Paul D Ellis (NPI# 1528025673, PAC ID# 6709878523) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1528025673 |
| PAC ID by PECOS | 6709878523 |
| Professional Enrollment ID | I20060207000041 |
| Full Name | Paul D Ellis |
| Organization Legal Name | BLUE RIDGE RADIOLOGY, P.C. |
| Address |
103 W Stone Dr Kingsport TN 37660-3220 |
| Phone Number | 4232446800 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Secondary Specialties | INTERVENTIONAL RADIOLOGY |
| Group Practice PAC ID | 7416860473 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440017 | WELLMONT HOLSTON VALLEY MEDICAL CENTER |
| 440012 | WELLMONT BRISTOL REGIONAL MEDICAL CENTER |
| 490053 | JOHNSTON MEMORIAL HOSPITAL |
| 490002 | RUSSELL COUNTY MEDICAL CENTER |
| 490038 | SMYTH COUNTY COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 103 W Stone Dr, Kingsport, TN 37660-3220 | 4232446800 | BLUE RIDGE RADIOLOGY, P.C. |
| 130 W Ravine Rd, Kingsport, TN 37660-3837 | 4232446800 | BLUE RIDGE RADIOLOGY, P.C. |
| Organization Legal Name | BLUE RIDGE RADIOLOGY, P.C. |
| Physicians | 28 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John E Hutchison Jr. | Diagnostic Radiology | Blue Ridge Radiology, P.C. | 1 Medical Park Blvd, Bristol, TN 37620-7430 |
| Philip Joel Benfield | Diagnostic Radiology | Blue Ridge Radiology, P.C. | 1 Medical Park Blvd, Bristol, TN 37620-7430 |
| Gert J Van Der Westhuizen | Diagnostic Radiology | Blue Ridge Radiology, P.C. | 1 Medical Park Blvd, Bristol, TN 37620-7430 |
| Robert Thurman | Diagnostic Radiology | Blue Ridge Radiology, P.C. | 1 Medical Park Blvd, Bristol, TN 37620-7430 |
| Mitchell J Mendrek | Diagnostic Radiology | Blue Ridge Radiology, P.C. | 1 Medical Park Blvd, Bristol, TN 37620-7430 |
| Jonathan Vinh Quang Mai | Diagnostic Radiology | Blue Ridge Radiology, P.C. | 1 Medical Park Blvd, Bristol, TN 37620-7430 |
| Andrew Spillett | Diagnostic Radiology | Blue Ridge Radiology, P.C. | 1 Medical Park Blvd, Bristol, TN 37620-7430 |
| Terry M Fletcher | Diagnostic Radiology | Blue Ridge Radiology, P.C. | 1 Medical Park Blvd, Bristol, TN 37620-7430 |
| Richard T Kubota | Diagnostic Radiology | Blue Ridge Radiology, P.C. | 1 Medical Park Blvd, Bristol, TN 37620-7430 |
| John R Siner | Diagnostic Radiology | Blue Ridge Radiology, P.C. | 1 Medical Park Blvd, Bristol, TN 37620-7430 |
| Street Address |
103 W STONE DR |
| City | KINGSPORT |
| State | TN |
| Zip | 37660-3220 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan Spencer Suther | Diagnostic Radiology | Blue Ridge Radiology, P.C. | 103 W Stone Dr, Kingsport, TN 37660-3220 |
| Joshua Leprell Hastings | Anesthesiology | American Anesthesiology Group of Tennessee, P.C. | 103 W Stone Dr, Kingsport, TN 37660-3220 |
| Laura Austin Slusher | Diagnostic Radiology | Blue Ridge Radiology, P.C. | 103 W Stone Dr, Kingsport, TN 37660-3220 |
| Jason Hill | Diagnostic Radiology | Blue Ridge Radiology, P.C. | 103 W Stone Dr, Kingsport, TN 37660-3220 |
| Roderick Francis Biosca | Diagnostic Radiology | Blue Ridge Radiology, P.C. | 103 W Stone Dr, Kingsport, TN 37660-3220 |
| Daniel E Krenk | Orthopedic Surgery | Wellmont Medical Associates Inc | 103 W Stone Dr, Kingsport, TN 37660-3220 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lucinda Miller | Critical Care (intensivists) | Wellmont Medical Associates Inc | 4485 W Stone Dr, Suite 200, Kingsport, TN 37660-1050 |
| Daniel D Carroll | Family Medicine | Wellmont Medical Associates Inc | 4485 W Stone Dr, Suite 200, Kingsport, TN 37660-1050 |
| Wendy Vogel | Nurse Practitioner | Wellmont Medical Associates Inc | 4485 W Stone Dr, Suite 200, Kingsport, TN 37660-1050 |
| Jennifer Leigh Cox | Nurse Practitioner | Wellmont Medical Associates Inc | 4485 W Stone Dr, Suite 200, Kingsport, TN 37660-1050 |
| Marsha G Rose | Clinical Social Worker | 2005 Venture Park, Kingsport, TN 37660-1098 | |
| Shelley Hilton | Nurse Practitioner | Dermatology Associates of Kingsport, P.C. | 2300 W Stone Dr, Kingsport, TN 37660-2360 |
| Hannah Ruth Cook | Physician Assistant | Dermatology Associates of Kingsport, P.C. | 2300 W Stone Dr, Kingsport, TN 37660-2360 |
| Carri Beth Homoky | Dermatology | Dermatology Associates of Kingsport, P.C. | 2300 W Stone Dr, Kingsport, TN 37660-2360 |
| Joni Glavan Sago | Dermatology | Dermatology Associates of Kingsport, P.C. | 2300 W Stone Dr, Kingsport, TN 37660-2360 |
| Darrell Ray Millsap | Physician Assistant | Dermatology Associates of Kingsport, P.C. | 2300 W Stone Dr, Kingsport, TN 37660-2360 |
| Find all physicians in zip 37660 | |||
| City | KINGSPORT |
| Zip Code | 37660 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | KINGSPORT + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Paul D 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.