GEORGE L ELLIS (NPI# 1508849175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508849175 |
| Entity Type | Individual |
| Full Name | GEORGE L ELLIS |
| Credential | M.D. |
| Practice Address |
1 Guthrie Sq Sayre PA 18840-1625 |
| Practice Telephone | 5708886666 |
| Practice Fax Number | 5708824379 |
| Mailing Telephone | 5708886666 |
| Mailing Fax Number | 5708824379 |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2007-12-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | MD024250E | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235347436 | George E Ellis | Dentist | 108 Trade Center Ln, Hazlehurst, MS 39083-2319 | 2007-05-19 |
| 1487729141 | George David Ellis | Psychiatry & Neurology | 3121 Route 38, Mount Laurel, NJ 08054-9725 | 2006-11-21 |
| 1891805834 | George Lewis Ellis | Dentist | 2650 Highway 109 Ste C, Grover, MO 63040-1163 | 2006-08-30 |
| 1699799841 | George Ellis | Family Medicine | 432 Rankin Drive, Marion, NC 28752 | 2006-07-27 |
| 1649242322 | George Arthur Ellis | Pharmacist | 26317 W Washington Street, Petersburg, VA 23803-0030 | 2006-02-06 |
| 1366428484 | George Ellis Jr. | Emergency Medicine | 910 Boardman-canfield Road, Boardman, OH 44512 | 2005-12-20 |
| 1497873350 | George C Ellis | Internal Medicine | 1185 Park Avenue, # 1c, New York, NY 10128-1310 | 2007-03-27 |
| 1033144597 | George Frederick Ellis | Urology | 89 W Copeland Dr, Orlando, FL 32806-2002 | 2006-07-12 |
| 1700828613 | George S. Ellis Jr. | Ophthalmology | 200 Henry Clay Ave, Suite 3106, New Orleans, LA 70118-5720 | 2006-06-12 |
| Street Address |
1 GUTHRIE SQ |
| City | SAYRE |
| State | PA |
| Zip Code | 18840-1625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841294808 | Patricia Ann Fogelman | Nurse Practitioner | 1 Guthrie Sq, Sayre, PA 18840 | 2005-06-08 |
| 1639778194 | Heather Lynn Walker | Registered Nurse | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2020-10-25 |
| 1033724380 | Stacy Ann Miller | Nurse Practitioner | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2020-09-14 |
| 1033727466 | Abigail Rose Link | Physician Assistant | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2020-07-22 |
| 1811505035 | Rebecca Ann Satterly | Nurse Practitioner | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2020-07-14 |
| 1417574088 | Patricia Anne Hui | Student in an Organized Health Care Education/Training Program | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2020-06-30 |
| 1477177277 | Sneha Prabhashankar Singh | Student in an Organized Health Care Education/Training Program | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2020-06-08 |
| 1346864113 | Shista Priyadarshini | Student in an Organized Health Care Education/Training Program | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2020-06-08 |
| 1225652175 | Balkishan Jagadishbhai Malviya | Student in an Organized Health Care Education/Training Program | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2020-06-05 |
| 1003430034 | Premjeet Singh Dhillon | Internal Medicine | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2020-06-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104434497 | Priyanka Bhardwaj | Student in an Organized Health Care Education/Training Program | One Guthrie Square - Family Medicine Residency - Robert, Sayre, PA 18840 | 2020-07-22 |
| 1669099362 | Tanya Gupta | Student in an Organized Health Care Education/Training Program | 1 Guthrie Square, Guthrie/robert Packer Hospital, Sayre, PA 18840 | 2020-06-29 |
| 1477170330 | Unknown Manas | Student in an Organized Health Care Education/Training Program | One Guthrie Square, Internal Medicine Residency, Guthri, Sayre, PA 18840 | 2020-06-26 |
| 1891311601 | Oneeb Sanaullah | Student in an Organized Health Care Education/Training Program | One Guthrie Square, Sayre, Guthrie/robert Packer Hospit, Sayre, PA 18840 | 2020-06-18 |
| 1801455142 | Rachel Anne Hart | Student in an Organized Health Care Education/Training Program | General Surgery Residency Guthrie/robert Packer Hospita, Sayre, PA 18840 | 2019-06-11 |
| 1073178315 | Anam Aqeel | Student in an Organized Health Care Education/Training Program | One Guthrie Square Guthrie/robert Packer Hospital, Sayre, PA 18840 | 2019-05-02 |
| 1548823156 | Seokjae John Bahng | Student in an Organized Health Care Education/Training Program | One Guthrie Square, Guthrie/robert Packer Hospital, Sayre, PA 18840 | 2019-04-18 |
| 1811550890 | Najma Nawaz | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Guthrie/robert Packer Hospi, Sayre, PA 18840 | 2019-04-16 |
| 1043701592 | Aisha Khaliq | Internal Medicine | One Guthrie Square Internal Medicine Residency/robert P, Sayre, PA 18840 | 2018-05-21 |
| 1194220822 | Tianyu Shang | Student in an Organized Health Care Education/Training Program | Guthrie/ Robert Packer Hospital, One Guthrie Square, Sayre, PA 18840 | 2018-03-26 |
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| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609846732 | Gary Carl Enders | Emergency Medicine | 1 Guthrie Square, Sayre, PA 18840-1625 | 2006-01-23 |
| 1093161754 | Nes Oklahoma Inc | Emergency Medicine | 911 Hospital Dr, Sayre, OK 73662-1206 | 2016-05-11 |
| 1093160541 | Zachary Ewan Dewar | Emergency Medicine | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2016-05-03 |
| 1235593195 | Janine Axelrod | Emergency Medicine | 1 Guthrie Sq, 1st Level Guthrie Clinic, Sayre, PA 18840-1625 | 2016-04-07 |
| 1205221025 | Matthew Colo | Emergency Medicine | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2015-03-30 |
| 1154500528 | Robert Packer Hospital | Emergency Medicine | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2007-11-01 |
| 1558410191 | Thomas A Leeson | Emergency Medicine | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2007-01-10 |
| 1871674952 | Gregory M Christiansen | Emergency Medicine | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2006-10-17 |
| 1427000876 | Guthrie Medical Group, P.C. | Emergency Medicine | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2006-05-16 |
| 1992789192 | Russell E Burkett | Emergency Medicine | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2005-12-01 |
| Find all providers in SAYRE | ||||
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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.