Mark Kenneth Ellis (NPI# 1659682219, PAC ID# 1557503570) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1659682219 |
| PAC ID by PECOS | 1557503570 |
| Professional Enrollment ID | I20150130000673 |
| Full Name | Mark Kenneth Ellis |
| Organization Legal Name | PARAGON CONTRACTING SERVICES LLC |
| Address |
10230 W State Rd 84 A Davie FL 33324-4202 |
| Phone Number | 9543700725 |
| Gender | M |
| Graduation Year | 2010 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 3971417825 |
| Number of Group Practice Members | 199 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100224 | UNIVERSITY HOSPITAL AND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 10230 W State Rd, 84 A, Davie, FL 33324-4202 | 9543700725 | PARAGON CONTRACTING SERVICES LLC |
| 7201 N University Dr, Tamarac, FL 33321-2913 | 9547246223 | HAMPTON PINES EMERGENCY PHYSICIANS, LLC |
| Organization Legal Name | PARAGON CONTRACTING SERVICES LLC |
| Physicians | 200 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John D Ellis | Emergency Medicine | Paragon Contracting Services LLC | 200 Ave F Ne, Winter Haven, FL 33881-4131 |
| Simona Silvestri | Nurse Practitioner | Paragon Contracting Services LLC | 200 Sehospital Ave, Stuart, FL 34994 |
| Monica Bardwell | Nurse Practitioner | Paragon Contracting Services LLC | 301 N Alexander St, Plant City, FL 33563-4303 |
| Luis E Gutierrez | Internal Medicine | Paragon Contracting Services LLC | 3100 S Douglas Rd, Coral Gables, FL 33134-6914 |
| Theodoros Hailu | Emergency Medicine | Paragon Contracting Services LLC | 5000 W Oakland Park Blvd, Lauderdale Lake, FL 33313-1503 |
| Doran R Heist | Emergency Medicine | Paragon Contracting Services LLC | 301 N Alexander St, Plant City, FL 33563-4303 |
| Kyle Alexandra Gerakopoulos | Emergency Medicine | Paragon Contracting Services LLC | 21644 State Rd, Suite 7, Boca Raton, FL 33428-1899 |
| Jeffrey E Ingeman | Emergency Medicine | Paragon Contracting Services LLC | 651 E 25 St, Hialeah, FL 33013-3814 |
| Michael L Ferraro | Emergency Medicine | Paragon Contracting Services LLC | 901 45th St, Mangonia Park, FL 33407-2413 |
| Rachel Kleinerman Gober | Emergency Medicine | Paragon Contracting Services LLC | 1400 Nw 10th Ave, Miami, FL 33136-1003 |
| Street Address |
10230 W STATE RD 84 A |
| City | DAVIE |
| State | FL |
| Zip | 33324-4202 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David E Yachter | Chiropractic | 10189 Cleary Blvd, Suite 103, Plantation, FL 33324-1027 | |
| Jeffrey E Sager | Optometry | Jeffrey E Sager Od Pa | 823 N Nob Hill Rd, Plantation, FL 33324-1038 |
| Candice Mansito | Optometry | Jeffrey E Sager Od Pa | 823 N Nob Hill Rd, Plantation, FL 33324-1038 |
| Robert S Leshaw | Chiropractic | 10063 Cleary Blvd, Plantation, FL 33324-1063 | |
| Abram Berens | Family Medicine | 969 N Nob Hill Rd, Plantation, FL 33324-1078 | |
| Ivy Lawson | Diagnostic Radiology | West Hudson Imaging Associates Pllc | 10781 Nw 5th St, Plantation, FL 33324-1518 |
| Mark Herman | Chiropractic | 301 Nw84th Ave, Suite 301, Plantation, FL 33324-1807 | |
| Gail G Bonner | Internal Medicine | Metcare of Florida Inc | 301 Nw 84th Ave, 101 Metcare of Plantation, Plantation, FL 33324-1807 |
| Alejandro R Luna | Internal Medicine | Metcare of Florida Inc | 301 Nw 84th Ave, 101 Metcare of Plantation, Plantation, FL 33324-1807 |
| Kim R Nickelson | Internal Medicine | Metcare of Florida Inc | 301 Nw 84th Ave, 101 Metcare of Plantation, Plantation, FL 33324-1807 |
| Find all physicians in zip 33324 | |||
| City | DAVIE |
| Zip Code | 33324 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | DAVIE + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Mark Kenneth 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.