DR. JASON S ELLIS (NPI# 1629330949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629330949 |
| Entity Type | Individual |
| Full Name | DR. JASON S ELLIS |
| Credential | DDS |
| Practice Address |
440 Coburg Rd Suite 104 Eugene OR 97401-5541 |
| Practice Telephone | 5413431877 |
| Practice Fax Number | 5419249664 |
| Mailing Telephone | 5413431877 |
| Mailing Fax Number | 5419249664 |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2012-06-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D9724 | OR | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831602093 | Jason Lee Ellis | Occupational Therapist | 719 Elysian Fields Ave Fl 2, New Orleans, LA 70117-8511 | 2017-11-09 |
| 1194840470 | Jason Daniel Ellis | Registered Nurse | 4510 Nocohoma Bnd, Douglasville, GA 30135-8447 | 2007-03-19 |
| 1700914140 | Jason Lee Ellis | Chiropractor | 7250 France Ave S., 300 A, Edina, MN 55435-4346 | 2007-02-28 |
| 1366583163 | Jason Max Ellis | Chiropractor | 4010 Page Ave, Ste 104, Michigan Center, MI 49254-1026 | 2007-02-12 |
| 1861455495 | Jason Ellis | Chiropractor | 3965 Normal St, Suit #4, San Diego, CA 92103-3422 | 2006-04-06 |
| 1285197673 | Jason Ted Ellis | Pharmacist | 500 11th St Sw, Spencer, IA 51301-5826 | 2019-04-11 |
| 1437618055 | Jason Ellis | Chiropractor | 7034 Liberty Rd, Baltimore, MD 21207-5801 | 2019-03-13 |
| 1023466760 | Jason G. Ellis | Nurse Anesthetist, Certified Registered | 2201 Lexington Ave, Ashland, KY 41101-2843 | 2016-06-02 |
| 1578924858 | Jason Ellis | Peer Specialist | 68615 Perez Rd, Suite 6a, Cathedral City, CA 92234-7200 | 2016-03-14 |
| 1679828578 | Jason M Ellis | Family Medicine | 1201 3rd Ave Se, Cedar Rapids, IA 52403-4009 | 2012-07-17 |
| Street Address |
440 COBURG RD SUITE 104 |
| City | EUGENE |
| State | OR |
| Zip Code | 97401-5541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427681709 | Sarah Voigt | Counselor | 2149 Centennial Plaza Suite #4, Eugene, OR 97401 | 2020-02-14 |
| 1801426242 | Therapeutic Associates, Inc. | Physical Therapist | 760 Charnelton St., Suite 760, Eugene, OR 97401 | 2020-01-24 |
| 1225676232 | Aaron James Barber | Massage Therapist | 1375 Pearl St, Eugene, Or 97401, Eugene, OR 97401 | 2019-12-20 |
| 1851957047 | Altru Home Care LLC | Nursing Care | 1345 Olive St., Eugene, OR 97401 | 2019-05-14 |
| 1881155208 | Herron Jordanna Spence | Speech-Language Pathologist | 385 West 2nd Ave., Eugene, OR 97401 | 2019-03-28 |
| 1750855094 | Brandon Marshall | Counselor | 1158 High St Ste 202, Eugene, OR 97401 | 2019-01-21 |
| 1881172591 | Kayla Nicole O'brien | Nurse Practitioner | Country Club In Eugene, 520 Country Club Road, Eugene, OR 97401 | 2018-08-03 |
| 1962992180 | Shannon Jensen Smyth | Counselor | Va Eugene Downtown Clinic, 211 E. 7th Ave, Eugene, OR 97401 | 2018-05-14 |
| 1902305956 | Christine Noel Gray | Peer Specialist | 499 W. 4th Ave, Eugene, OR 97401 | 2018-02-06 |
| 1821507344 | Anjuli Chitkara | Psychologist | 1679 Willamette Street, Eugene, OR 97401 | 2017-09-27 |
| Find all providers in zip 97401 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801362470 | Scott G Baker | Dentist | 2455 York St, Eugene, OR 97404-1955 | 2018-10-22 |
| 1477031532 | Timothy Lee | Dentist | 1680 Chambers St Ste 205, Eugene, OR 97402-3655 | 2018-08-01 |
| 1598250987 | Harmeet Kaur | Dentist | 2377 Oakmont Way # B, Eugene, OR 97401-6459 | 2018-06-27 |
| 1972024552 | Erik Jenson | Dentist | 1814 Coburg Rd Ste 2, Eugene, OR 97401-4986 | 2017-07-04 |
| 1255718086 | Arrow Dental LLC | Dentist | 890 Seneca Rd Ste 100, Eugene, OR 97402-6900 | 2015-04-30 |
| 1386960805 | Elizabeth A. Vivona Dow | Dentist | 4750 Village Plaza Loop Ste 200, Eugene, OR 97401-6607 | 2010-04-08 |
| 1487886073 | Mulford Family Dentistry | Dentist | 622 E. 22nd Avenue, Bldg G, Eugene, OR 97405 | 2009-08-14 |
| 1669633483 | Amy Rebecca Mcdaniel | Dentist | 622 E 22nd Ave Ste A, Eugene, OR 97405-2989 | 2008-06-24 |
| 1558558973 | Robert Glen Rust Jr. | Dentist | 358 E 40th Ave, Eugene, OR 97405-3404 | 2007-09-30 |
| 1376734186 | Ivan P Paskalev | Dentist | 2400 Williamette St., Eugene, OR 97405 | 2007-08-06 |
| Find all providers in EUGENE | ||||
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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.