Kerry A Ellis (NPI# 1134631757, PAC ID# 6305101528) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1134631757 |
| PAC ID by PECOS | 6305101528 |
| Professional Enrollment ID | I20180517001310 |
| Full Name | Kerry A Ellis |
| Organization Legal Name | ANNE ARUNDEL PHYSICIAN GROUP LLC |
| Address |
2635 Riva Rd Suite 108 Annapolis MD 21401-7430 |
| Phone Number | 4105739000 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 2860447315 |
| Number of Group Practice Members | 283 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2635 Riva Rd, Suite 108, Annapolis, MD 21401-7430 | 4105739000 | ANNE ARUNDEL PHYSICIAN GROUP LLC |
| Organization Legal Name | ANNE ARUNDEL PHYSICIAN GROUP LLC |
| Physicians | 301 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine Elizabeth Macdonald | Nurse Practitioner | Anne Arundel Physician Group LLC | 555 Cynwood Dr, Easton, MD 21601-3801 |
| Christine Ajjan Laky | Obstetrics/gynecology | Anne Arundel Physician Group LLC | 185 Harry S Truman Pkwy, Suite 120, Annapolis, MD 21401-7580 |
| Katherine Trulove Ellis | Certified Nurse Midwife (cnm) | Anne Arundel Physician Group LLC | 401 Purdy St, Suite 102, Easton, MD 21601-4060 |
| Kamishia L Thomas | Nurse Practitioner | Anne Arundel Physician Group LLC | 2000 Medical Pkwy, Suite 510, Annapolis, MD 21401-3742 |
| Sadia Shafi | Cardiovascular Disease (cardiology) | Anne Arundel Physician Group LLC | 2003 Medical Pkwy, Annapolis, MD 21401-3081 |
| Rebecca E Duncan | Family Medicine | Anne Arundel Physician Group LLC | 1630 Main St, Chester, MD 21619-2791 |
| Julie A Bache | Certified Nurse Midwife (cnm) | Anne Arundel Physician Group LLC | 3169 Braverton St, Suite 201, Edgewater, MD 21037-2690 |
| Doreen Blake | Internal Medicine | Anne Arundel Physician Group LLC | 1450 Mercantile Ln, Suite 111, Largo, MD 20774-5382 |
| Curtis Matthew Foy | Family Medicine | Anne Arundel Physician Group LLC | 28438 Marlboro Ave, Easton, MD 21601-2732 |
| Katherine E Webb | Obstetrics/gynecology | Anne Arundel Physician Group LLC | 521 Washington Ave, Chester River Ob/gyn, Chestertown, MD 21620-1217 |
| Street Address |
2635 RIVA RD SUITE 108 |
| City | ANNAPOLIS |
| State | MD |
| Zip | 21401-7430 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly Marie Fern | Physician Assistant | Brian S Kahan Do Pa | 2635 Riva Rd, Suite 118, Annapolis, MD 21401-7430 |
| Makeida Koyi | Psychiatry | Anne Arundel Physician Group LLC | 2635 Riva Rd, Suite 108, Annapolis, MD 21401-7430 |
| Rebecca Ellen | Nurse Practitioner | Anne Arundel Physician Group LLC | 2635 Riva Rd, Suite 108, Annapolis, MD 21401-7430 |
| Mitchell G Odom | Nurse Practitioner | Anne Arundel Physician Group LLC | 2635 Riva Rd, Suite 108, Annapolis, MD 21401-7430 |
| Ruth Milsten | Clinical Social Worker | Anne Arundel Physician Group LLC | 2635 Riva Rd, Suite 108, Annapolis, MD 21401-7430 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hien T Pham | Optometry | Visionworks, Inc | 169 Jennifer Square Ctr D, Annapolis, MD 21401 |
| Shana R Levy | Optometry | Visionworks, Inc | 169 Jennifer Square Ctr D, Annapolis, MD 21401 |
| Emily C O Meara | Optometry | The Center for Vision Development, LLC | 2525 Riva Rd, Suite 126, Annapolis, MD 21401-0077 |
| Jennifer Jayne Kungle | Optometry | The Center for Vision Development, LLC | 2525 Riva Rd, Suite 126, Annapolis, MD 21401-0077 |
| Katherine Hill | Nurse Practitioner | Anne Arundel Physician Group LLC | 2003 Medical Pkwy, Suite 150, Annapolis, MD 21401-0317 |
| Kay A Hoskey | Obstetrics/gynecology | Anne Arundel Physician Group LLC | 2003 Medical Pkwy, Suite 150, Annapolis, MD 21401-0317 |
| Johann Entinger | Podiatry | Podiatry Group of Annapolis Pa | 139 Old Solomons Island Rd C, Annapolis, MD 21401-0902 |
| James M Mckee | Podiatry | Podiatry Group of Annapolis Pa | 139 Old Solomons Island Rd, Suite C, Annapolis, MD 21401-0902 |
| Adam Lawrence Weaver | Podiatry | Podiatry Group of Annapolis Pa | 139 Old Solomons Island Rd, Suite C, Annapolis, MD 21401-0902 |
| Adeleke A Ogunmefun | Psychiatry | 139 Old Solomons Island Rd, Suite A, Annapolis, MD 21401-0902 | |
| Find all physicians in zip 21401 | |||
| City | ANNAPOLIS |
| Zip Code | 21401 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | ANNAPOLIS + CLINICAL SOCIAL WORKER |
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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.