EDDIE ELLIS (NPI# 1972919009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972919009 |
| Entity Type | Individual |
| Full Name | EDDIE ELLIS |
| Practice Address |
8808 W Mill Rd Apt 1 Milwaukee WI 53225-1853 |
| Practice Telephone | 4146104318 |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2014-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841400132 | Eddie Ellis | Counselor | 420 Tierney Rd, Fort Worth, TX 76112-6324 | 2007-05-23 |
| Street Address |
8808 W MILL RD APT 1 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53225-1853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194088682 | Waulonda Renee Williams | Registered Nurse | 5847 North 91st Street, Milwaukee, WI 53225 | 2012-06-19 |
| 1447519152 | Sandy Xiong | Licensed Practical Nurse | 5656 N 86th Place, Milwaukee, WI 53225 | 2012-05-15 |
| 1992939292 | Marzie Lee Satterwhite | Physical Therapy Assistant | 8534 W Mill Road, Milwaukee, WI 53225 | 2009-05-14 |
| 1538319157 | Katherine Monica Block | Speech-Language Pathologist | 5015 N. 106th St., Milwaukee, WI 53225 | 2008-09-19 |
| 1932329992 | Jennifer Marie Eggert | Speech-Language Pathologist | 9688 W Appleton Ave, Milwaukee, WI 53225 | 2007-05-01 |
| 1396830501 | Milwaukee Pain Treatment Services Sc | Anesthesiology | 5400 N 118th Court, Milwaukee, WI 53225 | 2006-10-04 |
| 1962518050 | Kenneth John Kowalski | Dentist | 4878 N Swan Road, Milwaukee, WI 53225 | 2006-08-22 |
| 1447290325 | Catherine Mae Jenkins | Registered Nurse | 5650 North 97th Street, Milwaukee, WI 53225 | 2006-06-07 |
| 1942249578 | David Irving Stein | Specialist | 5400 N 118tth Court, Milwaukee, WI 53225 | 2006-06-06 |
| 1720057482 | Herslof's, Inc | Optometrist | 12000 W Carmen Ave, Milwaukee, WI 53225 | 2006-03-15 |
| Find all providers in zip 53225 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659931053 | Unitemke | Clinic/Center | 2474 N 37th St, Milwaukee, WI 53210-3044 | 2019-06-18 |
| 1962850768 | Muslim Community and Health Center of Wisconsin Inc | Clinic/Center | 803 W Layton Ave, Milwaukee, WI 53221-2426 | 2016-06-02 |
| 1003064064 | Primrose Residential Facility | Clinic/Center | 3910 W Burleigh St, Milwaukee, WI 53210-1816 | 2008-09-03 |
| 1407978521 | Westside Healthcare Association, Inc | Clinic/Center | 1452 N. 7th Street, Milwaukee, WI 53205 | 2007-04-06 |
| 1518005818 | Milwaukee Health Services Inc | Clinic/Center | 2555 N Dr Martin Luther King Dr, Milwaukee, WI 53212-2709 | 2007-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255585659 | Thomas Patrick Chisholm | Clinic/Center | 316 W Spruce St, Chippewa Falls, WI 54729-1734 | 2008-11-12 |
| 1154394005 | Visiting Nurse Community Care, Inc. | Clinic/Center | 600 52nd St, Suite 300, Kenosha, WI 53140-3423 | 2006-02-10 |
| 1174027742 | County of Iron | Clinic/Center | 300 Taconite St Ste 201, Hurley, WI 54534-1545 | 2018-03-20 |
| 1720595341 | Taylor County Human Services Department | Clinic/Center | 540 College St, Medford, WI 54451-2027 | 2018-01-04 |
| 1306221957 | Taylor County Human Services | Clinic/Center | 540 College St, Medford, WI 54451-2027 | 2015-07-24 |
| 1003215476 | Oconto County Health and Human Services | Clinic/Center | 501 Park Ave, Oconto, WI 54153-1612 | 2014-08-21 |
| 1942649009 | Susan M Wittman | Clinic/Center | 1275 Bell Ave, Hartford, WI 53027-1976 | 2013-06-21 |
| 1063581759 | County of Marinette | Clinic/Center | 2500 Hall Ave Suite B, Marinette, WI 54143 | 2006-11-07 |
Please comment or provide details below to improve the information on EDDIE ELLIS.
| 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.