Beth H Ellis (NPI# 1356508899, PAC ID# 5496933046) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1356508899 |
| PAC ID by PECOS | 5496933046 |
| Professional Enrollment ID | I20110629000671 |
| Full Name | Beth H Ellis |
| Organization Legal Name | BLUFF KNOLL EMERGENCY PHYSICIANS LLC |
| Address |
6500 38th Ave N St Petersburg FL 33710-1629 |
| Phone Number | 7273414870 |
| Gender | M |
| Medical School | EASTERN VIRGINIA MEDICAL SCHOOL |
| Graduation Year | 2008 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 9739401019 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100180 | ST PETERSBURG GENERAL HOSPITAL |
| 100213 | BLAKE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 6500 38th Ave N, St Petersburg, FL 33710-1629 | 7273414870 | BLUFF KNOLL EMERGENCY PHYSICIANS LLC |
| Organization Legal Name | BLUFF KNOLL EMERGENCY PHYSICIANS LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles H Nightingale | Emergency Medicine | Bluff Knoll Emergency Physicians LLC | 6500 38th Ave N, St Petersburg, FL 33710-1629 |
| Jeremy T Ng | Emergency Medicine | Bluff Knoll Emergency Physicians LLC | 6500 38th Ave N, St Petersburg, FL 33710-1629 |
| Byron P Markel | Emergency Medicine | Bluff Knoll Emergency Physicians LLC | 6500 38th Ave N, St Petersburg, FL 33710-1629 |
| Lynea M Kelly | Emergency Medicine | Bluff Knoll Emergency Physicians LLC | 6500 38th Ave N, St Petersburg, FL 33710-1629 |
| Gary J Pryor | Emergency Medicine | Bluff Knoll Emergency Physicians LLC | 6500 38th N Ave, St Petersburg, FL 33710-1629 |
| Street Address |
6500 38TH AVE N |
| City | ST PETERSBURG |
| State | FL |
| Zip | 33710-1629 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashok N Shenoy | Family Medicine | Gulf-to-bay Anesthesiology Associates LLC | 6500 38th Ave N, St Petersburg, FL 33710-1629 |
| Charles H Nightingale | Emergency Medicine | Bluff Knoll Emergency Physicians LLC | 6500 38th Ave N, St Petersburg, FL 33710-1629 |
| Patrick W Mccabe | Certified Registered Nurse Anesthetist (crna) | Gulf-to-bay Anesthesiology Associates LLC | 6500 38th Ave N, St Petersburg, FL 33710-1629 |
| Jeremy T Ng | Emergency Medicine | Bluff Knoll Emergency Physicians LLC | 6500 38th Ave N, St Petersburg, FL 33710-1629 |
| David I Antokal | Certified Registered Nurse Anesthetist (crna) | Gulf-to-bay Anesthesiology Associates LLC | 6500 38th Ave N, St Petersburg, FL 33710-1629 |
| Byron P Markel | Emergency Medicine | Bluff Knoll Emergency Physicians LLC | 6500 38th Ave N, St Petersburg, FL 33710-1629 |
| Kim M Saviano | Certified Registered Nurse Anesthetist (crna) | Gulf-to-bay Anesthesiology Associates LLC | 6500 38th Ave N, St Petersburg, FL 33710-1629 |
| Alan W Ambrose | Certified Registered Nurse Anesthetist (crna) | Gulf-to-bay Anesthesiology Associates LLC | 6500 38th Ave N, St Petersburg, FL 33710-1629 |
| Jon W Johnson | Critical Care (intensivists) | Intensive Care Consortium Inc | 6500 38th Ave N, Saint Petersburg, FL 33710-1629 |
| Edgar Antonio Mercado | Internal Medicine | Intensive Care Consortium Inc | 6500 38th Ave N, Saint Petersburg, FL 33710-1629 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren S Hendrix | Internal Medicine | Ayers Rock Inpatient Services LLC | 6500 38th N Ave, St Petersburg, FL 33710 |
| Khine Swe Zin Min | Hospitalist | Ayers Rock Inpatient Services LLC | 6500 38th N Ave, St Petersburg, FL 33710 |
| Marie-france Scherer | Internal Medicine | Ayers Rock Inpatient Services LLC | 6500 38th N Ave, St Petersburg, FL 33710 |
| My N Myers | Hospitalist | Ayers Rock Inpatient Services LLC | 6500 38th N Ave, St Petersburg, FL 33710 |
| Jacek M Kucharewicz | Internal Medicine | Ayers Rock Inpatient Services LLC | 6500 38th N Ave, St Petersburg, FL 33710 |
| Timothy N Brundage | Internal Medicine | Ayers Rock Inpatient Services LLC | 6500 38th N Ave, St Petersburg, FL 33710 |
| Douglas B Moss | Podiatry | 7855 38th Ave N, Suite 200, St Petersburg, FL 33710-1134 | |
| John J Obrien Jr. | Plastic and Reconstructive Surgery | 7855 38th Ave N, St Petersburg, FL 33710-1152 | |
| Christopher Newman | Plastic and Reconstructive Surgery | 7855 38th Ave N, Saint Petersburg, FL 33710-1152 | |
| Louis Mazzella | Family Medicine | Nautilus Health Care Group LLC | 7501 38th Ave N, St Petersburg, FL 33710-1230 |
| Find all physicians in zip 33710 | |||
| City | ST PETERSBURG |
| Zip Code | 33710 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | ST PETERSBURG + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Beth H 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.