MR. DAVID MICHAEL ELLIS (NPI# 1720274129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720274129 |
| Entity Type | Individual |
| Full Name | MR. DAVID MICHAEL ELLIS |
| Credential | CPO |
| Practice Address |
510 22nd Ave E Suite# 801 Advance Orthotics & Prosthetics Alexandria MN 56308-4653 |
| Practice Telephone | 3207622210 |
| Practice Fax Number | 3207622753 |
| Mailing Telephone | 3207622210 |
| Mailing Fax Number | 3207622753 |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2007-10-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 222Z00000X | Orthotist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 224P00000X | Prosthetist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730726571 | David Ellis | Pharmacist | 22317 57th Ave, Oakland Gardens, NY 11364-2041 | 2019-11-27 |
| 1790349769 | David Ellis | Student in an Organized Health Care Education/Training Program | 20000 N 57th Ave Rm K201, Glendale, AZ 85308-6988 | 2019-04-25 |
| 1609122480 | David Ellis | Chiropractor | 3200 Traders Way Ste C, Winnemucca, NV 89445-3683 | 2012-07-30 |
| 1518265479 | David D Ellis | Counselor | 89 Linwood Rd, Lynn, MA 01905-1639 | 2011-03-02 |
| 1033374285 | David William Ellis | Family Medicine | 4201 Colgate Ave, Dallas, TX 75225-6604 | 2008-07-26 |
| 1053451476 | David Welford Ellis | Clinical Neuropsychologist | 325 Route 45, Salem, NJ 08079-2045 | 2007-02-07 |
| 1487738928 | David Paul Ellis | Anesthesiology | 1226 N Shartel Ave, Suite 300, Oklahoma City, OK 73103 | 2006-10-24 |
| 1184711426 | David A. Ellis | Family Medicine | 2530 Ne Kresky Ave Ste C, Chehalis, WA 98532-2406 | 2006-10-06 |
| 1841397007 | David Chad Ellis | Dentist | 2524 Highway 41 S, Greenbrier, TN 37073-4544 | 2006-09-20 |
| 1386748747 | David Williams Ellis | General Practice | 192 W Center St, Millersburg, PA 17061-1314 | 2006-09-07 |
| Street Address |
510 22ND AVE E SUITE# 801 ADVANCE ORTHOTICS & PROSTHETICS, |
| City | ALEXANDRIA |
| State | MN |
| Zip Code | 56308-4653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053376459 | Barbara L. Dolezal | Chiropractor | 510 22nd Ave E, Suite 701, Alexandria, MN 56308-4653 | 2006-04-19 |
| 1407212210 | Zachary Maas | Chiropractor | 510 22nd Ave E, Ste. 701, Alexandria, MN 56308-4653 | 2016-01-08 |
| 1376966721 | Alexandria Chiropractic LLC | Chiropractor | 510 22nd Ave E, Suite 701, Alexandria, MN 56308-4653 | 2014-01-21 |
| 1598041956 | Benjamin Sear Whitten | Chiropractor | 510 22nd Ave E, Suite 701, Alexandria, MN 56308-4653 | 2011-10-31 |
| 1083899041 | Advance Orthotics & Prosthetics | Prosthetic/Orthotic Supplier | 510 22nd Ave E, Ste 801, Alexandria, MN 56308-4653 | 2008-01-08 |
| 1427102722 | Kimberly Ann Rauk | Dentist | 510 22nd Ave E, Suite 601, Alexandria, MN 56308-4653 | 2007-01-23 |
| 1902861339 | Central Lakes Chiropractic Clinic PC | Chiropractor | 510 22nd Ave E, Suite 701, Alexandria, MN 56308-4653 | 2006-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104836 | Center for Pain Management Ambulatory Surgery, Ltd | Pain Medicine | 804 23rd Street South, Sartell, MN 56308 | 2020-08-13 |
| 1548815590 | Ritajo Ellenberger | Licensed Practical Nurse | 220 Oak Street North, Alexandria, MN 56308 | 2019-08-06 |
| 1346808714 | Vance Thompson Vision Surgery Center Alexandria, Prof LLC | Clinic/Center | 2600 Jefferson St, Alexandria, MN 56308 | 2019-05-31 |
| 1811452048 | Little Falls Eye Care Center Pa | Optometrist | 2306 S. Broadway Str. Suite 12, Alexandria, MN 56308 | 2019-02-01 |
| 1184167199 | Jennifer Lynn Craig | Technician | 2307 East Golf Course Rd, Alexandria, MN 56308 | 2016-11-22 |
| 1548712219 | Shelby Elisha Johnsrud | Chiropractor | 303 West 22nd Ave, Ste 100, Alexandria, MN 56308 | 2016-10-28 |
| 1811347867 | Dustin Matthew Ditch | Dentist | 510 22nd Ave E Ste 702, Alexandria, MN 56308 | 2016-06-20 |
| 1639538051 | West Central Chiropractic & Wellness, LLC | Chiropractor | 123 3rd Ave. E, Suite 100, Alexandria, MN 56308 | 2016-02-12 |
| 1659736221 | Amanda Jean Dahlseng | Registered Nurse | 809 Elm Street, Suite 1200, Alexandria, MN 56308 | 2015-12-23 |
| 1518358886 | Benjamin G Wenzel | Marriage & Family Therapist | 512 30th Ave S, Ste 100, Alexandria, MN 56308 | 2015-02-09 |
| Find all providers in zip 56308 | ||||
| Taxonomy Code | 224P00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Prosthetist |
| A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720318876 | Richard Clark Niessen Sr. | Prosthetist | 2025 East River Park Way, Shriners Hospitals for Children Twin Cities, Mpls, MN 55414-3604 | 2010-01-12 |
| 1386900272 | Kyle Robert Hamre | Prosthetist | 6600 France Ave S, Suite 162, Edina, MN 55435-1805 | 2012-04-05 |
| 1043538531 | Jill Prinsen | Prosthetist | 360 Sherman St, Suite 299, Saint Paul, MN 55102-2564 | 2010-05-10 |
| 1558691600 | Rebecca Lynn Born | Prosthetist | 2025 East River Parkway, Minneapolis, MN 55414-3604 | 2010-01-12 |
| 1699908483 | Steven Jahn | Prosthetist | 6600 France Ave S, Suite 162, Edina, MN 55435-1805 | 2009-08-27 |
| 1760637052 | Sarah Mahowald | Prosthetist | 1 Veterans Dr, Prosthetic Dept. (121), Minneapolis, MN 55417-2309 | 2008-12-01 |
| 1063629368 | Peter Stasica | Prosthetist | 2200 University Ave W, #114, Saint Paul, MN 55114-1839 | 2007-05-17 |
| 1902013402 | Joseph Andrew Medvec | Prosthetist | 1 Veterans Dr, Prosthetics 121, Minneapolis, MN 55417-2309 | 2007-05-16 |
| 1013017813 | Chris Peter Boosalis | Prosthetist | 6600 France Ave S, Suite 162, Edina, MN 55435-1805 | 2006-09-22 |
| City | ALEXANDRIA |
| Zip Code | 56308 |
Please comment or provide details below to improve the information on MR. DAVID MICHAEL ELLIS.
| 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.