STEPHANIE ANNE ELLIS (NPI# 1780037788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780037788 |
| Entity Type | Individual |
| Full Name | STEPHANIE ANNE ELLIS |
| Credential | PA-C |
| Practice Address |
789 Pre Emption Rd Geneva NY 14456-2069 |
| Mailing Address |
45 Argyle St Rochester NY 14607-2301 |
| Practice Telephone | 3157895061 |
| Mailing Telephone | 5186537821 |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2016-07-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578102901 | Stephanie Nicole Ellis | Speech-Language Pathologist | 1101 Museum Rd Ste 7, Conway, AR 72032-8580 | 2020-01-02 |
| 1992147219 | Stephanie Rachel Ellis | Pharmacist | 318 Mall Blvd Ste 100, Savannah, GA 31406-4700 | 2013-07-28 |
| 1609914217 | Stephanie Clark Ellis | Acupuncturist | 110 Creek Locks Rd, Rosendale, NY 12472-9678 | 2007-02-03 |
| 1922617224 | Stephanie Lynn Ellis | Nurse Practitioner | 232 Green St, Williamston, NC 27892-2000 | 2020-07-23 |
| 1942826789 | Stephanie Jo Ellis | Counselor | 1340 Mount Pleasant St, Burlington, IA 52601-2623 | 2020-06-17 |
| 1497393268 | Stephanie Knight Ellis | Pharmacist | 450 Northside Cherokee Blvd, Canton, GA 30115-8015 | 2019-12-12 |
| 1992351209 | Stephanie Ellis | Nurse Practitioner | 110 Hidden Valley Rd, Mc Murray, PA 15317-2685 | 2019-08-13 |
| 1174007314 | Stephanie I Ellis | Social Worker | 555 Towner St, Ypsilanti, MI 48198-5723 | 2018-09-24 |
| 1760969604 | Stephanie Ellis | Behavior Technician | 1363 Douglas Dr, Traverse City, MI 49696-8980 | 2018-07-24 |
| 1689161879 | Stephanie Ellis | Pharmacist | 7393 Jackson Dr, San Diego, CA 92119-2316 | 2018-04-13 |
| Street Address |
789 PRE EMPTION RD |
| City | GENEVA |
| State | NY |
| Zip Code | 14456-2069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417902867 | Olaf U Lieberg | Orthopaedic Surgery | 789 Pre Emption Rd, Suite 600, Geneva, NY 14456-2069 | 2006-05-24 |
| 1740821578 | Ashley Harris | Nurse Practitioner | 789 Pre Emption Rd, Geneva, NY 14456-2069 | 2019-10-02 |
| 1669911988 | Flh Medical, PC | Clinic/Center | 789 Pre Emption Rd, Geneva, NY 14456-2069 | 2017-02-20 |
| 1972948008 | Thomas Joseph Delpapa | Physical Therapist | 789 Pre Emption Rd, Suite 500 Liberty Commons, Geneva, NY 14456-2069 | 2013-05-02 |
| 1477998623 | William Deane Butler | Physical Therapist | 789 Pre Emption Rd, Suite 500, Geneva, NY 14456-2069 | 2013-05-01 |
| 1376988667 | Julianna Davis Tyler | Physical Therapist | 789 Pre Emption Rd, Suite 500, Geneva, NY 14456-2069 | 2013-05-01 |
| 1215185442 | Chibuikem Philip Akamnonu | Orthopaedic Surgery | 789 Pre Emption Rd, Suite 600, Geneva, NY 14456-2069 | 2008-08-29 |
| 1962683565 | Andrew Woods Ritting | Orthopaedic Surgery | 789 Pre Emption Rd, Suite 600, Geneva, NY 14456-2069 | 2007-11-25 |
| 1023172202 | Michelle Durham | Nurse Practitioner | 789 Pre Emption Rd, Suite 600, Geneva, NY 14456-2069 | 2006-12-21 |
| 1598867723 | Carrie Kime | Nurse Practitioner | 789 Pre Emption Rd, Suite 600, Geneva, NY 14456-2069 | 2006-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245752716 | Kristin Marie Stokes | Physician Assistant | 1150 Ny-5, Geneva, NY 14456 | 2017-07-17 |
| 1063961746 | Christina Brennan | Licensed Practical Nurse | 601b W. Washinton St, Geneva, NY 14456 | 2016-09-23 |
| 1184005704 | Finger Lakes Family Chiropractic Wellness P.C. | Chiropractor | 324 W. North Street, Suite 1, Geneva, NY 14456 | 2015-06-10 |
| 1245636422 | Jeanne Cordelia Mcclung | Social Worker | 671 Exchange Street, Geneva, NY 14456 | 2014-11-14 |
| 1245583004 | Heather E Cutler | Chiropractor | 34 Seneca Street, Second Floor Office, Geneva, NY 14456 | 2012-10-17 |
| 1457612392 | Shirley A Mumford | Home Health | 590 Pre-emption Rd., Geneva, NY 14456 | 2012-06-07 |
| 1245512573 | Karla Ann Hare | Registered Nurse | 590 Pre-emption Road, Geneva, NY 14456 | 2011-09-13 |
| 1427377787 | Carolyn Esther Swain | Registered Nurse | 590 Pre Emption Road, Sibley Nursing Service, Geneva, NY 14456 | 2010-05-26 |
| 1053637645 | Marilyn Greene | Counselor | 64 Seneca Street, Geneva, NY 14456 | 2010-04-08 |
| 1225272610 | Finger Lakes Migrant Health Care Project | Dentist | 601 B West Washington St, Geneva, NY 14456 | 2009-04-29 |
| Find all providers in zip 14456 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245752716 | Kristin Marie Stokes | Physician Assistant | 1150 Ny-5, Geneva, NY 14456 | 2017-07-17 |
| 1467705392 | Kylie L Mack | Physician Assistant | 351 Delnor Dr #100, Geneva, IL 60134 | 2012-10-16 |
| 1265442370 | James Schiltz | Physician Assistant | 2535 Soderquist Ct, Geneva, IL 60134-3593 | 2006-08-09 |
| 1639166192 | Timothy L Button | Physician Assistant | 789 Pre-emption Rd, Suite 600, Geneva, NY 14456 | 2005-09-30 |
| 1538774641 | Kayla Christine Montgomery | Physician Assistant | 870 W Main St, Geneva, OH 44041-1219 | 2020-09-15 |
| 1982238135 | Rena Ranallo | Physician Assistant | 2525 Kaneville Rd, Geneva, IL 60134-2578 | 2020-02-26 |
| 1942843099 | Jessica Flowers | Physician Assistant | 870 W Main St, Geneva, OH 44041-1219 | 2019-10-22 |
| 1861035800 | Scott Louis Danner | Physician Assistant | 870 W Main St, Geneva, OH 44041-1219 | 2019-10-22 |
| 1821557554 | Lauren Turner | Physician Assistant | 60 West St, Geneva, OH 44041-9723 | 2019-03-12 |
| 1902364862 | Nathaniel Robert Bucci | Physician Assistant | 60 West St, Geneva, OH 44041-9723 | 2019-03-08 |
| Find all providers in GENEVA | ||||
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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.