Marita Walton Ellis (NPI# 1013315464, PAC ID# 6709101462) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1013315464 |
| PAC ID by PECOS | 6709101462 |
| Professional Enrollment ID | I20190111000359 |
| Full Name | Marita Walton Ellis |
| Organization Legal Name | CENTENNIAL HEART LLC |
| Address |
2400 Patterson St Suite 502 Nashville TN 37203-6511 |
| Phone Number | 6155152100 |
| Gender | F |
| Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9931204237 |
| Number of Group Practice Members | 75 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440161 | TRISTAR CENTENNIAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2400 Patterson St, Suite 502, Nashville, TN 37203-6511 | 6155152100 | CENTENNIAL HEART LLC |
| Organization Legal Name | CENTENNIAL HEART LLC |
| Physicians | 80 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey C Webber | Internal Medicine | Centennial Heart LLC | 302 N Congress Blvd, Smithville, TN 37166-2704 |
| Sandeep Duggal | Cardiovascular Disease (cardiology) | Centennial Heart LLC | 1325 Andrea St, Suite 200, Bowling Green, KY 42104-5854 |
| Thomas H Cabell | Cardiovascular Disease (cardiology) | Centennial Heart LLC | 2933 Medical Ctr Pkwy D, Murfreesboro, TN 37129-2391 |
| Paul R Myers | Interventional Cardiology | Centennial Heart LLC | 251 Hillcrest Dr, Clarksville, TN 37043-5086 |
| Thomas S Johnston | Cardiovascular Disease (cardiology) | Centennial Heart LLC | 7100 Adams Dr, Fairview, TN 37062-7237 |
| Sunil C Kaza | Interventional Cardiology | Centennial Heart LLC | 491 Sage N Rd, Suite 400, White House, TN 37188-9361 |
| Christopher N Conley | Cardiovascular Disease (cardiology) | Centennial Heart LLC | 123 Ctr Pointe Dr, Clarksville, TN 37040-8665 |
| Gary Wayne Yawn Jr. | Cardiovascular Disease (cardiology) | Centennial Heart LLC | 353 New Shackle Island Rd, Bldg C Suite 300, Handersonville, TN 37075-2329 |
| Andrew T Mcrae | Cardiovascular Disease (cardiology) | Centennial Heart LLC | 125 Memorial Dr, Franklin, KY 42134-2752 |
| Jonathan A Hoda | Cardiovascular Disease (cardiology) | Centennial Heart LLC | 5655 1st Blvd, Hermitage, TN 37076-2053 |
| Street Address |
2400 PATTERSON ST SUITE 502 |
| City | NASHVILLE |
| State | TN |
| Zip | 37203-6511 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John E Anderson | Internal Medicine | Columbia Medical Group - The Frist Clinic Inc | 2400 Patterson St, Suite 400, Nashville, TN 37203-1575 |
| Judith M Caldwell | Nurse Practitioner | Columbia Medical Group - The Frist Clinic Inc | 2400 Patterson St, Suite 400, Nashville, TN 37203-1575 |
| Caroline Shultz | Physical Therapy | Premier Orthopaedics and Sports Medicine Plc | 2400 Patterson St, Suite 300, Nashville, TN 37203-1558 |
| Jacob Maurice Folse | Orthopedic Surgery | Tristar Joint Replacement Institute LLC | 2400 Patterson St, Suite 100, Nashville, TN 37203-1562 |
| William Roy Schooley | Neurosurgery | Neurosurgical Associates | 2400 Patterson St, Suite 319, Nashville, TN 37203-1566 |
| Merlinda Reyes | Physical Therapy | Tristar Joint Replacement Institute LLC | 2400 Patterson St, Suite 100, Nashville, TN 37203-1562 |
| Bettina L Engh | Nurse Practitioner | Columbia Medical Group - The Frist Clinic Inc | 2400 Patterson St, Suite 400, Nashville, TN 37203-1575 |
| Steven S Humphrey | Cardiovascular Disease (cardiology) | Centennial Heart LLC | 2400 Patterson St, Suite 103, Nashville, TN 37203-1577 |
| Lyndsey W Oxford | Nurse Practitioner | Columbia Medical Group - The Frist Clinic Inc | 2400 Patterson St, Suite 400, Nashville, TN 37203-1575 |
| Angela Harriger | Nurse Practitioner | Tristar Joint Replacement Institute LLC | 2400 Patterson St, Suite 100, Nashville, TN 37203-1562 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda Young | Certified Registered Nurse Anesthetist (crna) | Ddec Anesthesia, LLC | 222 22nd Ave N, Suite 300, Nashville, TN 37203-0802 |
| Rebecca L Shah | Certified Registered Nurse Anesthetist (crna) | Ddec Anesthesia, LLC | 222 22nd Ave N, Suite 300, Nashville, TN 37203-0802 |
| Emily E Carr | Certified Registered Nurse Anesthetist (crna) | Ddec Anesthesia, LLC | 222 22nd Ave N, Suite 300, Nashville, TN 37203-0802 |
| Melissa K James | Certified Registered Nurse Anesthetist (crna) | Ddec Anesthesia, LLC | 222 22nd Ave N, Suite 300, Nashville, TN 37203-0802 |
| Martin Espinosa | Cardiac Electrophysiology | Saint Thomas Medical Partners | 222 22nd Ave N, Suite 400, Nashville, TN 37203-0802 |
| Tammy S Alberico | Psychiatry | Heritage Medical Associates PC | 222 22nd Ave N, Nashville, TN 37203-0807 |
| Lauren J Baker | Physician Assistant | Heritage Medical Associates PC | 222 22nd Ave N, Nashville, TN 37203-0807 |
| John G Thompson Jr. | Internal Medicine | Heritage Medical Associates PC | 222 22nd Ave N, Nashville, TN 37203-0807 |
| James D Bryant | Family Practice | Heritage Medical Associates PC | 222 22nd Ave N, Suite 100, Nashville, TN 37203-0807 |
| W M Mullins | Otolaryngology | Heritage Medical Associates PC | 222 22nd Ave N, Nashville, TN 37203-0807 |
| Find all physicians in zip 37203 | |||
| City | NASHVILLE |
| Zip Code | 37203 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | NASHVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Marita Walton 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.