Troy C Ellis (NPI# 1356491997, PAC ID# 6709002439) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1356491997 |
| PAC ID by PECOS | 6709002439 |
| Professional Enrollment ID | I20140801000249 |
| Full Name | Troy C Ellis |
| Organization Legal Name | BEATRICE KELLER CLINIC, PC |
| Address |
13943 N 91st Ave Bldg C Peoria AZ 85381-3688 |
| Phone Number | 6239723992 |
| Gender | M |
| Medical School | COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS |
| Graduation Year | 2005 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 0244216026 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 13943 N 91st Ave, Suite C101, Peoria, AZ 85381-3688 | 6239723992 | SOUTHWEST SKIN SPECIALISTS LLC |
| 13943 N 91st Ave Bldg C, Peoria, AZ 85381-3688 | 6239723992 | BEATRICE KELLER CLINIC, PC |
| Organization Legal Name | BEATRICE KELLER CLINIC, PC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ramin Fathi | Dermatology | Beatrice Keller Clinic, PC | 13943 N 91st Ave Bldg C, Peoria, AZ 85381-3688 |
| Rita M George | Dermatology | Beatrice Keller Clinic, PC | 14537 W Indian School Rd, Suite 700, Good Year, AZ 85395-9243 |
| Loriann R Wilcox | Dermatology | Beatrice Keller Clinic, PC | 14506 W Granite Valley Dr, Suite 205, Sun City West, AZ 85375-6012 |
| Deborah E Zell | Dermatology | Beatrice Keller Clinic, PC | 13943 N 91st Ave, C101, Peoria, AZ 85381-3688 |
| Valerie L Huls | Dermatology | Beatrice Keller Clinic, PC | 14537 W Indian School Rd, Suite 700, Good Year, AZ 85395-9243 |
| Katharine Bermingham Cordova | Dermatology | Beatrice Keller Clinic, PC | 14506 W Granite Valley Dr, Suite 206, Sun City West, AZ 85375-6012 |
| Susan Elizabeth Whitmore | Dermatology | Beatrice Keller Clinic, PC | 14506 W Granite Valley Dr, Suite 205, Sun City West, AZ 85375-6012 |
| Jeremy S Kennedy | Dermatology | Beatrice Keller Clinic, PC | 14506 W Granite Valley Dr, Suite 205, Sun City West, AZ 85375-6012 |
| Artthapol Tanphaichitr | Dermatology | Beatrice Keller Clinic, PC | 13943 N 91st Ave, C101, Peoria, AZ 85381-3688 |
| Melissa F Efron-everett | Dermatology | Beatrice Keller Clinic, PC | 14506 W Granite Valley Dr, Suite 205, Sun City West, AZ 85375-6012 |
| Street Address |
13943 N 91ST AVE BLDG C |
| City | PEORIA |
| State | AZ |
| Zip | 85381-3688 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ramin Fathi | Dermatology | Beatrice Keller Clinic, PC | 13943 N 91st Ave Bldg C, Peoria, AZ 85381-3688 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Albert N Kim | Chiropractic | 8345 W Thunderbird Rd, B103, Peoria, AZ 85381-3668 | |
| Paulina Simon | Nurse Practitioner | Agape Primary Care Pllc | 14074 N 90th Dr, Peoria, AZ 85381-3678 |
| Jane M Kinstler | Nurse Practitioner | Agape Primary Care Pllc | 14074 N 90th Dr, Peoria, AZ 85381-3678 |
| Iain A Black | Physician Assistant | Valley Arthritis Care LLC | 13943 N 91st Ave Bldg I, Peoria, AZ 85381-3688 |
| Deborah E Zell | Dermatology | Beatrice Keller Clinic, PC | 13943 N 91st Ave, C101, Peoria, AZ 85381-3688 |
| Artthapol Tanphaichitr | Dermatology | Beatrice Keller Clinic, PC | 13943 N 91st Ave, C101, Peoria, AZ 85381-3688 |
| Christina A Foster | Physician Assistant | Valley Arthritis Care LLC | 13943 N 91st Ave Bldg I, Peoria, AZ 85381-3688 |
| Brady P Nelson | Physician Assistant | Valley Arthritis Care LLC | 13943 N 91st Ave Bldg I, Peoria, AZ 85381-3688 |
| Savitha B Kalya | Rheumatology | Valley Arthritis Care LLC | 13943 N 91st Ave Bldg I, Peoria, AZ 85381-3688 |
| Richard M Kootman | Ophthalmology | 13943 N 91st Ave Bldg G, Arrowhead Eye Center, Peoria, AZ 85381-3689 | |
| Find all physicians in zip 85381 | |||
| City | PEORIA |
| Zip Code | 85381 |
| Specialty | DERMATOLOGY |
| City + Specialty | PEORIA + DERMATOLOGY |
Please comment or provide details below to improve the information on Troy C 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.