JAMES TIMOTHY ELLIS (NPI# 1225691892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225691892 |
| Entity Type | Individual |
| Full Name | JAMES TIMOTHY ELLIS |
| Practice Address |
2213 Cherry Street Acc, 1st Floor Toledo OH 43608 |
| Practice Telephone | 4192516596 |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2019-04-18 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477183754 | James Bradley Ellis | Social Worker | 1306 67th St Nw, Fort Payne, AL 35967-8306 | 2020-01-25 |
| 1407103203 | James Clayton Ellis | Dentist | 1710 Highland Dr, Prosser, WA 99350-1517 | 2012-08-10 |
| 1285875856 | James Madison Ellis | Emergency Medicine | 7 Independence Pt, Ste 100, Greenville, SC 29615-4566 | 2009-03-11 |
| 1336295278 | James Andrew Ellis | Chiropractor | 705 Hill Rd N, Pickerington, OH 43147-8592 | 2007-01-25 |
| 1962554915 | James Scott Ellis | Orthopaedic Surgery | 2909 South Hampton Rd, Suite D107, Dallas, TX 75224 | 2007-01-18 |
| 1457408494 | James Cobb Ellis | Dentist | 801 N Elm St, Henderson, KY 42420-2705 | 2007-01-04 |
| 1497855282 | James R Ellis | Dentist | 3291 Stanford Ranch Rd, Ste. 102, Rocklin, CA 95765 | 2006-09-22 |
| 1073524435 | James Morton Ellis | Dentist | 706 39th St W, Bradenton, FL 34205-2454 | 2006-08-11 |
| 1285645374 | James R Ellis | Nurse Practitioner | 425 Stanaford Rd, Beckley, WV 25801-3145 | 2006-08-11 |
| 1962435800 | James Stephen Ellis | Ophthalmology | 626 1st St, Macon, GA 31201-2805 | 2006-07-07 |
| Street Address |
2213 CHERRY STREET ACC, 1ST FLOOR |
| City | TOLEDO |
| State | OH |
| Zip Code | 43608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205832573 | John C Mareska | Psychiatry & Neurology | 2213 Cherry Street, Suite 304-acc, Toledo, OH 43616 | 2005-06-22 |
| 1730700832 | Madeeha Shafqat | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street, Toledo, OH 43608 | 2020-04-29 |
| 1720644909 | Nishay Tariq | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street, Toledo, OH 43608 | 2019-05-14 |
| 1417444308 | Tricia Kim | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street, Acc, 1st Floor, Toledo, OH 43608 | 2018-04-17 |
| 1679070445 | Shyam Murali | Emergency Medicine | 2213 Cherry Street, Acc, 1st Floor, Toledo, OH 43608 | 2018-04-09 |
| 1922503051 | Matthew Michael Syverson | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street, Acc, 1st Floor, Toledo, OH 43608 | 2018-03-29 |
| 1598260549 | Edmond John Douglas Fenton | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street, Acc, 1st Floor, Toledo, OH 43608 | 2018-03-29 |
| 1053816330 | Robert Clifford Deveny | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street, Acc, 1st Floor, Toledo, OH 43608 | 2018-03-28 |
| 1922503424 | Sierra Camille Burden | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street, Acc, 1st Floor, Toledo, OH 43608 | 2018-03-27 |
| 1346744711 | Angeline Marie Owens | Emergency Medicine | 2213 Cherry Street, Acc 1st Floor, Toledo, OH 43608 | 2018-03-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972126167 | Gunbir Singh | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street, Acc Building, 1st Floor, Mercy St., Toledo, OH 43608 | 2020-05-21 |
| 1285257600 | Srikanth Popuri | Student in an Organized Health Care Education/Training Program | 2213 Cherry St Acc Building 1st Floor, Mercy St Vincent Medical Center, Toledo, OH 43608 | 2020-05-20 |
| 1003438961 | Krishna Chaudhary | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street, Acc Building, 1st Floor, Mercy St. Vincent Medical Center, Toledo, OH 43608 | 2020-05-14 |
| 1538780440 | Abdul Baqi | Student in an Organized Health Care Education/Training Program | Mercy Health-st. Vincent's Medical Center, 2213 Cherry Street, Toledo, OH 43608 | 2020-05-01 |
| 1538780556 | Abid Nawaz Khan Adil | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street 1st Floor Acc, Mercy Health St Vincent Medical Center, Toledo, OH 43608 | 2020-04-30 |
| 1578184750 | E Chin Mak | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street, 1st Floor, Mercy St Vincent Medical Center, Ambulatory Care Center, Toledo, OH 43608 | 2020-04-29 |
| 1184244618 | Ghulam Mujtaba Ghumman | Student in an Organized Health Care Education/Training Program | Mercy Health St Vincent Medical Center, 2213 Cherry St Acc 1st Floor, Topedo, OH 43608 | 2020-04-24 |
| 1841853694 | Casey Clark | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street, Ambulatory Care Center 1st Floor, Toledo, OH 43608 | 2019-04-17 |
| 1164910899 | Israr Ul Haq | Student in an Organized Health Care Education/Training Program | Mercy St. Vincent Medical Center, 2213 Cherry St., Toledo, OH 43608 | 2018-04-27 |
| 1124516380 | Alexander Payvandi | Student in an Organized Health Care Education/Training Program | 2213 Cherry St Fl, Toledo, OH 43608 | 2018-04-24 |
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| 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 |
|---|---|---|---|---|
| 1194339168 | Chao Chun George Chang | Student in an Organized Health Care Education/Training Program | 3000 Arlington Ave. Mail Stop 1068, Department of Pathology, Toledo, OH 43614 | 2020-09-07 |
| 1578172359 | Hebah Al Absi | Student in an Organized Health Care Education/Training Program | 2109 Hughes Dr. Conrad Jobst Tower, Floor E, Toledo, OH 43606 | 2020-07-28 |
| 1699390617 | Morgan Cheyenne Cutting | Student in an Organized Health Care Education/Training Program | 1177 Treetop Ct, Toledo, OH 43615-6787 | 2020-06-15 |
| 1487278594 | Daniel Mark Barnett | Student in an Organized Health Care Education/Training Program | 2109 Hughes Dr., Jobst Tower, Floor E, Toledo, OH 43606 | 2020-06-04 |
| 1972126167 | Gunbir Singh | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street, Acc Building, 1st Floor, Mercy St., Toledo, OH 43608 | 2020-05-21 |
| 1285257600 | Srikanth Popuri | Student in an Organized Health Care Education/Training Program | 2213 Cherry St Acc Building 1st Floor, Mercy St Vincent Medical Center, Toledo, OH 43608 | 2020-05-20 |
| 1003438961 | Krishna Chaudhary | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street, Acc Building, 1st Floor, Mercy St. Vincent Medical Center, Toledo, OH 43608 | 2020-05-14 |
| 1538780440 | Abdul Baqi | Student in an Organized Health Care Education/Training Program | Mercy Health-st. Vincent's Medical Center, 2213 Cherry Street, Toledo, OH 43608 | 2020-05-01 |
| 1538780556 | Abid Nawaz Khan Adil | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street 1st Floor Acc, Mercy Health St Vincent Medical Center, Toledo, OH 43608 | 2020-04-30 |
| 1578184750 | E Chin Mak | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street, 1st Floor, Mercy St Vincent Medical Center, Ambulatory Care Center, Toledo, OH 43608 | 2020-04-29 |
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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.