MR. JUSTIN D. ELLIS


Address: 1771 Tate Blvd Se, Suite 201, Hickory, NC 28602-4249
Phone: 8283244804

MR. JUSTIN D. ELLIS (NPI# 1972566651) 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) 1972566651
Entity Type Individual
Full Name MR. JUSTIN D. ELLIS
Credential P.A.
Practice Address 1771 Tate Blvd Se
Suite 201
Hickory
NC 28602-4249
Mailing Address 415 N Center St
Suite 300
Hickory
NC 28601-5057
Practice Telephone 8283244804
Practice Fax Number 8283247256
Mailing Telephone 8283283300
Mailing Fax Number 8283289101
Enumeration Date 2006-04-11
Last Update Date 2015-06-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 102909 NC Physician Assistants & Advanced Practice Nursing Providers

Other Providers JUSTIN ELLIS

NPI Name Taxonomy Address Enumeration
1235748138 Justin Geoffrey Ellis Counselor 6003 Brook Forest Dr, Arlington, TX 76018-5320 2020-07-27
1356803712 Justin Kade Ellis Dentist 343 Franklin Rd Ste 103, Brentwood, TN 37027 2019-04-04
1275181836 Justin James Ellis Pharmacist 1625 N 44th St, Phoenix, AZ 85008-4114 2019-08-27
1588192868 Justin Ryan Ellis Dentist 215 Oak St, Livingston, TN 38570-1726 2017-05-31
1326570953 Justin Kyle Ellis Student in an Organized Health Care Education/Training Program 12 Executive Park Dr Ne, Suite 331, Atlanta, GA 30329-2206 2017-04-02

Office Location

Street Address 1771 TATE BLVD SE
SUITE 201
City HICKORY
State NC
Zip Code 28602-4249

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083676928 Hickory Cardiology Associates Pllc Internal Medicine 1771 Tate Blvd Se, Suite 201, Hickory, NC 28602-4249 2006-04-05
1316302896 Dlp Cardiology Physicians LLC Internal Medicine 1771 Tate Blvd Se, Ste 201, Hickory, NC 28602-4249 2015-12-28
1588003032 Catawba Valley Medical Group, Inc Surgery 1771 Tate Blvd Se, Suite 204, Hickory, NC 28602-4249 2013-06-18
1891097473 Cardiology Physicians Corporation, LLC Internal Medicine 1771 Tate Blvd Se, Suite 201, Hickory, NC 28602-4250 2010-12-02
1952629172 Catawba Valley Medical Center Internal Medicine 1771 Tate Blvd Se, Suite 103, Hickory, NC 28602-4249 2010-05-12
1265764997 Professional Sleep Diagnostics Clinic/Center 1771 Tate Blvd Se, Suite #102, Hickory, NC 28602-4249 2010-02-05
1588842793 Mindy R. Watson Nurse Practitioner 1771 Tate Blvd Se, C/o Hickory Cardiology, Hickory, NC 28602-4249 2008-02-11
1437332608 Catawba Valley Medical Center Internal Medicine 1771 Tate Blvd Se, Suite 103, Hickory, NC 28602-4249 2007-12-11
1093914996 Catawba Valley Internal Medicine Psychiatry & Neurology 1771 Tate Blvd Se, Ste 103, Hickory, NC 28602-4250 2007-07-12
1043257157 Catawba Valley Internal Medicine Pa Internal Medicine 1771 Tate Blvd Se, Suite 103, Hickory, NC 28602-4249 2006-05-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063983286 Ivan Ortega Health Educator 810 Fairgrove Church Road Se, Hickory, NC 28602 2018-12-16
1578078895 Zachary Chad Greer Physician Assistant 1927 3rd Ave Ln Se, Hickory, NC 28602 2017-12-08
1952842015 Eyemart Express LLC Eyewear Supplier (Equipment, not the service) 2264 Us Highway 70 Se, Hickory, NC 28602 2017-03-09
1013456318 Juanita Brown Counselor 306 4th St Sw, Hickory, NC 28602 2017-02-20
1639616725 Francisca Blanco Clinic/Center 5276 0lde School Dr, Hickory, NC 28602 2017-01-26
1982155263 Livanta Medical Center Physician Assistant 2105 Catawba Valley Blvd Se, Hickory, NC 28602 2016-10-20
1225588817 Melike Demirozu Social Worker 738 4th St. Sw, Hickory, NC 28602 2016-10-07
1528411592 April Prout Social Worker 1053 13th St Se, Hickory, NC 28602 2016-07-14
1457706921 Maitry Parikh Dentist 2535 Us Highway 70 Se Ste 112, Hickory, NC 28602 2016-05-03
1245614510 Doran Stilwell Physical Therapy Assistant 4161 South Fork Avenue, Hickory, NC 28602 2015-07-16
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699386797 Mayla Chung Physician Assistant 188 Players Ridge Rd, Hickory, NC 28601-8815 2020-08-12
1871128512 Trina Blair Dale Physician Assistant 844 Highland Ave Se, Hickory, NC 28602-1111 2020-03-03
1841823572 Francesca Shrout Physician Assistant 1221 10th Street Blvd Nw, Hickory, NC 28601-2384 2020-02-21
1083274575 Morgan Kelsey Edwards Physician Assistant 10 3rd Ave Ne Ste 500, Hickory, NC 28601-5055 2019-06-17
1578078895 Zachary Chad Greer Physician Assistant 1927 3rd Ave Ln Se, Hickory, NC 28602 2017-12-08
1558711184 Courtney Stump Browning Physician Assistant 212 29th Ave Ne Ste 1, Hickory, NC 28601-1085 2016-06-14
1487807772 Jennifer Lynn Schnering Physician Assistant 1985 Tate Blvd Se Ste 600, Hickory, NC 28602-1433 2008-10-30
1578634648 Cornerstone Treatment Center Pa Physician Assistant 11 9th Ave Ne, Hickory, NC 28601-3739 2006-11-12
1912005224 Helen S Martin Physician Assistant 4213 Windsor Ct, Hickory, NC 28602-8985 2006-09-20
1770694440 Kathy Margaret Rudisill II Physician Assistant 731 5th St Sw, Hickory, NC 28602-3235 2006-08-31
Find all providers in HICKORY

Competitor

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City HICKORY
Zip Code 28602

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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