MARK KENNETH ELLIS (NPI# 1659682219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659682219 |
| Entity Type | Individual |
| Full Name | MARK KENNETH ELLIS |
| Credential | M.D. |
| Practice Address |
2 5th Ave Apt 2d New York NY 10011-8832 |
| Practice Telephone | 9143932368 |
| Mailing Telephone | 9143932368 |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2014-06-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
R72186 | AZ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972897080 | Mark Ellis | Podiatrist | 12592 S 150 E, Draper, UT 84020-8611 | 2011-06-06 |
| 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 |
| 1366808677 | Mark Ellis | Behavioral Analyst | 453 King St, Cocoa, FL 32922-7621 | 2016-01-04 |
| Street Address |
2 5TH AVE APT 2D |
| City | NEW YORK |
| State | NY |
| Zip Code | 10011-8832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720603863 | Sara Lavner | Psychoanalyst | 80 Fith Avenue, Suite 1503, New York City, NY 10011 | 2020-06-15 |
| 1649829219 | Clara Angel Inc. | Counselor | 12 Fifth Avenue, Suite 1f, New York, NY 10011 | 2019-09-06 |
| 1245797786 | Efrat Ginot | Psychologist | 20 W 16th St Ground Floor, New York, NY 10011 | 2019-02-20 |
| 1619441276 | Deify Laser & Beauty Lounge | Specialist | 134 W. 23rd St., New York, NY 10011 | 2019-01-17 |
| 1215408117 | Habitat Specialty Pharmacy, Inc. | Pharmacy | Habitat Specialty Pharmacy, Inc, 171 Seventh Ave, New York, NY 10011 | 2018-12-17 |
| 1518437136 | Melissa Kate Mcintosh, Inc. | Counselor | 167 W. 21st St., #3se, Ny, NY 10011 | 2018-11-26 |
| 1700367851 | Chana Zigelboym | Speech-Language Pathologist | 353 W 17th St, New York, NY 10011 | 2018-08-27 |
| 1376042358 | Claudia Eleanore Lament | Social Worker | 31 Washington Square West, Pha, New York, NY 10011 | 2018-02-06 |
| 1023527611 | Linda Jacobs | Psychologist | 96 5th Avenue, Sutie 1d, New York, NY 10011 | 2017-09-26 |
| 1861919359 | Ireen Miras Ninonuevo | Social Worker | 80 5th Ave Ofc 2004-6, New York, NY 10011 | 2017-08-24 |
| Find all providers in zip 10011 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073783486 | Elizabeth Jane Haines | Emergency Medicine | 229 Chrystie Street, Apartment 721, New York, NY 10002-0000 | 2008-03-03 |
| 1407894884 | Haradaya K Hegde | Emergency Medicine | 330 E 33rd St, Apt#10l, New York, NY 10016-9466 | 2006-06-04 |
| 1346239449 | Robert Hoffman | Emergency Medicine | 455 1st Ave, Room 123, New York, NY 10016-9102 | 2005-10-20 |
| 1649702796 | Sarah Iosifescu | Emergency Medicine | 1000 10th Ave, New York, NY 10019-1147 | 2017-03-29 |
| 1467796771 | City Medical of Midtown East Pllc | Emergency Medicine | 1150 3rd Ave, New York, NY 10065-5913 | 2012-11-27 |
| 1154677128 | Nga Quynh Lai | Emergency Medicine | 506 Lenox Ave, Emergency Medicine Department, New York, NY 10037-1802 | 2012-07-27 |
| 1407146095 | Piotr Pawel Pilarski | Emergency Medicine | 462 1st Ave, Room Mn-21, New York, NY 10016-9196 | 2011-04-15 |
| 1245498773 | Diana Tran Vo | Emergency Medicine | 462 1st Ave, Department of Emergency Medicine, New York, NY 10016-9196 | 2008-05-31 |
| 1942410063 | Robert Schwartz | Emergency Medicine | 1305 York Ave, 4th Floor, New York, NY 10021-5663 | 2007-05-24 |
| 1003932849 | Jose Abel Pelaez | Emergency Medicine | 21 Audubon Ave, New York, NY 10032 | 2007-03-22 |
| Find all providers in NEW YORK | ||||
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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.