DR. JONATHAN EDWARD ELLIS (NPI# 1972726636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972726636 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN EDWARD ELLIS |
| Credential | M.D. |
| Practice Address |
301 Fisher St Biloxi MS 39534-2508 |
| Practice Telephone | 2283760452 |
| Mailing Telephone | 2283760452 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2012-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 24142 | NE | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083634026 | Jonathan Matthew Ellis | Chiropractor | 123 Market St, Man, WV 25635-1216 | 2006-07-20 |
| 1033671359 | Jonathan David Ellis | Student in an Organized Health Care Education/Training Program | 234 Goodman St, Cincinnati, OH 45219-2364 | 2019-04-04 |
| 1699152595 | Jonathan Ellis | Anesthesiology | 707 Sw Washington St Ste 700, Portland, OR 97205-3523 | 2015-04-29 |
| 1689710097 | Jonathan W. Ellis | Social Worker | 161 S Huntington Ave, Jamaica Plain, MA 02130-4885 | 2007-01-30 |
| 1740389451 | Jonathan Hunter Ellis | Dentist | 3314 Oaklawn Blvd, Hopewell, VA 23860 | 2006-09-21 |
| 1306876263 | Jonathan C Ellis | Internal Medicine | 9090 Wilshire Blvd, Suite 101, Beverly Hills, CA 90211-1848 | 2006-07-04 |
| Street Address |
301 FISHER ST |
| City | BILOXI |
| State | MS |
| Zip Code | 39534-2508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861099913 | Enrique I Padron | Military Health Care Provider | 301 Fisher St, Biloxi, MS 39534-2508 | 2020-10-01 |
| 1891307096 | Allison Kathleen Rita Hauge | Student in an Organized Health Care Education/Training Program | 301 Fisher St, Biloxi, MS 39534-2508 | 2020-08-19 |
| 1417569625 | Ryan Woolfe | Student in an Organized Health Care Education/Training Program | 301 Fisher St, Biloxi, MS 39534-2508 | 2020-08-19 |
| 1457963027 | Crystal Lee Cowan | Student in an Organized Health Care Education/Training Program | 301 Fisher St, Biloxi, MS 39534-2508 | 2020-08-17 |
| 1811505910 | Michael Andes | Dentist | 301 Fisher St, Biloxi, MS 39534-2508 | 2020-07-15 |
| 1275155301 | Emily Kathryn Doe | Student in an Organized Health Care Education/Training Program | 301 Fisher St, Biloxi, MS 39534-2508 | 2020-05-12 |
| 1578185955 | Sean Lan | Student in an Organized Health Care Education/Training Program | 301 Fisher St, Biloxi, MS 39534-2508 | 2020-05-08 |
| 1427679109 | Nicholas William D'amico | Student in an Organized Health Care Education/Training Program | 301 Fisher St, Biloxi, MS 39534-2508 | 2020-05-04 |
| 1487283701 | Jeremy Alan Meldrum | Student in an Organized Health Care Education/Training Program | 301 Fisher St, Biloxi, MS 39534-2508 | 2020-04-07 |
| 1881229623 | Jesse Recarte | Military Health Care Provider | 301 Fisher St, Biloxi, MS 39534-2508 | 2020-03-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316568918 | Hanna Chang | Student in an Organized Health Care Education/Training Program | 81 Msgs/gme (keesler Afb), 301 Fisher St, Rm 5a127, Biloxi, MS 39534 | 2020-05-05 |
| 1720617079 | Briana Polk | Student in an Organized Health Care Education/Training Program | Keesler Air Force Base, 301 Fisher Street, Biloxi, MS 39534 | 2020-04-07 |
| 1437718756 | Marquise Westbrook | Student in an Organized Health Care Education/Training Program | 301 Fisher St, Rm 1g123, Keesler Afb, MS 39534 | 2019-06-11 |
| 1124682729 | Joseph Paul Cervone | Student in an Organized Health Care Education/Training Program | 81 Mdss/gme 301 Fisher St, Rm 1g123, Keesler Afb, MS 39534 | 2019-04-29 |
| 1083120851 | Kaitlin May Gruenberg | Student in an Organized Health Care Education/Training Program | 81 Msgs/gme, 301 Fisher St, Rm 5a127, Keesler Afb, MS 39534 | 2017-12-15 |
| 1760912513 | Michael Zipper | Military Health Care Provider | 301 Fisher St, Rm 5a127, 81msgs/sgcq, Keesler Afb, MS 39534 | 2017-06-14 |
| 1184073181 | 81msgs/sgcq | General Acute Care Hospital | 81msgs/sgcq, 301 Fisher St, Rm 5a127, Keesler Afb, MS 39534 | 2016-06-09 |
| 1174972772 | Usaf 81st Medical Group | Military Hospital | 81msgs/sgcq 301 Fisher St, Rm 5a127, Keesler Afb, MS 39534 | 2016-06-06 |
| 1548644677 | Jim Li | Dentist | 81st Medical Group, Keesler Afb, Apo, AA 39534 | 2015-07-18 |
| 1245610872 | Zachary Austin Masters | Surgery | 301 Fisher Street, Rm 5a127, Keesler Air Force Base, MS 39534 | 2015-06-09 |
| Find all providers in zip 39534 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992145361 | Clayton Stevens | Ophthalmology | 2541 Pass Rd Ste G, Biloxi, MS 39531-2112 | 2013-07-01 |
| 1295937183 | Anne Elizabeth Baranano | Ophthalmology | 2781 C T Switzer Sr Dr Ste 100, Biloxi, MS 39531-4535 | 2007-06-03 |
| 1861479529 | Avit John Gremillion IIi | Ophthalmology | 962 Tommy Munro Dr., Suite B, Biloxi, MS 39532-2138 | 2005-12-23 |
| 1336773878 | Stevens Eye Care, PC | Ophthalmology | 2541 Pass Rd Ste G, Biloxi, MS 39531-2112 | 2020-02-24 |
| 1518209543 | Jennifer Julianna Olds | Ophthalmology | 301 Fisher St, Biloxi, MS 39534-2508 | 2013-03-16 |
| 1104051911 | Ruben Kuruvilla | Ophthalmology | Gulf Coast Veterans Health Care System, 400 Veterans Avenue, Biloxi, MS 39531 | 2009-05-22 |
| 1972678134 | Eye Associates of The South Pllc | Ophthalmology | 1720a Medical Park Dr, Suite 330, Biloxi, MS 39532-2129 | 2006-11-22 |
| 1710993670 | Janet Carriere Harrison | Ophthalmology | 400 Veterans Ave, Biloxi, MS 39531-2410 | 2006-07-31 |
| 1831117019 | Joel M Knight | Ophthalmology | 1720a Medical Park Dr, Suite 330, Biloxi, MS 39532-2129 | 2006-07-17 |
| 1861410904 | Rainna P Bahadur | Ophthalmology | 1720a Medical Park Dr, Suite 330, Biloxi, MS 39532-2129 | 2006-07-17 |
| Find all providers in BILOXI | ||||
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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.