MRS. CATHERINE ELLIS (NPI# 1659720829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659720829 |
| Entity Type | Individual |
| Full Name | MRS. CATHERINE ELLIS |
| Credential | CAA |
| Practice Address |
809 82nd Pkwy Myrtle Beach SC 29572-4607 |
| Mailing Address |
820 67th Ave N #70244 Myrtle Beach SC 29572 |
| Practice Telephone | 8432727232 |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2019-09-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367H00000X | Anesthesiologist Assistant | SC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376963058 | Catherine Ellis | Registered Nurse | 1099 Cassel Avenue, Bay Shore, NY 11706 | 2014-04-22 |
| 1376821967 | Catherine Lee Ellis | Social Worker | 629 Elsmere Park, Lexington, KY 40508-1405 | 2011-07-29 |
| 1972744324 | Catherine Cambia Ellis | Specialist/Technologist | 217 Stewart Stadium, Murray, KY 42071-3351 | 2009-03-16 |
| 1508353640 | Catherine Elizabeth Ellis | Student in an Organized Health Care Education/Training Program | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2018-04-14 |
| 1487056974 | Catherine Nicole Ellis | Nurse Practitioner | 103 Landmark Dr, Bellevue, KY 41073-1393 | 2014-09-16 |
| 1548473150 | Catherine Jonnakuty Ellis | Internal Medicine | 500 University Dr, H088, Hershey, PA 17033-2360 | 2007-05-08 |
| 1457485765 | Catherine L Ellis | Counselor | 1921 Ransom Pl, Nashville, TN 37217-3841 | 2007-03-16 |
| 1043242340 | Catherine E Ellis | Psychologist | 2001 Hudson Ave, Kalamazoo, MI 49008-1889 | 2006-07-07 |
| Street Address |
809 82ND PKWY |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29572-4607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679577035 | Thomas J Martel | Emergency Medicine | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2005-06-13 |
| 1104455211 | Chad Byrd | Student in an Organized Health Care Education/Training Program | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2020-04-02 |
| 1831727122 | Michael Ladd | Student in an Organized Health Care Education/Training Program | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2020-03-31 |
| 1932737335 | Aditya Ragunathan | Student in an Organized Health Care Education/Training Program | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2020-03-31 |
| 1710515242 | Elise Erin Steinberger | Student in an Organized Health Care Education/Training Program | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2020-03-30 |
| 1962030866 | Mitsy Jannet Moreno | Internal Medicine | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2020-03-28 |
| 1659908648 | Emma Kaitlyn Rousakis | Student in an Organized Health Care Education/Training Program | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2020-03-27 |
| 1992333819 | Paul Harwood Hargrave | Student in an Organized Health Care Education/Training Program | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2020-03-27 |
| 1134756109 | Oyindamola Awe | Student in an Organized Health Care Education/Training Program | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2020-03-26 |
| 1003443292 | Benjamin Tyler Mckinney | Student in an Organized Health Care Education/Training Program | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2020-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684576 | Matthew David Zeuschner | Nurse Practitioner | 107 Woodwind Court, Myrtle Beach, SC 29572 | 2020-09-16 |
| 1578191789 | Julia Ruth Nelson | Student in an Organized Health Care Education/Training Program | Grand Strand Medical Center- Gme Office, 809 82nd Parkway, Myrtle Beach, SC 29572 | 2020-04-01 |
| 1407484835 | Justin Schevers | Student in an Organized Health Care Education/Training Program | 802 82nd Parkway, Myrtle Beach, SC 29572 | 2020-03-31 |
| 1922636919 | Darian Michael Quigg | Student in an Organized Health Care Education/Training Program | 809 82nd Street Parkway, Myrtle Beach, SC 29572 | 2020-03-27 |
| 1881221141 | Jonathan Alden Bryan | Student in an Organized Health Care Education/Training Program | Grand Strand Medical Center, 809 82nd Parkway, Myrtle Beach, SC 29572 | 2020-03-26 |
| 1215575238 | Polaris Skin Diagnostics, LLC | Dermatology | 8170 Rourk Street, Suite 100, Myrtle Beach, SC 29572 | 2019-12-20 |
| 1700348711 | Five Star Rehabilitation and Wellness Services, LLC. | Clinic/Center | 9547 N Kings Hwy, Myrtle Beach, SC 29572 | 2019-04-01 |
| 1154882975 | Michael Kouandjio | Student in an Organized Health Care Education/Training Program | Grand Strand Medical Center-gme Office, 809 82nd Parkway, Myrtle Beach, SC 29572 | 2019-03-26 |
| 1154880102 | Dylan Chase Morgan | Internal Medicine | Grand Strand Medical Center - Gme Office, 809 82nd Pkwy, Myrtle Beach, SC 29572 | 2019-03-19 |
| 1710446828 | David Redding Kingery Jr. | Student in an Organized Health Care Education/Training Program | Gme Office 809 82nd Parkway, Myrtle Beach, SC 29572 | 2019-03-18 |
| Find all providers in zip 29572 | ||||
| Taxonomy Code | 367H00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Anesthesiologist Assistant |
| An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982186276 | Logan Donevant | Anesthesiologist Assistant | 5719 Pickens Ave, Myrtle Beach, SC 29577-2223 | 2018-09-03 |
| 1033528450 | Nyein Garner | Anesthesiologist Assistant | 134 N Gate Rd, Myrtle Beach, SC 29572-5618 | 2014-08-11 |
| 1871069898 | Christina Elizabeth Moskal | Anesthesiologist Assistant | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2018-10-17 |
| 1841717964 | Karolina Eva Lapinska | Anesthesiologist Assistant | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2017-08-29 |
| 1518323799 | Kassandra Wienholt | Anesthesiologist Assistant | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2016-01-04 |
| 1477928596 | Kathleen Starrs | Anesthesiologist Assistant | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2015-12-01 |
| 1609252238 | Jennifer Hart | Anesthesiologist Assistant | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2015-08-05 |
| 1699018994 | Lindsay Cook | Anesthesiologist Assistant | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2013-04-04 |
| 1083998702 | Natalie Anderson Kahn | Anesthesiologist Assistant | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2011-09-29 |
| 1578870317 | John Edward Benson Jr. | Anesthesiologist Assistant | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2010-08-31 |
| Find all providers in MYRTLE BEACH | ||||
| City | MYRTLE BEACH |
| Zip Code | 29572 |
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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.