Justin D Ellis (NPI# 1972566651, PAC ID# 8820132871) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1972566651 |
| PAC ID by PECOS | 8820132871 |
| Professional Enrollment ID | I20100215000658 |
| Full Name | Justin D Ellis |
| Organization Legal Name | GASTROENTEROLOGY ASSOCIATES PA |
| Address |
415 N Ctr St Suite 300 Hickory NC 28601-5036 |
| Phone Number | 8283283300 |
| Gender | M |
| Graduation Year | 1999 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0345342788 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340116 | FRYE REGIONAL MEDICAL CENTER |
| 340143 | CATAWBA VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 415 N Ctr St, Suite 300, Hickory, NC 28601-5036 | 8283283300 | GASTROENTEROLOGY ASSOCIATES PA |
| Organization Legal Name | GASTROENTEROLOGY ASSOCIATES PA |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gaa Richardson | Gastroenterology | Gastroenterology Associates Pa | 1470 E Gaston St, Suite 600, Lincolnton, NC 28092-4436 |
| John Harvey Meier | Gastroenterology | Gastroenterology Associates Pa | 1470 E Gaston St, Suite 600, Lincolnton, NC 28092-4436 |
| Siddharth Sura | Gastroenterology | Gastroenterology Associates Pa | 1470 E Gaston St, Suite 600, Lincolnton, NC 28092-4436 |
| Caroll D Koscheski | Gastroenterology | Gastroenterology Associates Pa | 1470 E Gaston St, Suite 600, Lincolnton, NC 28092-4436 |
| Gregory Diamonti | Gastroenterology | Gastroenterology Associates Pa | 1470 E Gaston St, Suite 600, Lincolnton, NC 28092-4436 |
| Kristie N Ennis | Physician Assistant | Gastroenterology Associates Pa | 415 N Ctr St, Suite 300, Hickory, NC 28601-5036 |
| Diane T Scaife | Nurse Practitioner | Gastroenterology Associates Pa | 415 N Ctr St, Suite 300, Hickory, NC 28601-5036 |
| Simon John Allport | Gastroenterology | Gastroenterology Associates Pa | 1470 E Gaston St, Suite 600, Lincolnton, NC 28092-4436 |
| Kristen A Suchniak-mussari | Gastroenterology | Gastroenterology Associates Pa | 415 N Ctr St, Suite 300, Hickory, NC 28601-5036 |
| Pouneh Mofrad Nikrooz | Internal Medicine | Gastroenterology Associates Pa | 1470 E Gaston St, Suite 600, Lincolnton, NC 28092-4436 |
| Street Address |
415 N CTR ST SUITE 300 |
| City | HICKORY |
| State | NC |
| Zip | 28601-5036 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sue R Garwood | Infectious Disease | Dlp Frye Medical Group LLC | 415 N Ctr St, Hickory, NC 28601-5036 |
| Mark H Hennington | Cardiac Surgery | Dlp Frye Medical Group LLC | 415 N Ctr St, Hickory, NC 28601-5036 |
| Richard A Carlton | Cardiac Surgery | Dlp Frye Medical Group LLC | 415 N Ctr St, Hickory, NC 28601-5036 |
| Vincent Joseph Patrone | Cardiovascular Disease (cardiology) | Dlp Frye Medical Group LLC | 415 N Ctr St, Hickory, NC 28601-5036 |
| Richard D Schultz | Cardiovascular Disease (cardiology) | Dlp Frye Medical Group LLC | 415 N Ctr St, Hickory, NC 28601-5036 |
| Christopher W Dellinger | Certified Registered Nurse Anesthetist (crna) | Carolina Anesthesia Associates Pa | 415 N Ctr St, Hickory, NC 28601-5057 |
| Thomas Michael Wiley | Cardiac Electrophysiology | Dlp Frye Medical Group LLC | 415 N Ctr St, Hickory, NC 28601-5036 |
| F Alice Bishopric | Obstetrics/gynecology | Dlp Frye Medical Group LLC | 415 N Ctr St, Hickory, NC 28601-5036 |
| Kenneth T Piercy | Vascular Surgery | Dlp Frye Medical Group LLC | 415 N Ctr St, Hickory, NC 28601-5036 |
| Pairoj Rerkpattanapipat | Cardiovascular Disease (cardiology) | Dlp Frye Medical Group LLC | 415 N Ctr St, Hickory, NC 28601-5036 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Boni L Killian | Nurse Practitioner | Catawba Valley Medical Group Inc | 212 29th Ave Ne, Hickory, NC 28601-1084 |
| Danielle M Wood | Nurse Practitioner | Catawba Valley Medical Group Inc | 212 29th Ave Ne, Hickory, NC 28601-1084 |
| Gretchen E Cheung | Physical Therapy | Kinetic Physical Therapy and Sports Rehabilitation, Inc | 3048 N Ctr St, Hickory, NC 28601-1101 |
| Alan Cheung | Physical Therapy | Kinetic Physical Therapy and Sports Rehabilitation, Inc | 3048 N Ctr St, Hickory, NC 28601-1101 |
| Reginald Graham Moore Jr. | Family Medicine | Catawba Valley Medical Group Inc | 2972 N Ctr St, Hickory, NC 28601-1159 |
| Penny J Matlock | Nurse Practitioner | Catawba Valley Medical Group Inc | 2972 N Ctr St, Hickory, NC 28601-1159 |
| Charles W Mckaraher | Emergency Medicine | Catawba Valley Medical Group Inc | 2972 N Ctr St, Hickory, NC 28601-1159 |
| Michael S Brashear | Physician Assistant | Catawba Valley Medical Group Inc | 2972 N Ctr St, Hickory, NC 28601-1159 |
| Nicole E Harris | Physician Assistant | Catawba Valley Medical Group Inc | 2972 N Ctr St, Hickory, NC 28601-1159 |
| Marcus T Hinceman | Nurse Practitioner | Catawba Valley Medical Group Inc | 2972 N Ctr St, Hickory, NC 28601-1159 |
| Find all physicians in zip 28601 | |||
| City | HICKORY |
| Zip Code | 28601 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | HICKORY + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Justin 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.