DR. JENNIFER LYNN ELLIS (NPI# 1720281991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720281991 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER LYNN ELLIS |
| Credential | M.D. |
| Practice Address |
601 Elmwood Avenue Box 652 Rochester NY 14642-8410 |
| Practice Telephone | 5852795100 |
| Practice Fax Number | 5857567752 |
| Mailing Telephone | 5852795100 |
| Mailing Fax Number | 5857567752 |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2016-11-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
262312 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03383828 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487157277 | Jennifer Ellis | Nurse Practitioner | 16101 Ventura Blvd Ste 333, Encino, CA 91436-2516 | 2018-03-17 |
| 1609286194 | Jennifer Ellis | Clinic/Center | 208 Oriole St., Harrisonville, MO 64701-0000 | 2014-05-06 |
| 1376986745 | Jennifer Shermaine Ellis | Counselor | 273 S 118th East Ave, Tulsa, OK 74128-2224 | 2013-04-16 |
| 1316212913 | Jennifer M Ellis | Counselor | 1816 W Point Pike Ste 209, Lansdale, PA 19446-5696 | 2012-03-14 |
| 1639457997 | Jennifer Lynne Ellis | Pharmacist | 333 Westfield St, Silverton, OR 97381-1936 | 2011-08-03 |
| 1851683775 | Jennifer Ellis | Massage Therapist | 180 S Cherry St, Suite F, Monticello, FL 32344-1929 | 2011-05-11 |
| 1609180819 | Jennifer Jeanne Ellis | Counselor | 7745 Jonagold Dr Se, Grand Rapids, MI 49508-7602 | 2010-07-29 |
| 1952577603 | Jennifer Ellis | Social Worker | 3800 University Ave, Columbus, GA 31907-5609 | 2008-05-02 |
| 1972702819 | Jennifer Lowe Ellis | Preventive Medicine | 1539 Ashland City Rd Ste C, Clarksville, TN 37040-6416 | 2007-07-12 |
| 1083839492 | Jennifer Ellis | Pharmacist | 6111 Ferguson Rd, Oskaloosa, KS 66066-5388 | 2007-04-13 |
| Street Address |
601 ELMWOOD AVENUE BOX 652 |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14642-8410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144202607 | Aram Francis Hezel | Internal Medicine | 601 Elmwood Avenue, Box 704, Rochester, NY 14642 | 2005-11-18 |
| 1235753625 | Anjili S Vara | Student in an Organized Health Care Education/Training Program | 601 Elmwood Avenue, Pediatric Residency Program, Rochester, NY 14642 | 2020-06-02 |
| 1922628205 | Aditya Upadhyay | Student in an Organized Health Care Education/Training Program | 601 Elmwood Avenue, Rochester, NY 14642 | 2020-04-16 |
| 1841819653 | Mohaned Salim Serdah | Student in an Organized Health Care Education/Training Program | 601 Elmwood Avenue, Ac-5 General Medicine Clinic 696, Rochester, NY 14642 | 2020-04-11 |
| 1174142988 | Helia Zand | Student in an Organized Health Care Education/Training Program | 601 Elmwood Avenue, Ac-5 General Medicine Clinic 696, Rochester, NY 14642 | 2020-04-11 |
| 1801427869 | Nicole Elizabeth Graziadei | Nurse Practitioner | 601 Elmwood Avenue, Rochester, NY 14642 | 2020-01-29 |
| 1689134140 | Derek Schloemann | Student in an Organized Health Care Education/Training Program | 601 Elmwood Avenue, Rochester, NY 14642 | 2019-03-21 |
| 1073004453 | Gabrielle Santangelo | Student in an Organized Health Care Education/Training Program | 601 Elmwood Avenue, Neurosurgery Department, Rochester, NY 14642 | 2018-05-22 |
| 1467959924 | Siobahn Morgan Evans | Student in an Organized Health Care Education/Training Program | 601 Elmwood Avenue, Box Med, Rochester, NY 14624 | 2018-04-11 |
| 1396250635 | Li Liu | Pathology | 601 Elmwood Avenue, University of Rochester Medical Center, Rochester, NY 14642-0001 | 2017-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679192363 | Nicholas Campbell Love | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave, Ac-5, General Medicine Clinic 696, Rochester, NY 14642 | 2020-04-13 |
| 1750900650 | Phillip Braun | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave, Ac-5 General Medicine Clinic 696, Rochester, NY 14642 | 2020-04-10 |
| 1437786993 | Andrew Jeong | Student in an Organized Health Care Education/Training Program | Department of Orthopaedics and Rehabilitation, 601 Elmwood Avenue, Rochester, NY 14642 | 2020-03-25 |
| 1497227094 | Alison Kent | Pediatrics | Dept of Pediatrics, University of Rochester, 601 Elmwood Avenue, Rochester, NY 14642 | 2018-12-20 |
| 1326539909 | Saumya Goel Aujla | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave # 664, Rochester, NY 14642 | 2018-05-19 |
| 1922505387 | Daniel Bral | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave # 655, Rochester, NY 14642 | 2018-04-11 |
| 1194222513 | Jonah Meyerhoff | Student in an Organized Health Care Education/Training Program | 300 Crittenden Blvd Department of Psychiatry, Rochester, NY 14642 | 2018-04-11 |
| 1144738949 | Francis Michael Manzo | Registered Nurse | University of Rochester 601 Elmwood Ave Box Surg, Rochester, NY 14642 | 2018-01-15 |
| 1225552649 | George Norman Abraham | Internal Medicine | 600 Elmwood Avenue, University of Rochester, Rochester, NY 14642 | 2017-07-27 |
| 1861928301 | Sonia Thakur | Student in an Organized Health Care Education/Training Program | 601 Elmwood University of Rochester Medical Center, Department of Physicial Medicine and Rehabilitation, Rochester, NY 14642 | 2017-05-03 |
| Find all providers in zip 14642 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407297260 | Ryan Patrick Lydon | Surgery | 1445 Portland Ave Ste 108, Rochester, NY 14621-3008 | 2013-07-09 |
| 1063749927 | Joseph Edward Geary | Surgery | 95 Council Rock Ave, 95 Council Rock Ave, Rochester, NY 14610-2501 | 2009-11-12 |
| 1063421691 | Ronen Haeem Jhirad | Surgery | 3525 Buffalo Rd, Rochester, NY 14624-1119 | 2006-08-05 |
| 1700856275 | Bradley M Sweda | Surgery | 1135 W University Dr Ste 230, Rochester, MI 48307-1890 | 2006-01-25 |
| 1306822481 | Michael Southworth | Surgery | 6 Healthcare Dr Ste 1, Rochester, NH 03867-4499 | 2005-12-20 |
| 1134103054 | Michael C Stoner | Surgery | 200 White Spruce Blvd, Rochester, NY 14623-1605 | 2005-12-05 |
| 1679100937 | Jesse Chait | Surgery | 200 1st St Sw, Rochester, MN 55905-0002 | 2020-03-26 |
| 1235762972 | Mohammad Rachad Mohammad Walid Wehbe | Surgery | 601 Elmwood Avenue Box Surg, Rochester, NY 14642-8410 | 2020-02-21 |
| 1699235689 | Armin Farazdaghi | Surgery | 200 First Street Sw, Rochester, MN 55905-0001 | 2019-03-25 |
| 1376027409 | Sara Forsythe | Surgery | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2018-09-25 |
| Find all providers in ROCHESTER | ||||
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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.