DR. ROBERT RAY ELLIS


Address: 10194 Cottage Ct, Diberville, MS 39540-4744
Phone: 2283261115

DR. ROBERT RAY ELLIS (NPI# 1881945566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881945566
Entity Type Individual
Full Name DR. ROBERT RAY ELLIS
Credential DPT
Practice Address 10194 Cottage Ct
Diberville
MS 39540-4744
Practice Telephone 2283261115
Mailing Telephone 2283261115
Enumeration Date 2012-09-21
Last Update Date 2012-09-21
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171000000X Military Health Care Provider PT5070 MS Other Service Providers

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1083724843 Robert Lynn Ellis Dentist 143 1/2 E Main, Rigby, ID 83442 2006-08-30
1932111739 Robert George Ellis Radiology 1204 E 29th St, Tulsa, OK 74114-3907 2006-08-12
1366461337 Robert Earle Ellis Counselor 273 Front St, Weymouth, MA 02188-2202 2006-07-19
1124006549 Robert William Ellis IIi Psychiatry & Neurology 204 W Grand River Ave, Suite 260, Howell, MI 48843-2299 2006-01-05
1689185936 Robert Brian Ellis Audiologist 318 W El Norte Pkwy, Escondido, CA 92026-1925 2017-10-13
1316467277 Robert Tyler Ellis Orthopaedic Surgery 1100 Virginia Avenue Dc 953 00, Columbia, MO 65212-0001 2017-06-22

Office Location

Street Address 10194 COTTAGE CT
City DIBERVILLE
State MS
Zip Code 39540-4744

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528347531 Lindsey Rachelle Cuevas Pharmacist 10551 D'iberville Blvd, D'iberville, MS 39540 2011-08-08
1750438255 Andrea L Davis Dentist 11505 Cinema Drive, Suite 6, D'iberville, MS 39540 2007-01-05
1750308250 South Mississippi Urgent Care Clinic/Center 3661 Sangani Blvd, Suite E, Dlberville, MS 39540 2006-07-17
1568948016 Courtney Leigh Ponder Nurse Practitioner 11516 Lamey Bridge Rd Ste I, Diberville, MS 39540 2018-07-18
1134635360 Southern Regional Chiropractic and Rehabilitation Center Nurse Practitioner 11505 Cinema Dr Ste 7, Diberville, MS 39540 2017-12-26
1487177481 Walgreen Co Pharmacy 4031 Popps Ferry Rd Ste A, Diberville, MS 39540 2017-07-21
1891151817 Total Renal Care Inc Clinic/Center 3200 Mallett Rd, Ste F, Diberville, MS 39540 2016-01-06
1679944763 Katelyn Elizabeth Martin Behavioral Analyst 4061 Suzanne Dr, Diberville, MS 39540 2015-10-14
1467880922 Carla Diane Diffenderfer Nurse Practitioner 11516 Lamey Bridge Rd Ste I, Diberville, MS 39540 2013-10-21
1982618369 Becky F Hollibaugh Family Medicine 3920 Promenade Pkwy, Biloxi, MS 39540 2006-07-28
Find all providers in zip 39540

Taxonomy Information

Taxonomy Code 171000000X
Grouping Other Service Providers
Classification Military Health Care Provider

Taxonomy Definition

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
Notes: [7/1/2005: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1558853689 John Levasseur Military Health Care Provider 301 Fisher St Rm 1g123, Keesler Afb, MS 39534-2508 2018-06-05
1396250031 Lilly Pad Home Health, LLC Military Health Care Provider 1507 Hardy St Ste 201, Hattiesburg, MS 39401-4978 2017-12-04
1760912513 Michael Zipper Military Health Care Provider 301 Fisher St, Rm 5a127, 81msgs/sgcq, Keesler Afb, MS 39534 2017-06-14
1457566374 James Wesley Clements Military Health Care Provider 664 S State St, Jackson, MS 39201-5611 2007-05-14
1215049283 Angela Victoria Thrahser Military Health Care Provider 111 G St, Arnold Annex, Bldg 5901, Biloxi, MS 39534-2410 2006-08-31
1861453870 Daniel Bruce Smith Military Health Care Provider 22224 Lorene Road, Gulfport, MS 39503 2006-03-29
1093349094 Victor Dang Hoang Military Health Care Provider 301 Fisher St, Biloxi, MS 39534-2508 2020-02-27
1700438710 Jacob Travis Burlew Military Health Care Provider 500 Fisher St, Biloxi, MS 39534-2502 2019-07-10
1568936532 James Barbosa Military Health Care Provider 301 Fisher St, Biloxi, MS 39534-2508 2019-01-14
1811482730 Gregory Buford Jr. Military Health Care Provider 301 Fisher St, Biloxi, MS 39534-2508 2018-06-22
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Competitor

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City DIBERVILLE
Zip Code 39540

Improve Information

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Dataset Information

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.

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