MARK L. ELLIS


Address: 2520 5th St N, Columbus, MS 39705-2008
Phone: 6622441000

MARK L. ELLIS (NPI# 1598791535) 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) 1598791535
Entity Type Individual
Full Name MARK L. ELLIS
Credential MD
Practice Address 2520 5th St N
Columbus
MS 39705-2008
Mailing Address Po Box 7695
Columbus
MS 39705-0026
Practice Telephone 6622441000
Mailing Telephone 6623282476
Mailing Fax Number 6623274605
Enumeration Date 2006-06-23
Last Update Date 2010-03-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist 13170 MS Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MS 00112542 05
MS RAIL ROAD MEDICARE 300124842 01

Other Providers MARK ELLIS

NPI Name Taxonomy Address Enumeration
1972897080 Mark Ellis Podiatrist 12592 S 150 E, Draper, UT 84020-8611 2011-06-06
1659682219 Mark Kenneth Ellis Emergency Medicine 2 5th Ave Apt 2d, New York, NY 10011-8832 2010-06-29
1174661672 Mark Joseph Ellis Chiropractor 41 Western Avenue, Rochester, NH 03867 2007-02-05
1336204171 Mark J Ellis Respiratory Therapist, Certified 1101 Jefferson Blvd, Hagerstown, MD 21742-5037 2006-12-22
1184719262 Mark Allen Ellis Dentist 910 Averitt Rd, Greenwood, IN 46143-9540 2006-10-04
1437240124 Mark Owen Ellis Podiatrist 582 22nd Street, Astoria, OR 97103 2006-09-27
1083632244 Mark Brian Ellis Family Medicine 1018 Rucker Blvd, Ste A, Enterprise, AL 36330-3675 2006-07-17
1265426894 Mark Alan Ellis Dentist 951 Riverfront Pkwy, Suite 302, Chattanooga, TN 37402-2185 2005-09-09
1316580509 Mark Duane Ellis Licensed Practical Nurse 2600 Se Belmont St, Portland, OR 97214-2916 2019-10-21
1629427752 Mark Andrew Ellis Otolaryngology 169 Ashley Ave, Room 202 Main Hospital, Msc 333, Charleston, SC 29425-9080 2016-06-09

Office Location

Street Address 2520 5TH ST N
City COLUMBUS
State MS
Zip Code 39705-2008

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730187345 David B Morgan Specialist 2520 5th St N, Columbus, MS 39705-2008 2005-07-08
1760002208 Jameka Eddins Registered Nurse 2520 5th St N, Columbus, MS 39705-2008 2020-04-24
1578183802 Lauren Clark Beasley Registered Nurse 2520 5th St N, Columbus, MS 39705-2008 2020-04-16
1992324958 Keri Lynn Mills Pharmacist 2520 5th St N, Columbus, MS 39705-2008 2020-04-10
1043859697 Lacee Nicole Lowder Nurse Practitioner 2520 5th St N, Columbus, MS 39705-2008 2019-12-30
1760028294 Erin Whitley Lee Registered Nurse 2520 5th St N, Columbus, MS 39705-2008 2019-11-19
1801451430 Mary Elizabeth Rush Nurse Practitioner 2520 5th St N, Columbus, MS 39705-2008 2019-05-09
1184289167 Parul Dutta Student in an Organized Health Care Education/Training Program 2520 5th St N, Columbus, MS 39705-2008 2019-05-06
1447814322 Robert Lyon Brown Student in an Organized Health Care Education/Training Program 2520 5th St N, Columbus, MS 39705-2008 2019-04-26
1245894435 Michael Olisadumbili Chiadika Student in an Organized Health Care Education/Training Program 2520 5th St N, Columbus, MS 39705-2008 2019-04-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255854527 Kelly Christi Lovelace Counselor 428 24th Ave. North, Columbus, MS 39705 2017-07-19
1427505742 National Vision, Inc. Technician/Technologist Bldg 160 Simler Blvd, Columbus, MS 39705 2016-09-02
1093165714 Holly Murphy Audiologist 2430 4th Street North, Columbus, MS 39705 2016-06-14
1275951972 Oleg Kalsow Dentist 300 Hospital Dr Ste 4, Columbus, MS 39705 2014-03-31
1982906509 Gtrec, Inc. Optometrist 1913 Hwy. 45 N., Suite A, Columbus, MS 39705 2010-12-02
1295042919 Emily Morgan Sesser Nurse Practitioner 4508 Hwy 45 N, Columbus, MS 39705 2010-09-01
1528298189 Matthew Duane Williams Internal Medicine 2520 Fifth Street, North, Columbus, MS 39705 2009-07-16
1114156858 Andrea Nicole Morris Pediatrics 2600 Fifth Street North, Columbus, MS 39705 2009-07-02
1124272307 Paul J Scurti Internal Medicine 255 Baptist Blvd Ste 301, Columbus, MS 39705 2008-11-13
1073702171 Heart To Heart Hospice of Columbus LLC Hospice Care, Community Based 2018 Hwy 45 N, Columbus, MS 39705 2007-10-15
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891327755 Dejuan Julius Nelson Specialist 4937 Mcallister Ave, Columbus, OH 43227-1447 2020-02-09
1306481676 Big Heads Barber Salon Specialist 6161 Busch Blvd Ste 56, Columbus, OH 43229-2548 2019-11-11
1538723945 Nakia Frazier Specialist 4913 Festival St, Columbus, GA 31907-6065 2019-05-01
1033772868 Kimberly Gore Salon Inc Specialist 2534 Wynnton Rd Ste B, Columbus, GA 31906-2180 2019-04-17
1184108375 Crystal Denise Allen Specialist 3029 Cleveland Ave, Columbus, OH 43224-4421 2018-09-24
1770074445 Robert Tavani Specialist 1203 E Broad St, Columbus, OH 43205-1404 2018-05-29
1689191991 Columbus Tutoring Services, LLC Specialist 2700 E Main St Ste 211, Columbus, OH 43209-2536 2017-08-28
1265985352 Tim Jones Specialist 1527 Eastmeadow Pl, Columbus, OH 43235-7535 2016-07-26
1790148849 Gabriel Woon Specialist 913 25th St., Columbus, IN 47201 2016-04-05
1487059606 Wilbert Herschel Turner IIi Specialist 1160 Steelwood Rd, Columbus, OH 43212-1356 2014-10-30
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Competitor

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City COLUMBUS
Zip Code 39705

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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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