Donna A Thomas Ellis (NPI# 1760550990, PAC ID# 3779682380) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1760550990 |
| PAC ID by PECOS | 3779682380 |
| Professional Enrollment ID | I20070622000214 |
| Full Name | Donna A Thomas Ellis |
| Organization Legal Name | RIVER OAKS MANAGEMENT COMPANY LLC |
| Address |
163 River Oaks Dr Canton MS 39046-5324 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2003 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0345233110 |
| Number of Group Practice Members | 23 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250138 | MERIT HEALTH RIVER OAKS |
| 250038 | MERIT HEALTH MADISON |
| Address | Phone | Organization |
|---|---|---|
| 163 River Oaks Dr, Canton, MS 39046-5324 | RIVER OAKS MANAGEMENT COMPANY LLC | |
| 1020 N Flowood Dr, Suite 480, Flowood, MS 39232-9532 | 6013761394 | RIVER OAKS MANAGEMENT COMPANY LLC |
| 1026 N Flowood Dr, Flowood, MS 39232-9532 | 6013762818 | RIVER OAKS MANAGEMENT COMPANY LLC |
| 1040 River Oaks Dr, Suite 100, Flowood, MS 39232-9531 | 6013761394 | RIVER OAKS MANAGEMENT COMPANY LLC |
| Organization Legal Name | RIVER OAKS MANAGEMENT COMPANY LLC |
| Physicians | 23 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer H Russum | Nurse Practitioner | River Oaks Management Company LLC | 1020 N Flowood Dr, Suite 480, Flowood, MS 39232-9532 |
| Malcolm P Taylor | Cardiovascular Disease (cardiology) | River Oaks Management Company LLC | 163 River Oaks Dr, Canton, MS 39046-5324 |
| Erica L Bertschler | Nurse Practitioner | River Oaks Management Company LLC | 7215 S Siwell Rd, Byram, MS 39272-9776 |
| George T Smith-vaniz | Internal Medicine | River Oaks Management Company LLC | 1850 Chadwick Dr, Jackson, MS 39204-3404 |
| Fidel F Sendra | Thoracic Surgery | River Oaks Management Company LLC | 1040 River Oaks Dr, Suite 100, Flowood, MS 39232-9531 |
| Almois Ali Mohamad | Cardiovascular Disease (cardiology) | River Oaks Management Company LLC | 350 Crossgates Blvd, Brandon, MS 39042-2601 |
| Dawn L Taylor | Nurse Practitioner | River Oaks Management Company LLC | 1850 Chadwick Dr, Jackson, MS 39204-3404 |
| Linda Nell Hunter | Nurse Practitioner | River Oaks Management Company LLC | 1850 Chadwick Dr, Jackson, MS 39204-3404 |
| Qasim Munir Cheema | Cardiovascular Disease (cardiology) | River Oaks Management Company LLC | 350 Crossgates Blvd, Brandon, MS 39042-2601 |
| Daniel P Dare | Orthopedic Surgery | River Oaks Management Company LLC | 350 Crossgates Blvd, Brandon, MS 39042-2601 |
| Street Address |
163 RIVER OAKS DR |
| City | CANTON |
| State | MS |
| Zip | 39046-5324 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Malcolm P Taylor | Cardiovascular Disease (cardiology) | River Oaks Management Company LLC | 163 River Oaks Dr, Canton, MS 39046-5324 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rashad Smith | Physical Therapy | 3425 N Liberty St, Canton, MS 39046-3761 | |
| Marvin E Williams Ii | Occupational Therapy | Smart Therapy LLC | 3425 N Liberty St, Canton, MS 39046-3761 |
| James O Farrell Jr. | Physical Therapy | Visions Physical Therapy | 908 E Peace St, Canton, MS 39046-4024 |
| Marcus Harris | Physical Therapy | Visions Physical Therapy | 908 E Peace St, Canton, MS 39046-4024 |
| Mary A Johnson | Nurse Practitioner | 3276 S Liberty St, Canton, MS 39046-4516 | |
| Michael K Jones | Chiropractic | 134 E Peace St, Canton, MS 39046-4520 | |
| Reginald D Rigsby | Family Medicine | Psp Medical Clinic LLC | 1171 Hart St, Canton, MS 39046-4805 |
| Parvesh K Goel | Internal Medicine | Psp Medical Clinic LLC | 1171 Hart St, Canton, MS 39046-4805 |
| Phyllis Hammond | Clinical Social Worker | Psp Medical Clinic LLC | 1171 Hart St, Canton, MS 39046-4805 |
| David M Heumann | Physical Therapy | Peak Healthcare | 1421 E Peace St, Canton, MS 39046-4938 |
| Find all physicians in zip 39046 | |||
| City | CANTON |
| Zip Code | 39046 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CANTON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Donna A Thomas 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.