JABON L ELLIS (NPI# 1023371333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023371333 |
| Entity Type | Individual |
| Full Name | JABON L ELLIS |
| Credential | D.O. |
| Practice Address |
5005 North Piedras Street William Beaumont Army Medical Center El Paso TX 79920-5001 |
| Practice Telephone | 9157422521 |
| Practice Fax Number | 9157422653 |
| Mailing Telephone | 9157422521 |
| Mailing Fax Number | 9157422653 |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2012-06-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
5005 NORTH PIEDRAS STREET WILLIAM BEAUMONT ARMY MEDICAL CENTER |
| City | EL PASO |
| State | TX |
| Zip Code | 79920-5001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336221134 | Jeffrey Edward Sherwood | Internal Medicine | 5005 North Piedras Street, El Paso, TX 79920-5002 | 2006-10-20 |
| 1649810888 | Benjamin Orrin Kelly | Occupational Therapist | 5005 North Piedras Street, El Paso, TX 79920 | 2020-01-15 |
| 1578036802 | Javier Eduardo Martinez | Military Health Care Provider | 5005 North Piedras Street, Wbamc, El Paso, TX 79920-5001 | 2019-01-09 |
| 1528577640 | Petrona Fantella Anderson | Counselor | 5005 North Piedras Street, Wbamc, El Paso, TX 79920-5001 | 2017-09-20 |
| 1205211885 | Jessica Elizabeth Stone | Registered Nurse | 5005 North Piedras Street, William Beaumont Army Medical Center, El Paso, TX 79920 | 2015-07-24 |
| 1669735965 | Cyrus C Bowers | Student in an Organized Health Care Education/Training Program | 5005 North Piedras Street, William Beaumont Army Medical Center, El Paso, TX 79920-5001 | 2012-06-21 |
| 1114280468 | Elizabeth A Miller | Student in an Organized Health Care Education/Training Program | 5005 North Piedras Street, William Beaumont Army Medical Center, El Paso, TX 79920-5001 | 2012-06-21 |
| 1285922153 | Angela M Minton | Counselor | 5005 North Piedras Street, El Paso, TX 79920 | 2011-07-13 |
| 1063728277 | Marie Lulette Pinto Fermil | Optometrist | 5005 North Piedras Street, El Paso, TX 79920 | 2010-08-25 |
| 1326195108 | Warren Le Eric Alexander | Internal Medicine | 5005 North Piedras Street, El Paso, TX 79920 | 2007-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518512607 | Haley Yaw | Student in an Organized Health Care Education/Training Program | 5005 North Piedras Ave, El Paso, TX 79920 | 2019-08-06 |
| 1225521636 | Kelsea Killin | Student in an Organized Health Care Education/Training Program | Wbamc/dom/gme, 5005 N Piedras Street, El Paso, TX 79920 | 2018-06-11 |
| 1891216594 | Timothy C Gilligan | Student in an Organized Health Care Education/Training Program | Attn: Mchm-dos-gsr, Wbamc, 5005 N. Piedras St, El Paso, TX 79920 | 2017-07-03 |
| 1285180893 | Adelina Ibanez | Dental Assistant | 5005 N. Piedras St. 2nd Floor Rm 2112, William Beaumont Army Medical Center, El Paso, TX 79920 | 2016-09-01 |
| 1740657907 | Sondra Reynolds | Social Worker | 505 N Piedras St, El Paso, TX 79920 | 2015-08-24 |
| 1407279557 | Therese Hadden | Social Worker | 2489 Ricker Road, El Paso, TX 79920 | 2014-01-27 |
| 1265710032 | Courtney Rose Usry | Internal Medicine | 5005 N Piedras St., El Paso, TX 79920 | 2011-07-28 |
| 1760789010 | Debra Dianca Ingle-munoz | Social Worker | Wbamc, 5005 N. Piedras, El Paso, TX 79920 | 2011-02-23 |
| 1467688325 | Silvia Ursula Green | Radiology | 5005 N. Piedras Strees, El Paso, TX 79920 | 2009-06-05 |
| 1184803058 | Nora Dougan Hussey | Family Medicine | 5505 North Piedras St, William Beaumont Army Medical Center, El Paso, TX 79920 | 2007-10-29 |
| Find all providers in zip 79920 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851909600 | Maria Ethel Aguirre Flores | Student in an Organized Health Care Education/Training Program | 4801 Alberta Av., El Paso, TX 79905 | 2020-07-17 |
| 1417575226 | Sharon Joseph | Student in an Organized Health Care Education/Training Program | 4011 Alabama St Apt 4307, El Paso, TX 79930-2426 | 2020-07-08 |
| 1508482761 | Jonathan M Kittle | Student in an Organized Health Care Education/Training Program | 5005 N Pideras Street, El Paso, TX 79920-5001 | 2020-06-23 |
| 1588287551 | Aditi Singh | Student in an Organized Health Care Education/Training Program | 945 S Mesa Hills Dr Apt 1811, El Paso, TX 79912-5189 | 2020-05-25 |
| 1093337917 | Amar Rajiv Patel | Student in an Organized Health Care Education/Training Program | 4800 Alberta Ave # Msc41007, El Paso, TX 79905-2709 | 2020-05-13 |
| 1306475363 | David Gustafson | Student in an Organized Health Care Education/Training Program | 900 Myrtle Ave Apt 2309, El Paso, TX 79901-1673 | 2020-04-02 |
| 1164050472 | Mitalie Gupta | Student in an Organized Health Care Education/Training Program | 6044 Gateway Blvd E Fl 9, El Paso, TX 79905-2023 | 2020-03-31 |
| 1336777853 | Madison Nicholle Fringer | Student in an Organized Health Care Education/Training Program | 1700 N Oregon St Ste 570, El Paso, TX 79902-3587 | 2020-03-30 |
| 1326676842 | Michael Davis | Student in an Organized Health Care Education/Training Program | 10301 Gateway Blvd W Ste 100, El Paso, TX 79925-7701 | 2020-03-30 |
| 1316578560 | Roxann Alexis Lerma | Student in an Organized Health Care Education/Training Program | 415 S Mesa Hills Dr Apt 1086, El Paso, TX 79912-5476 | 2020-01-27 |
| Find all providers in EL PASO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.