STEVEN L. ELLIS (NPI# 1255565065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255565065 |
Entity Type | Individual |
Full Name | STEVEN L. ELLIS |
Credential | LD |
Practice Address |
155 Saco Ave Old Orchard Beach ME 04064-1600 |
Practice Telephone | 2079345411 |
Mailing Telephone | 2079345411 |
Enumeration Date | 2009-05-07 |
Last Update Date | 2009-05-07 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 122400000X | Denturist | 5005 | ME | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ME | MAINE CARE | 431742900 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699008011 | Steven Lee Ellis | Optometrist | 142 State Route 35, Eatontown, NJ 07724-1876 | 2009-09-16 |
1588645691 | Steven Edward Ellis | Chiropractor | 57594 Tygh Valley Rd, Suite 2, Tygh Valley, OR 97063-8715 | 2005-11-07 |
1982694246 | Steven Edward Ellis | Dentist | 215 Oak St, Livingston, TN 38570-1726 | 2005-10-26 |
1225031453 | Steven Paul Ellis | Ophthalmology | 123 Franklin Corner Rd, Ste 207, Lawrenceville, NJ 08648-2526 | 2005-05-23 |
1821431123 | Steven Phillip Ellis Jr. | Psychiatry & Neurology | 3801 S National Ave Ste 900, Springfield, MO 65807 | 2013-04-17 |
1841325024 | Steven Ellis | Family Medicine | 7539 Soquel Drive, Aptos, CA 95003-4926 | 2007-02-21 |
1043354269 | Steven Lee Ellis | Emergency Medicine | 4801 Alberta Ave, El Paso, TX 79905-2707 | 2007-02-19 |
1124164504 | Steven A Ellis | Anesthesiology | 1235 E Cherokee St, Springfield, MO 65804-2203 | 2007-01-30 |
1942354246 | Steven Frank Ellis | Otolaryngology | 5370 College Blvd, Suite 100, Overland Park, KS 66211-1891 | 2007-01-23 |
Street Address |
155 SACO AVE |
City | OLD ORCHARD BEACH |
State | ME |
Zip Code | 04064-1600 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679869846 | Old Orchard Beach Family Dentistry | Dentist | 155 Saco Ave, Suite 1, Old Orchard Beach, ME 04064-1600 | 2011-06-24 |
1881827228 | Marina Narowetz | Dentist | 155 Saco Ave, Suite 1, Old Orchard Beach, ME 04064-1600 | 2009-09-02 |
1528086493 | Richard Contois | Dentist | 155 Saco Ave, Old Orchard Beach, ME 04064 | 2006-07-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336648047 | James Randol Gilooly | Social Worker | 13 Bay Ave., Unit C, Old Orchard Beach, ME 04064 | 2018-02-08 |
1942521851 | Lourie Ann Swimm | Nurse Practitioner | 77 Saco Ave, Old Orchard Beach, ME 04064 | 2010-06-15 |
1144364746 | Beth A Madden | Internal Medicine | 1 Granny Smith Court, Old Orchard Beach, ME 04064 | 2007-02-16 |
1972093011 | Seaside Family Health Care LLC Pa | Nurse Practitioner | 77 Saco Ave, Old Orchard Beach, ME 04064 | 2018-05-15 |
1316236300 | Suzanne G Roberts | Internal Medicine | 1 Granny Smith Court, Old Orchard Beach, ME 04064 | 2011-03-31 |
1740424795 | Monica Michelle Lovecky | Developmental Therapist | 62 Washington Ave, Old Orchard Beach, ME 04064 | 2009-04-21 |
1568643401 | Kevin M Locke | Pharmacist | 2 Marine Dr, Old Orchard Beach, ME 04064-1022 | 2007-11-20 |
1326258138 | James Robert Spencer | Physical Therapist | 18 Smithwheel Rd, Old Orchard Beach, ME 04064-1034 | 2007-05-23 |
1114348778 | Grace Giroux I | Counselor | 18 Rockland Dr, Old Orchard Beach, ME 04064-1056 | 2013-12-30 |
1043551765 | Debra D Guarino | Counselor | 156 Ross Rd, Old Orchard Beach, ME 04064-1197 | 2013-03-05 |
Find all providers in zip 04064 |
Taxonomy Code | 122400000X |
Grouping | Dental Providers |
Classification | Denturist |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134647043 | Queen City Dentures and Partials, LLC | Denturist | 289 West Broadway, Lincoln, ME 04401-5932 | 2017-08-31 |
1134652142 | Gary Hughes | Denturist | 190 State St, Presque Isle, ME 04769-2656 | 2017-04-06 |
1962944645 | Lindsey April Young | Denturist | 477 N Searsport Rd, Prospect, ME 04981-3401 | 2016-11-10 |
1730639311 | Kathleen Ann Coward | Denturist | 1200 Main Street, Sanford, ME 04073 | 2016-10-07 |
1316285067 | Beatrice R Tokayer | Denturist | 291 Alfred St, Biddeford, ME 04005-3155 | 2013-01-30 |
1164714812 | Standish Denture Center LLC | Denturist | 178 Cape Rd, Standish, ME 04084-6147 | 2011-05-12 |
1841581873 | Denture Crafters LLC. | Denturist | 647 Us Route 1 Ste 107, York, ME 03909-1689 | 2011-04-25 |
1548587819 | John Freeman Merrill | Denturist | 1075 Stage Rd, Etna, ME 04434 | 2010-04-27 |
1346567062 | Robert D Palermo | Denturist | 54 York St, Kennebunk, ME 04043-7157 | 2010-04-21 |
1417287244 | Kelly Carbone | Denturist | 980 Forest Ave Ste 104, Portland, ME 04103-3357 | 2009-12-29 |
Find all providers with the same taxonomy |
City | OLD ORCHARD BEACH |
Zip Code | 04064 |
Please comment or provide details below to improve the information on STEVEN L. ELLIS.
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.