ANDREW CARL ELLIS (NPI# 1508224445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508224445 |
| Entity Type | Individual |
| Full Name | ANDREW CARL ELLIS |
| Credential | PA |
| Practice Address |
Naval Medical Center 100 Brewster Blvd Camp Lejeune NC 28547-2538 |
| Practice Telephone | 9104492731 |
| Mailing Telephone | 9104492731 |
| Enumeration Date | 2016-02-07 |
| Last Update Date | 2020-08-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881006435 | Andrew James Ellis | Pediatrics | 705 Riley Hospital Dr, Ri 3004, Indianapolis, IN 46202-5109 | 2014-05-29 |
| 1568710820 | Andrew W Ellis | Student in an Organized Health Care Education/Training Program | 151 Bodin Cir, Travis Afb, CA 94535-1801 | 2012-08-16 |
| 1760775316 | Andrew Ellis | Technician, Other | 4801 Reading St, Dallas, TX 75247-6716 | 2011-05-16 |
| 1588995096 | Andrew Ellis | Surgery | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2010-01-22 |
| 1730283813 | Andrew P Ellis | Clinical Neuropsychologist | 1815 Sw Marlow, Suite 110, Portland, OR 97225-5185 | 2006-09-11 |
| Street Address |
NAVAL MEDICAL CENTER 100 BREWSTER BLVD |
| City | CAMP LEJEUNE |
| State | NC |
| Zip Code | 28547-2538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720089295 | Margaret Anne Ackley | Clinical Neuropsychologist | Naval Medical Center, 100 Brewster Blvd, Camp Lejeune, NC 28547-2538 | 2005-08-09 |
| 1588122667 | Nathan Meier | Military Health Care Provider | Naval Medical Center, 100 Brewster Blvd., Camp Lejeune, NC 28547-2538 | 2019-03-07 |
| 1386125474 | Colby T Burns | Pharmacist | Naval Medical Center, 100 Brewster Blvd, Camp Lejeune, NC 28547-2538 | 2018-08-27 |
| 1710483623 | Anthony John Angelone | Student in an Organized Health Care Education/Training Program | Naval Medical Center, 100 Brewster Blvd, Camp Lejeune, NC 28547-2538 | 2018-04-01 |
| 1619488822 | Patricia Ann Horn | Nurse Practitioner | Naval Medical Center, 100 Brewster Blvd., Camp Lejeune, NC 28547-2538 | 2017-10-14 |
| 1568982296 | Kristy Dyan Stroble | Physical Therapist | Naval Medical Center, 100 Brewster Blvd, Camp Lejeune, NC 28547-2538 | 2017-06-23 |
| 1932629102 | Alexandra Elizabeth Hall | Physician Assistant | Naval Medical Center, 100 Brewster Boulevard, Camp Lejeune, NC 28547-2538 | 2017-06-20 |
| 1083147060 | Derek Edward Weiss | Physician Assistant | Naval Medical Center, 100 Brewster Blvd, Camp Lejeune, NC 28547 | 2017-04-06 |
| 1053677641 | Garrett M. Harp | Internal Medicine | Naval Medical Center, 100 Brewster Blvd, Camp Lejeune, NC 28547-2538 | 2012-04-09 |
| 1952677346 | Haley Trover Strickland | Obstetrics & Gynecology | Naval Medical Center, 100 Brewster Blvd, Camp Lejeune, NC 28547 | 2012-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558906032 | Abigail Deemer | Physician Assistant | L Street, Bldg Hp-416, Camp Lejeune, NC 28547 | 2019-11-08 |
| 1407406267 | Michelle Ferricher | Nurse Practitioner | Naval Medical Center Pediatric Clinic, Nh-200 Recovery Way, Camp Lejeune, NC 28547 | 2019-09-13 |
| 1215595566 | Kayla L Torrez Chang | General Practice | Mcmh Fc 308, Hm Smith Boulevard, Camp Lejeune, NC 28547 | 2019-06-02 |
| 1699338442 | Amanda Leigh Jepsen | Military Health Care Provider | Naval Medical Center; 100 Brewster Blvd, Camp Lejeune, NC 28547 | 2019-04-17 |
| 1306336995 | Erik Reid King | Physician Assistant | F Street Bldg. Hp206, Camp Lejeune, NC 28547 | 2018-05-18 |
| 1114434032 | David John Mcdermott | Specialist/Technologist | Bldg. H1 Julian C Smith Rd., Camp Lejuene, NC 28547 | 2017-12-30 |
| 1235678434 | Nicolle Elizabeth Johnson | Occupational Therapist | 180 Hospital Corps Blvd., Camp Lejeune, NC 28547 | 2017-02-21 |
| 1427435585 | Naval Medical Center Camp Lejeune | Military/U.S. Coast Guard Pharmacy | Stone St. Extention, Bldg Nh200, Camp Lejeune, NC 28547 | 2015-04-28 |
| 1043634173 | Garrett Michael Wren | Obstetrics & Gynecology | Naval Medical Center, 100 Brewster Blvd, Camp Lejeune, NC 28547 | 2014-02-10 |
| 1245662436 | Samuel Maluil | Internal Medicine | Bldg 124 Wallace Creek, Camp Lejeunce, NC 28547 | 2013-07-30 |
| Find all providers in zip 28547 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558906032 | Abigail Deemer | Physician Assistant | L Street, Bldg Hp-416, Camp Lejeune, NC 28547 | 2019-11-08 |
| 1992352454 | Kirsten Janel Snow | Physician Assistant | Hm Smith Boulevard, Bldg Fc-308, Camp Lejeune, NC 28542 | 2019-08-20 |
| 1306336995 | Erik Reid King | Physician Assistant | F Street Bldg. Hp206, Camp Lejeune, NC 28547 | 2018-05-18 |
| 1619418548 | Megan Vaughn | Physician Assistant | 1st Battalion 2d Marines, Wc-159, Camp Lejeune, NC 28546 | 2017-03-11 |
| 1821367996 | Jeffrey Michael Rollman | Physician Assistant | 2nd Battalion, 6th Marines Bas, Camp Lejeune, NC 28542 | 2011-12-20 |
| 1164624318 | Jason Bryan Beard | Physician Assistant | 1st Battalion 8th Marines, Psc 20102, Camp Lejeune, NC 28540 | 2007-06-01 |
| 1306852165 | Edward Bangor | Physician Assistant | 180 Hospital Corps Blvd, Naval Hospital, Camp Lejeune, NC 28547-2538 | 2006-08-01 |
| 1659351088 | Christopher Lee Owston | Physician Assistant | Hp 217 F Street, Camp Lejeune, NC 28547-5109 | 2006-01-20 |
| 1124680186 | Kelsey Elizabeth Richard | Physician Assistant | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2019-06-30 |
| 1336667195 | Jordan Shankle | Physician Assistant | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2017-08-31 |
| Find all providers in CAMP LEJEUNE | ||||
| City | CAMP LEJEUNE |
| Zip Code | 28547 |
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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.