Michael Holland Ellis (NPI# 1992701676, PAC ID# 2163597139) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
Nation Provider ID (NPI) | 1992701676 |
PAC ID by PECOS | 2163597139 |
Professional Enrollment ID | I20100924000918 |
Full Name | Michael Holland Ellis |
Organization Legal Name | ASSOCIATES IN SURGERY PA |
Address |
2361 Cypress Cir Conway SC 29526-8921 |
Phone Number | 8433477291 |
Gender | M |
Medical School | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
Graduation Year | 1978 |
Primary Specialty | GENERAL SURGERY |
Group Practice PAC ID | 2264507235 |
Number of Group Practice Members | 4 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
2361 Cypress Cir, Conway, SC 29526-8921 | 8433477291 | ASSOCIATES IN SURGERY PA |
4367 Riverwood Dr, Suite 210, Murrells Inlet, SC 29576-4368 | 8433477291 | ASSOCIATES IN SURGERY PA |
Organization Legal Name | ASSOCIATES IN SURGERY PA |
Physicians | 1 |
Street Address |
2361 CYPRESS CIR |
City | CONWAY |
State | SC |
Zip | 29526-8921 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kurt Klauburg | Psychiatry | 152 Waccamaw Med Park Dr, Conway, SC 29526 | |
William M Sisco | Occupational Therapy | The Weston Group of South Carolina Inc | 872 Singleton Ridge Rd, Conway, SC 29526-1101 |
Timothy J Cosgriff | Physical Therapy | The Weston Group of South Carolina Inc | 872 Singleton Ridge Rd, Conway, SC 29526-1101 |
Janet M Clifford | Physical Therapy | The Weston Group of South Carolina Inc | 872 Singleton Ridge Rd, Conway, SC 29526-1101 |
Shasta D Vance | Occupational Therapy | The Weston Group of South Carolina Inc | 872 Singleton Ridge Rd, Conway, SC 29526-1101 |
Gaylord Lee Kelley Jr. | Chiropractic | 1238 Pine St, Conway, SC 29526-3402 | |
Charles M Proctor | Ophthalmology | Vaught Eye Associates, Pa | 1404 B Main St, Conway, SC 29526-3567 |
James Monroe Vaught | Optometry | Vaught Eye Associates, Pa | 1406 Main St, Conway, SC 29526-3567 |
Charlotte L Sloan | Nurse Practitioner | Agape Senior Primary Care Inc | 1400 Main St, Conway, SC 29526-3567 |
Garett M Wise | Optometry | Vaught Eye Associates, Pa | 1406 Main St, Conway, SC 29526-3567 |
Find all physicians in zip 29526 |
City | CONWAY |
Zip Code | 29526 |
Specialty | GENERAL SURGERY |
City + Specialty | CONWAY + GENERAL SURGERY |
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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.