Adam W Ellis (NPI# 1760548879, PAC ID# 1254385586) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1760548879 |
| PAC ID by PECOS | 1254385586 |
| Professional Enrollment ID | I20050309000419 |
| Full Name | Adam W Ellis |
| Address |
1641 Jackson St Philadelphia PA 19145-3843 |
| Phone Number | 2153342550 |
| Gender | M |
| Credential | DO |
| Medical School | UNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390174 | THOMAS JEFFERSON UNIVERSITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1641 Jackson St, Philadelphia, PA 19145-3843 | 2153342550 |
| Street Address |
1641 JACKSON ST |
| City | PHILADELPHIA |
| State | PA |
| Zip | 19145-3843 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Larry Shusterman | Internal Medicine | 1600 S 28th St, Phila, PA 19145-1202 | |
| Bruce Irwin Ackerman | Podiatry | 1602 S Broad St, Philadelphia, PA 19145-1509 | |
| Scott J Pello | Pain Management | 6325 Woodland Ave, Philadelphia, PA 19145-2036 | |
| James H Dovnarsky | Internal Medicine | Pulmonary Diease Association | 1726 S Broad St, Suite 103, Philadelphia, PA 19145-2300 |
| Julia Beth Brody | Pulmonary Disease | Pulmonary Diease Association | 1726 S Broad St, Philadelphia, PA 19145-2300 |
| Christina Marie Dougherty | Clinical Social Worker | 1840 S Broad St, Philadelphia, PA 19145-2303 | |
| Julio L Kuperman | Neurology | 1900 S Broad St, Grnd Floor, Phila, PA 19145-2304 | |
| Hope S Selarnick | Psychiatry | 1900 S Broad St, Phila, PA 19145-2304 | |
| John C Roi | Podiatry | 1442 Mckean St, Philadelphia, PA 19145-2308 | |
| Noi Walkenstein | Internal Medicine | Spuc, LLC | 1444 W Passyunk Ave, Doctors Express Urgent Care, Philadelphia, PA 19145-2312 |
| Find all physicians in zip 19145 | |||
| City | PHILADELPHIA |
| Zip Code | 19145 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | PHILADELPHIA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Adam W Ellis.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.