GREGORY H ELLIS (NPI# 1841275096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841275096 |
| Entity Type | Individual |
| Full Name | GREGORY H ELLIS |
| Credential | M.D. |
| Practice Address |
2015 Jackson St Anderson IN 46016-4337 |
| Mailing Address |
4095 Reliable Parkway Chicago IL 60686-0040 |
| Practice Telephone | 7656468433 |
| Practice Fax Number | 7656832528 |
| Mailing Telephone | 3148218055 |
| Mailing Fax Number | 3148211833 |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
01028194A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | BCBS | 000000085495 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336631720 | Gregory S Ellis | Physical Therapist | 7801 York Rd Ste 104, Towson, MD 21204-7446 | 2018-06-01 |
| 1881768802 | Gregory W Ellis | Psychiatry & Neurology | 7050 South Highland Drive, Suite 230, Cottonwood Heights, UT 84121 | 2006-11-20 |
| 1821182106 | Gregory Sean Ellis | Dentist | 7621 Oakmont Blvd, Fort Worth, TX 76132-4206 | 2006-10-03 |
| 1710921523 | Gregory H. Ellis | Dentist | 33 Temple St, Rutland, VT 05701-3543 | 2006-06-15 |
| 1043257231 | Gregory Carl Ellis | Pediatrics | 1224 Eastchester Dr, High Point, NC 27265-3116 | 2006-05-31 |
| 1992115208 | Gregory John Ellis | Massage Therapist | 140 Pine Grove Cmns, York, PA 17403-5151 | 2014-05-08 |
| 1629105622 | Gregory L Ellis | Optometrist | 580 Mohawk Dr, Boulder, CO 80303-3712 | 2007-02-27 |
| 1598832982 | Gregory Ellis | Dentist | 2040 N Loop 336 W, Suite 300, Conroe, TX 77304-3500 | 2006-11-29 |
| Street Address |
2015 JACKSON ST |
| City | ANDERSON |
| State | IN |
| Zip Code | 46016-4337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679578850 | St. Vincent Anderson Regional Hospital, Inc. | Emergency Medicine | 2015 Jackson St, Anderson, IN 46016-4337 | 2005-06-15 |
| 1790329621 | Nikita Patel | Nurse Anesthetist, Certified Registered | 2015 Jackson St, Anderson, IN 46016-4337 | 2019-11-04 |
| 1164063962 | Tiffany N Godfrey | Nurse Practitioner | 2015 Jackson St, Anderson, IN 46016-4337 | 2019-10-02 |
| 1780246819 | Joel Brian Denis | Nurse Anesthetist, Certified Registered | 2015 Jackson St, Anderson, IN 46016-4337 | 2019-06-28 |
| 1609433606 | Carrie Anne Rainey | Dietitian, Registered | 2015 Jackson St, Anderson, IN 46016-4337 | 2019-05-24 |
| 1982260733 | Asuman Yavuzoglu-luchs | Dietitian, Registered | 2015 Jackson St, Anderson, IN 46016-4337 | 2019-05-17 |
| 1821653304 | Alexandria Farrar | Dietitian, Registered | 2015 Jackson St, Anderson, IN 46016-4337 | 2019-05-09 |
| 1275028128 | Alex Clayton Irwin | Nurse Practitioner | 2015 Jackson St, Anderson, IN 46016-4337 | 2018-06-23 |
| 1144717927 | Jennifer Erin Scarberry | Nurse Practitioner | 2015 Jackson St, Anderson, IN 46016-4337 | 2018-04-17 |
| 1477069508 | Brittney Leigh Schiller | Nurse Anesthetist, Certified Registered | 2015 Jackson St, Anderson, IN 46016-4337 | 2017-12-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639737356 | Alicia Borer | Optometrist | Macha Family Eye Care, 1537 S. Scatterfield Rd. Suite B, Anderson, IN 46016 | 2019-05-29 |
| 1740681469 | Melissa Dotson | Counselor | 2003 W 12th St, Anderson, IN 46016 | 2014-09-12 |
| 1811164239 | Vicky Lea Lawson | Technician/Technologist | 1503 Rev Jt Menifee Street, Anderson, IN 46016 | 2008-05-14 |
| 1023130812 | Robert L Loudermilk | Dentist | 226 West Historic Eighth Street, Anderson, IN 46016 | 2007-04-04 |
| 1215089297 | Chiropractic Works of Indiana Inc. | Chiropractor | 1541 S Scatterfield Rd, Suite A, Anderson, IN 46016 | 2007-01-18 |
| 1790851509 | Robert W Anderson | Internal Medicine | 2101 Jackson Street, Suite 111, Anderson, IN 46016 | 2006-11-27 |
| 1770668030 | Madison County Community Health Centers Inc | Family Medicine | 1547 Ohio Avenue, Anderson, IN 46016 | 2006-10-26 |
| 1437178035 | Teri L Schulz | Pediatrics | 2020 Meridian St Ste 320, Anderson, IN 46016 | 2006-07-18 |
| 1750331195 | Steven C. Kim | Urology | 141 W. 22nd St., Suite 203, Anderson, IN 46016 | 2006-05-10 |
| 1215905773 | Hazim Rimawi | Internal Medicine | 2020 Meridian St Ste 110, Anderson, IN 46016 | 2006-03-10 |
| Find all providers in zip 46016 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912979980 | Ronald James Biscopink | Pathology | 404 E Calhoun St, Anderson, SC 29621-5803 | 2006-02-03 |
| 1356346530 | Community Pathology & Nuclear Medicine PC | Pathology | 1515 N Madison Ave, Anderson, IN 46011-3453 | 2005-06-15 |
| 1487897906 | Catherine Smith Jeffords | Pathology | 404 E Calhoun St, Anderson, SC 29621-5803 | 2009-04-14 |
| 1669560462 | Mark C Mills | Pathology | 2015 Jackson St, Anderson, IN 46016-4337 | 2006-10-10 |
| 1376518829 | David Henry Hurray | Pathology | 404 E Calhoun St, Anderson, SC 29621-5803 | 2006-02-20 |
| 1821060567 | Thomas Pressley Crocker | Pathology | 404 E Calhoun St, Anderson, SC 29621-5803 | 2006-02-06 |
| 1245202985 | Benjamin Francis Emanuel | Pathology | 404 E Calhoun St, Anderson, SC 29621-5803 | 2006-02-06 |
| 1497727457 | Earle Eugene Baillie | Pathology | 800 N Fant St, Anderson, SC 29621-5708 | 2006-02-03 |
| 1700858784 | Albert Stephens Hollingsworth | Pathology | 800 N Fant St, Anderson, SC 29621-5708 | 2006-02-03 |
| 1598740334 | Patrick C Kippenbrock | Pathology | 2015 Jackson St, Anderson, IN 46016-4337 | 2005-12-14 |
| Find all providers in ANDERSON | ||||
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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.