KENNETH R ELLIS (NPI# 1215981022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215981022 |
| Entity Type | Individual |
| Full Name | KENNETH R ELLIS |
| Credential | MD |
| Practice Address |
1213 24th St Suite 300 Anacortes WA 98221-2592 |
| Practice Telephone | 3602932020 |
| Practice Fax Number | 3602990341 |
| Mailing Telephone | 3602932020 |
| Mailing Fax Number | 3602990341 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2008-07-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | MD00041277 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| L AND I | 0163027 | 01 | |
| WA | 8351454 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154403210 | Kenneth Nickolas Ellis | Dentist | 7995 Bellfort St, Houston, TX 77061-1960 | 2006-10-19 |
| 1417973850 | Kenneth J Ellis | Psychologist | 1106 Columbia Ave, Suite 100, Marysville, WA 98270-4335 | 2006-07-15 |
| 1447248133 | Kenneth Ellis | Anesthesiology | 1099 Augusta Falls Way, Naples, FL 34119-1362 | 2005-10-07 |
| 1992212633 | Kenneth Ellis | Case Manager/Care Coordinator | 1802 Hwy 82 West, Crossett, AR 71635 | 2018-01-03 |
| 1700103934 | Kenneth Ray Ellis | Specialist | 2243 Eddie Williams Rd, Johnson City, TN 37601-2872 | 2010-04-28 |
| 1215017694 | Kenneth R Ellis | Psychologist | 5525 Twin Knolls Rd, Suite 327, Columbia, MD 21045-3266 | 2006-10-17 |
| 1114902228 | Kenneth K Ellis | Internal Medicine | 11111 Research Blvd, Suite 390, Austin, TX 78759-5264 | 2005-12-12 |
| Street Address |
1213 24TH ST SUITE 300 |
| City | ANACORTES |
| State | WA |
| Zip Code | 98221-2592 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396171500 | Caroline Joy Roeder | Family Medicine | 1213 24th St, #100, Anacortes, WA 98221 | 2013-09-19 |
| 1780819722 | Susanne Wilhelm | Family Medicine | 1213 24th St, Suite #100, Anacortes, WA 98221-2592 | 2009-05-20 |
| 1245481720 | Public Hospital District No 2 Skagit County Washington | Clinic/Center | 1213 24th St, Suite 100, Anacortes, WA 98221-2592 | 2008-10-02 |
| 1356591077 | Public Hospital District No 2 Skagit County Washington | Clinic/Center | 1213 24th St, Anacortes, WA 98221-2592 | 2008-09-30 |
| 1053470880 | Michael D Sible | Surgery | 1213 24th St, Suite 700, Anacortes, WA 98221-2592 | 2006-12-07 |
| 1528127362 | Island Surgeons Ps Inc | Surgery | 1213 24th St, Suite 700, Anacortes, WA 98221-2592 | 2006-12-07 |
| 1932268760 | Kristine E Schmaltz | Surgery | 1213 24th St, Suite 700, Anacortes, WA 98221-2592 | 2006-12-07 |
| 1780754739 | John R Mathis | Internal Medicine | 1213 24th St, #100, Anacortes, WA 98221-2592 | 2006-11-08 |
| 1093885089 | Marvin Richards | Pediatrics | 1213 24th St, #100, Anacortes, WA 98221-2592 | 2006-11-08 |
| 1821168865 | Kathleen Garde | Obstetrics & Gynecology | 1213 24th St, #100, Anacortes, WA 98221-2592 | 2006-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760035703 | Amber Upchurch | Behavioral Analyst | 2405 28thst, Anacortes, WA 98221 | 2019-07-18 |
| 1508329475 | Sean Elby Kasperbauer-mccool | Massage Therapist | 1010 6th St., Suite A, Anacortes, WA 98221 | 2019-04-09 |
| 1558843524 | Caitlyn Kimble Crowder | Physical Therapist | 1610 Commercial Ave Ste 1-a, Anacortes, WA 98221 | 2018-09-05 |
| 1740731819 | Stanojka Norma Stuart | Speech-Language Pathologist | 6837 Deer Lane, Anacortes, WA 98221 | 2016-10-24 |
| 1447638853 | Island Behavioral Medicine, Ps | Counselor | 3208 K Ave, Anacortes, WA 98221 | 2015-05-18 |
| 1972903615 | Clarence Hugh Jonson | Specialist | 6818 Gibralter Place, Anacortes, WA 98221 | 2014-08-29 |
| 1073939062 | Puget Sound Kidney Centers | Clinic/Center | 809 31st St, Anacortes, WA 98221 | 2014-03-14 |
| 1104161066 | Nancy J. Schafer | Speech-Language Pathologist | 2200 M Avenue, Anacortes, WA 98221 | 2012-12-04 |
| 1063766053 | Ingrid K. Larson Thieman | Pharmacist | 9080 S March Pt Road B4, Anacortes, WA 98221 | 2012-10-30 |
| 1265793723 | Elga Kinnear | Psychologist | 1019 21st Street, Anacortes, WA 98221 | 2012-05-31 |
| Find all providers in zip 98221 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669854022 | North Cascade Eye Associates Ps | Ophthalmology | 1110 12th St, Anacortes, WA 98221-2104 | 2015-06-22 |
| 1629015789 | Linda R Brown | Ophthalmology | 1213 24th St, Suite 300, Anacortes, WA 98221-2592 | 2006-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558991208 | N W Eye Surgeons P C | Ophthalmology | 1221 Madison St Ste 1415, Seattle, WA 98104-1360 | 2020-01-22 |
| 1235628579 | Eyecare Partners, Pllc | Ophthalmology | 22620 Se 4th St Ste 110, Sammamish, WA 98074-7375 | 2018-05-02 |
| 1104325794 | North Cascade Eye Associates Ps | Ophthalmology | 3115 Old Fairhaven Pkwy, Bellingham, WA 98225-8266 | 2018-02-08 |
| 1104355155 | Richard Lee Harman | Ophthalmology | 10101 270th St. Nw, #195, Stanwood, WA 98292 | 2017-06-05 |
| 1427583335 | Burien Medical Eye Care, LLC | Ophthalmology | 13512 Ambaum Blvd Sw Fl 3, Burien, WA 98146-3244 | 2017-04-28 |
| 1013304328 | Parker Faith | Ophthalmology | 3999 Englewood Ave Ste 101, Yakima, WA 98902-6341 | 2015-04-24 |
| 1992199970 | Garrison Patrick Wier | Ophthalmology | 625 4th Ave Ste 301, Kirkland, WA 98033 | 2015-03-26 |
| 1740689728 | Don Pearson | Ophthalmology | 6708 Bridgeport Way W, Lakewood, WA 98499-8115 | 2014-08-15 |
| 1548600372 | Dong-wouk Park | Ophthalmology | 600 Triangle Shopping Ctr Ste 400, Longview, WA 98632-4677 | 2013-06-25 |
| 1073951240 | Maxine Amy Harvey | Ophthalmology | 9040 Jackson Ave Madigan Army Medical Ctr, Tacoma, WA 98431-4504 | 2013-06-11 |
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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.