Oncology Specialists | Radiology | 2525 Desales Ave, Suite 200, Chattanooga, TN 37404-1161 | 2007-07-26 |
| 1538364385 | Kimsey Radiation Oncology | Radiology | 605 Glenwood Dr, Suite 208, Chattanooga, TN 37404-1108 | 2007-06-20 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37404 |
Please comment or provide details below to improve the information on ERIC R 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.