DR. MICHAEL EDWARD ELLIS (NPI# 1144229782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144229782 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL EDWARD ELLIS |
| Credential | D.C. |
| Practice Address |
1020 N Main St Crossville TN 38555-4091 |
| Practice Telephone | 9314843135 |
| Practice Fax Number | 9314847108 |
| Mailing Telephone | 9314843135 |
| Mailing Fax Number | 9314847108 |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2011-04-01 |
| NPI Deactivation Date | 03/18/2006 |
| NPI Reactivation Date | 2006-04-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
DC0436 | TN | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184288961 | Michael Frederick Ellis | Social Worker | 2913 Pleasant Valley Avenue, Suite 125, Winchester, VA 22601 | 2019-04-26 |
| 1679066286 | Michael Elizabeth Ellis | Behavior Technician | 909 W Main St Ste 4, Jacksonville, AR 72076-4025 | 2018-06-08 |
| 1275023087 | Michael Ellis | Counselor | 3820 Melissa Dr, Harvey, LA 70058 | 2018-05-16 |
| 1174042048 | Michael Ellis | Technician | 215 Savannah St Se Unit A, Washington, DC 20032-5473 | 2017-09-12 |
| 1972986693 | Michael Joseph Ellis | Internal Medicine | 4057 Asbury Ave Ste 21, Tinton Falls, NJ 07753-7700 | 2015-06-30 |
| 1467762393 | Michael Flint Ellis | Counselor | 230 Rachel Carson Way, Ithaca, NY 14850-8401 | 2010-10-13 |
| 1003968983 | Michael Roy Ellis | Dentist | 789 Farmington Ave, Bristol, CT 06010-3919 | 2007-01-18 |
| 1407921638 | Michael Ray Ellis | Dentist | 406 West Upshur Ave, Gladewater, TX 75647 | 2006-11-22 |
| 1003981671 | Michael Alan Ellis | Psychiatry & Neurology | 2000 16th Avenue, Columbus, GA 31901-1665 | 2006-11-21 |
| 1174624951 | Michael Seward Ellis | Social Worker | 107 Windel Dr Ste 213, Raleigh, NC 27609-4471 | 2006-09-26 |
| Street Address |
1020 N MAIN ST |
| City | CROSSVILLE |
| State | TN |
| Zip Code | 38555-4091 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679106306 | North Main Medical, LLC | Family Medicine | 3094 N Mainst, Crossville, TN 38555 | 2020-02-21 |
| 1013566991 | Arehart Enterprises Plc | Anesthesiology | 181 Matherly Street, Crossville, TN 38555 | 2019-09-04 |
| 1194220236 | William Stacy Swafford | Pain Medicine | 181 Matherly St, Crossville, TN 38555 | 2018-03-29 |
| 1871024539 | Adam Hill | Nurse Practitioner | 229 Interstate Dr Ste 103, Crossville, TN 38555 | 2017-03-24 |
| 1568862639 | Happy Hearts Home Care LLC | Home Health | 61 Birchwood Lane, Crossville, TN 38555 | 2014-08-26 |
| 1891072187 | Quality Medical Center, PC | Clinic/Center | 15 Walker Hill Cir, Crossville, TN 38555 | 2011-11-15 |
| 1306137393 | Beatrice L. Durham | Family Medicine | 421 South Main St., Crossville, TN 38555 | 2011-04-25 |
| 1881901353 | Donna Laughter | Licensed Practical Nurse | 1503 South Main St., Crossville, TN 38555 | 2010-09-07 |
| 1922311083 | Carl Thomas Duer Sr. | General Practice | 840 Holiday Dr, Crossville, TN 38555 | 2010-07-19 |
| 1295048445 | Michael Lee Hamby | Pharmacist | 85 Elmore Ave, Crossville, TN 38555 | 2010-07-16 |
| Find all providers in zip 38555 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427229343 | Rowan Chiropractic | Chiropractor | 2193 N Main St, Suite 103, Crossville, TN 38555-6737 | 2008-03-19 |
| 1467410589 | Andrew Charles Rowan | Chiropractor | 28 Fountain Sq, Crossville, TN 38555-8790 | 2006-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548619497 | Detweiler Chiropractic Health Services of Tn, Pllc | Chiropractor | 556 Trinity Creek Cv, Cordova, TN 38018-2279 | 2016-06-10 |
| 1790825149 | Christopher Dale Bennett | Chiropractor | 3018 South Mall Road, Knoxville, TN 37917 | 2007-02-07 |
| 1245392067 | Robert James Bussenger | Chiropractor | 1600 Bonnie Ln Ste 102, Cordova, TN 38016-0510 | 2006-12-15 |
| 1285792929 | Marco E. Castaneda | Chiropractor | 7786 Emory Chase Ln, Knoxville, TN 37918-6147 | 2006-12-05 |
| 1942306253 | Jeffrey Mckinley | Chiropractor | 358 Caldwell St, Mcminnville, TN 37110-2032 | 2006-09-15 |
| 1093826786 | Daniel Steven Giammo | Chiropractor | 11653 Chapman Hwy, Seymour, TN 37865-5099 | 2006-08-31 |
| 1801807698 | Samuel F Messimer | Chiropractor | 501 W Oakland Ave, Suite #3, Johnson City, TN 37604-1666 | 2006-08-10 |
| 1710949722 | Joel W Durham | Chiropractor | 25 Corporate Blvd, Jackson, TN 38305-2314 | 2006-04-05 |
| 1902806201 | Keith Bradford Graves | Chiropractor | 2819 Dogwood Pl, Nashville, TN 37204-3105 | 2005-07-28 |
| 1730631862 | Jenson Elijah Gillette | Chiropractor | 2805 Azalea Pl, Nashville, TN 37204-3117 | 2016-10-24 |
| Find all providers with the same taxonomy | ||||
| City | CROSSVILLE |
| Zip Code | 38555 |
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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.