DAVID A. ELLIS (NPI# 1184711426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184711426 |
| Entity Type | Individual |
| Full Name | DAVID A. ELLIS |
| Credential | M.D. |
| Practice Address |
2530 Ne Kresky Ave Ste C Chehalis WA 98532-2406 |
| Practice Telephone | 3609964028 |
| Practice Fax Number | 3609964698 |
| Mailing Telephone | 3609964028 |
| Mailing Fax Number | 3609964698 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2017-10-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD00028509 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1108828 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730726571 | David Ellis | Pharmacist | 22317 57th Ave, Oakland Gardens, NY 11364-2041 | 2019-11-27 |
| 1790349769 | David Ellis | Student in an Organized Health Care Education/Training Program | 20000 N 57th Ave Rm K201, Glendale, AZ 85308-6988 | 2019-04-25 |
| 1609122480 | David Ellis | Chiropractor | 3200 Traders Way Ste C, Winnemucca, NV 89445-3683 | 2012-07-30 |
| 1518265479 | David D Ellis | Counselor | 89 Linwood Rd, Lynn, MA 01905-1639 | 2011-03-02 |
| 1033374285 | David William Ellis | Family Medicine | 4201 Colgate Ave, Dallas, TX 75225-6604 | 2008-07-26 |
| 1053451476 | David Welford Ellis | Clinical Neuropsychologist | 325 Route 45, Salem, NJ 08079-2045 | 2007-02-07 |
| 1487738928 | David Paul Ellis | Anesthesiology | 1226 N Shartel Ave, Suite 300, Oklahoma City, OK 73103 | 2006-10-24 |
| 1841397007 | David Chad Ellis | Dentist | 2524 Highway 41 S, Greenbrier, TN 37073-4544 | 2006-09-20 |
| 1386748747 | David Williams Ellis | General Practice | 192 W Center St, Millersburg, PA 17061-1314 | 2006-09-07 |
| 1366452252 | David L Ellis | Physical Therapist | 115 S Murchison St, Athens, TX 75751-2662 | 2006-08-09 |
| Street Address |
2530 NE KRESKY AVE STE C |
| City | CHEHALIS |
| State | WA |
| Zip Code | 98532-2406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275140832 | Joshua Russell Wachter | Registered Nurse | 275 W. Vine St., Napavine, WA 98532 | 2020-09-28 |
| 1891339123 | Dara Casey | Technician | 271-1 Romerman Rd, Chehalis, WA 98532 | 2019-10-30 |
| 1265997704 | April D Bacongco | Counselor | 500 Se Washington St, Chehalis, WA 98532 | 2019-02-08 |
| 1235610155 | Alyssa Dawn Ware | Physical Therapist | 1441 Kresky Ave, Chehalis, WA 98532 | 2018-08-28 |
| 1609365238 | American Behavioral Health Systems, Inc. | Substance Abuse Rehabilitation Facility | 500 Se Adams Ave, Chehalis, WA 98532 | 2018-05-09 |
| 1043709314 | Kevin Bumatay Duran | Family Medicine | 931 S. Market Blvd, Chehalis, WA 98532 | 2018-05-02 |
| 1164922324 | William I. Mcmillan | Counselor | 121 Nw Chehalis St., Chehalis, WA 98532 | 2018-02-14 |
| 1285155366 | Great Rivers Behavioral Health Organization | Community/Behavioral Health | 57 W Main Street, Suite 260, Chehalis, WA 98532 | 2017-06-29 |
| 1396273637 | Misty Anne Glenn | Counselor | 121 Nw Chehalis Ave, Chehalis, WA 98532 | 2017-05-31 |
| 1841726221 | Dodi Forgione | Counselor | 2401 Ne Kresky Ave Ste D, Chehalis, WA 98532 | 2017-05-04 |
| Find all providers in zip 98532 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043709314 | Kevin Bumatay Duran | Family Medicine | 931 S. Market Blvd, Chehalis, WA 98532 | 2018-05-02 |
| 1073064580 | Brenda Polite | Family Medicine | 210-43 Devereese Rd, Chehalis, WA 98532-9049 | 2016-10-19 |
| 1528367620 | Leah Christine Sangalang Uy | Family Medicine | 931 South Market Blvd, Chehalis, WA 98532-3423 | 2011-03-15 |
| 1104016138 | Marys Corner Medical Clinic Inc. Ps | Family Medicine | 4254 Jackson Highway, Chehalis, WA 98532 | 2007-07-26 |
| 1811057870 | Simon Elloway | Family Medicine | 155 N Market Blvd, Chehalis, WA 98532-2623 | 2006-12-11 |
| 1831208057 | Jeanne M Adams | Family Medicine | 176 Ne School St, Chehalis, WA 98532-2640 | 2006-08-30 |
| 1831170158 | Kay Michelle Brooks | Family Medicine | 4254 Jackson Hwy, Chehalis, WA 98532-8424 | 2005-11-14 |
| 1588654727 | David Wooten Jr. | Family Medicine | 123 S Market Blvd, Chehalis, WA 98532-3037 | 2005-10-27 |
| 1407319874 | Brianna Nicole Sexton | Family Medicine | 931 S Market Blvd, Chehalis, WA 98532-3423 | 2019-04-11 |
| 1437637048 | Amber Snelson Kelly | Family Medicine | 151 Ne Hampe Way, Chehalis, WA 98532-2403 | 2018-08-06 |
| Find all providers in CHEHALIS | ||||
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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.