DAVID LOFTON ELLERBE (NPI# 1710192844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710192844 |
| Entity Type | Individual |
| Full Name | DAVID LOFTON ELLERBE |
| Credential | P.A. |
| Practice Address |
6100 Kennerly Rd Suite 202 Jacksonville FL 32216-4368 |
| Mailing Address |
1646 Windward Ln Neptune Beach FL 32266-3260 |
| Practice Telephone | 9047335550 |
| Practice Fax Number | 9047335515 |
| Mailing Telephone | 9042493625 |
| Mailing Fax Number | 9047335515 |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA 1830 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497207583 | David Ellerbe Jr. | Specialist | 545 Newton Lake Dr Apt C323, Collingswood, NJ 08107 | 2016-10-25 |
| Street Address |
6100 KENNERLY RD SUITE 202 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32216-4368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487648770 | John C Crick | Orthopaedic Surgery | 6100 Kennerly Rd, Suite 101, Jacksonville, FL 32216-4368 | 2005-09-01 |
| 1558600817 | Gina Brunetti | Physical Therapist | 6100 Kennerly Rd, Jacksonville, FL 32216-4368 | 2013-02-06 |
| 1821332693 | Mark A Snyder | Physical Therapy Assistant | 6100 Kennerly Rd, Suite 201, Jacksonville, FL 32216-4368 | 2012-11-19 |
| 1063764041 | Kathryn Page Binninger | Occupational Therapist | 6100 Kennerly Rd, Suite #204, Jacksonville, FL 32216-4368 | 2012-10-15 |
| 1205115458 | Elizabeth Cooper | Physical Therapist | 6100 Kennerly Rd, Suite 201, Jacksonville, FL 32216-4368 | 2011-08-05 |
| 1689837627 | Erika A. Garrison | Physician Assistant | 6100 Kennerly Rd, Bahri Orthopedics, Jacksonville, FL 32216-4368 | 2008-07-09 |
| 1275710162 | Gregory Russell Marshall | Occupational Therapist | 6100 Kennerly Rd, Suite 203, Jacksonville, FL 32216-4368 | 2008-01-23 |
| 1881809267 | Southeastern Hand Rehabilitation Inc | Durable Medical Equipment & Medical Supplies | 6100 Kennerly Rd, Suite 203, Jacksonville, FL 32216-4368 | 2007-05-11 |
| 1780778308 | Fady A. El-bahri | Orthopaedic Surgery | 6100 Kennerly Rd, Suite 101, Jacksonville, FL 32216 | 2006-10-03 |
| 1174615918 | Southeastern Hand Center, P.a. | Orthopaedic Surgery | 6100 Kennerly Rd, Suite 202, Jacksonville, FL 32216-4368 | 2006-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524925 | Renee Cherie Titus | Behavior Technician | Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 | 2020-09-24 |
| 1811546575 | First Coast Orthopedic Center, LLC | Clinic/Center | 4035 Southpoint Boulevard, Jacksonville, FL 32216 | 2019-09-05 |
| 1922578558 | Fatima Hussain Crofton | Optometrist | 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 | 2018-11-27 |
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1790279479 | Joseph Richard Kennedy | Physician Assistant | 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 | 2018-06-18 |
| 1801304357 | Kelli M. Tyson | Nurse Practitioner | 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 | 2018-01-18 |
| 1376054809 | Angela M Whittinghill | Counselor | 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 | 2017-10-24 |
| 1629508072 | Zoryana Yufan | Dentist | 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 | 2017-06-19 |
| 1700318896 | Christina Kaczmarek | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 | 2017-03-29 |
| 1932640422 | Loudine Racius | Nurse Practitioner | 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 | 2017-03-16 |
| Find all providers in zip 32216 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255858650 | John Matthew Dumas | Physician Assistant | 3640 Newcomb Rd, Jacksonville, FL 32218-1510 | 2017-08-25 |
| 1932432093 | Andrew Gibson | Physician Assistant | 12869 Dunes Ct, Jacksonville, FL 32225-3889 | 2009-09-08 |
| 1871556340 | Kevin Michael Cofran | Physician Assistant | 1838 Mcintosh Pl, Jacksonville, FL 32210-2224 | 2006-04-07 |
| 1811950272 | Jaclyn Michelle Tyo | Physician Assistant | 2627 Riverside Ave Ste 300, Jacksonville, FL 32204-4712 | 2006-04-07 |
| 1912969015 | Wendy Elizabeth Ashby | Physician Assistant | 3639 Darnall Pl, Jacksonville, FL 32217-4215 | 2006-04-04 |
| 1407839616 | Jennifer Renee Wren | Physician Assistant | 1820 Barrs St, Suite 701, Jacksonville, FL 32204-4742 | 2005-11-22 |
| 1962403949 | Katherine Elizabeth Stenberg Curry | Physician Assistant | 841 Prudential Dr, Ufjax - Pediatric Cardiothoracic Surgery, Jacksonville, FL 32207-8329 | 2005-08-02 |
| 1346848173 | Marisa Elaine Long | Physician Assistant | 836 Prudential Dr Ste 1001, Jacksonville, FL 32207-8337 | 2020-10-14 |
| 1235775438 | Jacqueline M Evans | Physician Assistant | 2 Shircliff Way Ste 605, Jacksonville, FL 32204-4762 | 2019-11-22 |
| 1992363733 | Lindsey Allison Baroch | Physician Assistant | 3627 University Blvd S Ste 550, Jacksonville, FL 32216-7401 | 2019-06-05 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32216 |
Please comment or provide details below to improve the information on DAVID LOFTON ELLERBE.
| 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.