DR. MARK ANDREW ELLIS (NPI# 1629427752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629427752 |
| Entity Type | Individual |
| Full Name | DR. MARK ANDREW ELLIS |
| Credential | M.D. |
| Practice Address |
169 Ashley Ave Room 202 Main Hospital, Msc 333 Charleston SC 29425-9080 |
| Practice Telephone | 8437923072 |
| Mailing Telephone | 8437923072 |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2016-06-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | MMD.39505 LL | SC | Allopathic & Osteopathic Physicians |
| 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 |
| 1366808677 | Mark Ellis | Behavioral Analyst | 453 King St, Cocoa, FL 32922-7621 | 2016-01-04 |
| Street Address |
169 ASHLEY AVE ROOM 202 MAIN HOSPITAL, MSC 333 |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29425-9080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881683621 | Henry R Smith Jr. | Pharmacist | 169 Ashley Ave, Room 149 Musc, Charleston, SC 29403-5836 | 2005-10-14 |
| 1700490794 | Ryan Zachery Stone | Physician Assistant | 169 Ashley Ave, Charleston, SC 29425-8905 | 2020-09-07 |
| 1659997187 | Baxter Timmons Williams | Surgery | 169 Ashley Ave, Charleston, SC 29425-8905 | 2020-06-20 |
| 1295351195 | Margaret Lee Ferrell | Dentist | 169 Ashley Ave, Charleston, SC 29425-8905 | 2020-06-17 |
| 1518582469 | Afifah Khan | Internal Medicine | 169 Ashley Ave, Room 202 Main Hospital Msc 333, Charleston, SC 29425 | 2020-06-16 |
| 1437775376 | Timothy Andrew Webb | Neurological Surgery | 169 Ashley Ave, Charleston, SC 29425-8905 | 2020-06-16 |
| 1083239677 | Chelsea Danielle Eason | Dermatology | 169 Ashley Ave, Room 202 Main Hospital Msc 333, Charleston, SC 29425 | 2020-06-10 |
| 1922623503 | John Matti Sippola Thiele | Internal Medicine | 169 Ashley Ave, Charleston, SC 29425-8905 | 2020-06-10 |
| 1457976243 | Lauren Knightly | Obstetrics & Gynecology | 169 Ashley Ave, Charleston, SC 29425-8905 | 2020-06-08 |
| 1801410824 | Allison Kuipers | Pediatrics | 169 Ashley Ave, Room 202 Main Hospital, Msc333, Charleston, SC 29425 | 2020-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607217 | Krishna Bhandari | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10 Mcclennan Banks Drive, 2190-r, Msc 918, Charleston, SC 29425 | 2020-10-19 |
| 1649892456 | Mary Macrae Lynch | Social Worker | 179 Ashley Avenue, Charleston, SC 29425 | 2020-05-14 |
| 1528600053 | Amanda Watts | Physician Assistant | 135 Rutledge Ave. Msc 561, Charleston, SC 29425 | 2019-10-16 |
| 1851945497 | Kacy Wonder | Dentist | 173 Ashley Avenue Room 453 Msc 507, Charleston, SC 29425 | 2019-08-01 |
| 1477114569 | Justin Robert Silverman | Surgery | 169 Ashley Avenue, Room 202 Muh, Msc 333, Charleston, SC 29425 | 2019-06-28 |
| 1740840024 | Tyler Buckley | Surgery | 169 Ashley Ave, Room 202 Main Hospital, Msc333, Charleston, SC 29425 | 2019-06-18 |
| 1366001760 | Rayphael Sebastian Hardy | Internal Medicine | 169 Ashley Avenue Room 202 Main Hospital Msc333, Charleston, SC 29425 | 2019-06-10 |
| 1437718889 | Samar Medani | Internal Medicine | Division of Nephrology, Medical Univ of South Carolina, 96 Jonathan Lucas Street, Room 822, Msc 629, Charleston, SC 29425 | 2019-06-10 |
| 1427617950 | Emily Suzanne Nyers | Internal Medicine | 169 Ashley Ave., Room 202 Main Hospital, Msc 333, Charleston, SC 29425 | 2019-06-09 |
| 1790343564 | Alan Cowei Peh | Psychiatry & Neurology | 169 Ashley Avenue Rm 202, Main Hospital Msc 333, Charleston, SC 29425 | 2019-06-05 |
| Find all providers in zip 29425 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932667276 | Brendan Hardy | Otolaryngology | 135 Rutledge Ave Ste 1130, Charleston, SC 29425 | 2019-03-06 |
| 1538696091 | Michael Richard Bobian | Otolaryngology | 135 Rutledge Ave # Msc550, Charleston, SC 29425-8903 | 2017-05-16 |
| 1194150573 | Sarfaraz Mubarak Banglawala | Otolaryngology | Musc Dept of Otolaryngology Head and Neck, 135 Rutledge Avenue, Charleston, SC 29425-0001 | 2013-09-04 |
| 1457614703 | Travis Parke Schrank | Otolaryngology | Otolaryngology Head and Neck Surgery, 135 Rutledge Ave Msc 550, Charleston, SC 29425-0001 | 2012-06-21 |
| 1215268578 | Newton Gaston Quantz Jr. | Otolaryngology | 401 Ralston Creek Street, Charleston, SC 29492 | 2010-01-26 |
| 1386871499 | Shaun A Nguyen | Otolaryngology | 135 Rutledge St # Msc550, Charleston, SC 29425-8903 | 2009-06-16 |
| 1417956780 | Frederick Thomas Sporck | Otolaryngology | 500 Donnally St, Suite 200, Charleston, WV 25301-1648 | 2005-07-19 |
| 1568469435 | Carl Willy Schwenzfeier | Otolaryngology | 497 Saint Andrews Blvd, Charleston, SC 29407-7184 | 2005-07-06 |
| 1669479986 | Edward G Behrens | Otolaryngology | 1849 Savage Rd, Charleston, SC 29407-4726 | 2005-07-01 |
| 1558367433 | Robert Charles Jordan | Otolaryngology | 2295 Henry Tecklenburg Dr, Charleston, SC 29414-7801 | 2005-06-24 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29425 |
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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.