MRS. MARCIA ELLIS (NPI# 1275611261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275611261 |
| Entity Type | Individual |
| Full Name | MRS. MARCIA ELLIS |
| Credential | PA |
| Practice Address |
1903 W Michigan Ave Sindecuse Health Center, Western Michigan University Kalamazoo MI 49008-5200 |
| Mailing Address |
1903 W Michigan Ave Kalamazoo MI 49008-5200 |
| Practice Telephone | 2693873287 |
| Practice Fax Number | 2693872944 |
| Mailing Telephone | 2693873290 |
| Mailing Fax Number | 2693872944 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2008-12-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5601001043 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS GROUP | 0C94735 | 01 | |
| BLUE CROSS BLUE SHIELD | 0853911010 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265688022 | Marcia Mary Ellis | Occupational Therapist | 12006 Misty Brook Ct, Tampa, FL 33635-6259 | 2008-08-13 |
| 1316122047 | Marcia Marie Ellis | Licensed Practical Nurse | 184 Trenchard St, Yonkers, NY 10704-2243 | 2007-12-31 |
| 1659599629 | Marcia Nichols Ellis | Counselor | 1722 S. Glenstone Ave, Ste H, Springfield, MO 65804 | 2007-04-23 |
| 1811026610 | Marcia Ellis | Nurse Practitioner | 3260 E Woodmen Rd Ste 210, Colorado Springs, CO 80920-3587 | 2007-03-05 |
| 1821174913 | Marcia P Ellis | Psychologist | 4482 Market St Ste 408, Ventura, CA 93003-7780 | 2006-10-31 |
| 1063553279 | Marcia B Ellis | Occupational Therapist | 34921 Us Highway 19 N, Palm Harbor, FL 34684-1969 | 2007-02-09 |
| 1366537664 | Marcia K Ellis | Audiologist | 3126 Wilmington Rd, New Castle, PA 16105 | 2006-10-03 |
| 1801877196 | Marcia K Ellis | Physical Therapist | 5501 N Oracle Rd, Tucson, AZ 85704-3829 | 2005-11-14 |
| Street Address |
1903 W MICHIGAN AVE SINDECUSE HEALTH CENTER, WESTERN MICHIGAN UNIVERSITY |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49008-5200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639151871 | Eric L Lean | Family Medicine | 1903 W Michigan Ave, Kalamazoo, MI 49008-5200 | 2005-11-15 |
| 1285285460 | Theresa Chacon | Specialist/Technologist | 1903 W Michigan Ave, Kalamazoo, MI 49008-5200 | 2019-09-27 |
| 1144871880 | Tasuku Kurane | Specialist/Technologist | 1903 W Michigan Ave, Kalamazoo, MI 49008-5200 | 2019-09-24 |
| 1942710306 | Kyle Donovan Schiller | Specialist/Technologist | 1903 W Michigan Ave, Kalamazoo, MI 49008-5200 | 2017-10-11 |
| 1083150692 | Daniel Raymond Walen | Specialist/Technologist | 1903 W Michigan Ave, Kalamazoo, MI 49008-5200 | 2017-01-06 |
| 1649713819 | Western Michigan University Psychological Assessment and Treatment Ser | Behavioral Analyst | 1903 W Michigan Ave, Kalamazoo, MI 49008-5200 | 2016-11-21 |
| 1275085714 | Kayla Brown | Rehabilitation Practitioner | 1903 W Michigan Ave, Eicher 420, Kalamazoo, MI 49008-5200 | 2016-11-01 |
| 1376093492 | Nicholas Hartwigsen | Specialist/Technologist | 1903 W Michigan Ave, Kalamazoo, MI 49008-5200 | 2016-10-13 |
| 1174997563 | Jake Edward Kuipers | Specialist/Technologist | 1903 W Michigan Ave, Health and Human Performance, Kalamazoo, MI 49008-5200 | 2015-11-23 |
| 1801268446 | David Joseph Rhodes | Student in an Organized Health Care Education/Training Program | 1903 W Michigan Ave, Kalamazoo, MI 49008-5200 | 2015-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144847534 | Theresa Anne Aranda | Pharmacist | 3016 S Westendge Ave, Kalamazoo, MI 49008 | 2020-07-01 |
| 1336615830 | Jonathon Strefling | Physical Therapist | 165 N. Washington Ave, Battle Creek, MI 49008 | 2018-10-23 |
| 1376039826 | Alexander J Hessler I | Pharmacist | 5121 S Westnedge Ave., Kalamazoo, MI 49008 | 2018-07-09 |
| 1700324415 | Philip Richard Granish | Psychologist | 4341 S. Westnedge, Suite 1103, Kalamazoo, MI 49008 | 2017-02-02 |
| 1396195863 | Kyle Bronsteen | Student in an Organized Health Care Education/Training Program | Wmu School of Medicine, 1000 Oakland Drive, Kalamazoo, MI 49008 | 2016-06-15 |
| 1013363449 | Gwendolyn Layette Moore | Home Health Aide | 4441 Old Colony Road, Kalamazoo, MI 49008 | 2016-05-04 |
| 1982008066 | Danah Kim | Dentist | 3130 N Westnedge Ave., Kalamazoo, MI 49008 | 2014-10-17 |
| 1598168874 | Melissa Shields | Physician Assistant | Western Michigan University, 1903 Western Michigan Avenue, Kalamazoo, MI 49008 | 2014-10-01 |
| 1831508548 | D2 Dental of Michigan, P.C. | Dentist | 3130 S Westnedge Avenue, Kalamazoo, MI 49008 | 2014-08-06 |
| 1558784330 | Maureen Brown | Pharmacist | 5121 S. Westnedge Ave, Kalamazoo, MI 49008 | 2014-01-29 |
| Find all providers in zip 49008 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073057725 | Zachary Turk Harling | Physician Assistant | 2340 Waite Ave, Kalamazoo, MI 49008-1722 | 2016-12-15 |
| 1063961860 | Christine Murphy Lee | Physician Assistant | 6565 West Main St, Westside Family Medical Center, P.c, Kalamazoo, MI 49009 | 2016-09-22 |
| 1831470285 | Kalmazoo Gastroenterology Hepatology and Digestive Health Center | Physician Assistant | 1535 Gull Rd Ste 105, Kalamazoo, MI 49048-1630 | 2011-08-30 |
| 1922321322 | Lisa Marie Cotten | Physician Assistant | 4658 Silverleaf Ln, Kalamazoo, MI 49004-3179 | 2010-03-12 |
| 1043457534 | Carrie Ann Assenmacher | Physician Assistant | 1820 Shaffer Street, Kalamazoo, MI 49048-1604 | 2009-01-21 |
| 1801083126 | Jaclyn Frances Stoddard | Physician Assistant | 6565 West Main St., Kalamazoo, MI 49009 | 2007-10-01 |
| 1811085475 | James Bryon Newton | Physician Assistant | 4249 Pine Knoll Ave, Kalamazoo, MI 49004-9506 | 2006-10-10 |
| 1164490207 | William J Klerk Jr. | Physician Assistant | 1820 Shaffer St, Kalamazoo, MI 49048-1604 | 2006-03-14 |
| 1912999012 | Wayne Gerard Augustyniak | Physician Assistant | 2889 South 11th Street, Kalamazoo, MI 49009-2123 | 2005-08-16 |
| 1700880200 | Joseph Williams | Physician Assistant | 4613 W Main St, Ste. B, Kalamazoo, MI 49006-2645 | 2005-06-13 |
| Find all providers in KALAMAZOO | ||||
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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.