DOUGLAS R ELLIS (NPI# 1992790786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992790786 |
| Entity Type | Individual |
| Full Name | DOUGLAS R ELLIS |
| Credential | MD |
| Practice Address |
1002 Medical Center Dr Family Medicine Monticello IL 61856-2116 |
| Mailing Address |
Po Box 6002 Urbana IL 61803-6002 |
| Practice Telephone | 2177622518 |
| Practice Fax Number | 2177625261 |
| Mailing Telephone | 2173268630 |
| Enumeration Date | 2005-09-17 |
| Last Update Date | 2013-04-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036-081822 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265404388 | Douglas A Ellis | Physical Therapist | 3233 W Charleston Blvd, Ste 107, Las Vegas, NV 89102-1938 | 2006-02-02 |
| Street Address |
1002 MEDICAL CENTER DR FAMILY MEDICINE |
| City | MONTICELLO |
| State | IL |
| Zip Code | 61856-2116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083057368 | Laci M Rascher | Nurse Practitioner | 1002 Medical Center Dr, Monticello, IL 61856-2116 | 2013-04-17 |
| 1275856684 | Carle Health Care Incorporated | Durable Medical Equipment & Medical Supplies | 1002 Medical Center Dr, Monticello, IL 61856-2116 | 2010-03-12 |
| 1659451235 | Christy Barre | Nurse Practitioner | 1002 Medical Center Dr, Monticello, IL 61856-2116 | 2006-10-17 |
| 1386744506 | Steven J Sparenberg | Family Medicine | 1002 Medical Center Dr, Monticello, IL 61856-2116 | 2006-09-25 |
| 1215958905 | Ann C Marty | Family Medicine | 1002 Medical Center Dr, Monticello, IL 61856-2116 | 2006-07-21 |
| 1568429009 | William K Lanker | Emergency Medicine | 1002 Medical Center Dr, Monticello, IL 61856-2116 | 2006-04-27 |
| 1538139225 | Danny Mcfarlin | Physician Assistant | 1002 Medical Center Dr, Monticello, IL 61856-2116 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538565783 | Jeffrey D. Hanley | Hearing Instrument Specialist | 107 S. State Street, Audibel Hearing Aids, Monticello, IL 61856 | 2014-11-17 |
| 1073636510 | John Paul Rupkey | Pharmacist | 1212 Bear Lane, Monticello, IL 61856 | 2007-04-09 |
| 1104959998 | Pediatric Physical Therapy of Central Illinois Ltd | Physical Therapist | 123 W William Street, Monticello, IL 61856 | 2007-03-13 |
| 1184774820 | Curtis E Johnson | Optometrist | 102 S Charter, Monticello, IL 61856 | 2007-01-12 |
| 1639186315 | Bruce Charles Wintersteen | Dentist | 112 E Wash St, Monticello, IL 61856 | 2006-08-02 |
| 1043251846 | Lauren A Coovert | Physician Assistant | 1000 Medical Center Drive, Monticello, IL 61856 | 2006-06-10 |
| 1922389089 | Anne Katherine Marshall | Physician Assistant | 1000 Medical Center Dr, Monticello, IL 61856 | 2011-09-02 |
| 1790089548 | Kristine R Donaldson | Social Worker | 1000 Medical Center Dr, Monticello, IL 61856 | 2011-01-07 |
| 1295814556 | Piatt Co | Skilled Nursing Facility | 1111 N State St, Monticello, IL 61856 | 2006-11-06 |
| 1811954878 | Brian C Yocks | Family Medicine | 1000 Medical Center Dr, Monticello, IL 61856 | 2006-04-26 |
| Find all providers in zip 61856 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679914675 | Mitchell Hammel | Family Medicine | 100 W Washington St Ste 101, Monticello, IL 61856-1713 | 2013-07-08 |
| 1700225679 | Michael Ray Nielson | Family Medicine | 380 W. 100 North, Monticello, UT 84535 | 2013-06-24 |
| 1740415611 | Julia Danielle Nicholson | Family Medicine | 906 Roberts Drive, Monticello, AR 71655 | 2009-05-21 |
| 1053566232 | Monticello Family Medicine & Walk-in Center | Family Medicine | 10 Prince St Ste 7, Monticello, NY 12701-1919 | 2008-12-01 |
| 1326248774 | James Wyatt Stephens | Family Medicine | 128 Courthouse Sq, Monticello, MS 39654-6014 | 2007-07-24 |
| 1548464993 | Fredy H Cordova | Family Medicine | 766 Hl Ross Dr, Monticello, AR 71655 | 2007-06-11 |
| 1629141494 | Bonita C Musial | Family Medicine | 314 Main St., Suite D, Monticello, MS 39654-0949 | 2006-11-17 |
| 1851463707 | Brantley B. Pace | Family Medicine | 713 Watts St., Monticello, MS 39654 | 2006-11-15 |
| 1790865624 | Christine M Foster | Family Medicine | 1293 N Main St Ste 102, Monticello, KY 42633-1945 | 2006-10-16 |
| 1962598490 | Abraham G. Garfinkel | Family Medicine | 15 Hamilton Ave, Monticello, NY 12701-1319 | 2006-10-04 |
| Find all providers in MONTICELLO | ||||
| City | MONTICELLO |
| Zip Code | 61856 |
Please comment or provide details below to improve the information on DOUGLAS R 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.