MR. JAMES POWELL ELLIS (NPI# 1306850151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306850151 |
| Entity Type | Individual |
| Full Name | MR. JAMES POWELL ELLIS |
| Credential | PA |
| Practice Address |
3001 Green Bay Rd North Chicago IL 60064-3048 |
| Mailing Address |
10445 W Waldo Ave Beach Park IL 60099-3668 |
| Practice Telephone | 8476881900 |
| Mailing Telephone | 8478720427 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
881023 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| 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 |
3001 GREEN BAY RD |
| City | NORTH CHICAGO |
| State | IL |
| Zip Code | 60064-3048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386640290 | Shakira Ife Brown | Pharmacist | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2005-06-24 |
| 1023628609 | Michelle Therese Dubil | Social Worker | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2020-08-07 |
| 1710504758 | Todd David Johnson | Student in an Organized Health Care Education/Training Program | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2020-06-25 |
| 1033735022 | Piotr Pawel Krolikowski | Internal Medicine | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2020-06-25 |
| 1457977555 | Cortney Muns | Clinical Nurse Specialist | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2020-06-24 |
| 1962028241 | Samantha Lynn Tuminaro | Social Worker | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2020-06-22 |
| 1003432485 | Sara Elise Ringle | Registered Nurse | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2020-06-22 |
| 1609492065 | Kaylee Elizabeth Caniff | Pharmacist | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2020-06-22 |
| 1821613761 | Ana R Tomlinson | Registered Nurse | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2020-06-16 |
| 1760007702 | William Joel Shumaker | Registered Nurse | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2020-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356964084 | Corbin Paul Edmondson | Student in an Organized Health Care Education/Training Program | 3333 Greenbay Rd, North Chicago, IL 60064 | 2020-05-28 |
| 1881247534 | Aravind Reddy Kuchkuntla | Internal Medicine | 333 Greenbay Road, North Chicago, IL 60064 | 2019-07-22 |
| 1447721121 | Elise Teichman | Nurse Practitioner | 3001 Green Bat Rd, North Chicago, IL 60064 | 2018-12-06 |
| 1841711397 | Abhinav Kumar Nadipalli | Internal Medicine | 3333 Greenbay Road, North Chicago, IL 60064 | 2017-07-05 |
| 1376082503 | A Plus Untited Taxi Limosine | Taxi | 1721 Sheridan Rd, Suite C, North Chicago, IL 60064 | 2017-02-21 |
| 1003351503 | Jacob S Lewis, Dmd, P.C. | Dentist | 2233 Greenbay Rd, North Chicago, IL 60064 | 2016-12-20 |
| 1730635095 | Siva Rama Krishna Cheetirala | Internal Medicine | Rosalind Franklin University of Medicine and Sciences, 3333 Green Bay Road, North Chicago, IL 60064 | 2016-08-28 |
| 1669869764 | Benjamin Pittman | Military Health Care Provider | Uss Tranquility (bhc 1007), Capt James A Lovell Federal Health Care Center, North Chicago, IL 60064 | 2015-04-16 |
| 1013315068 | Rene Garcia Cantu Jr. | Military Health Care Provider | Captain James A. Lovell Federal Health Care Center, 3001 Green Bay Road, North Chicago, IL 60064 | 2014-12-08 |
| 1134521669 | Seyed Kamran Hejazi Kenari | Internal Medicine | 3001 Green Bay Rd Bldg 133, North Chicago, IL 60064 | 2014-09-16 |
| Find all providers in zip 60064 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730639451 | Kristen Abbi Fregoso | Physician Assistant | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2016-10-05 |
| 1275645509 | Stephen Forest Steepleton | Physician Assistant | 3001 Green Bay Rd, Dept. of Medicine, North Chicago, IL 60064-3048 | 2006-08-31 |
| 1730292756 | Janice Shigeko Wilson | Physician Assistant | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2006-08-16 |
| 1437172400 | Julia Kizhner | Physician Assistant | 3001 Green Bay Rd, Primary Care, North Chicago, IL 60064-3048 | 2006-07-25 |
| 1811941313 | Angela Mcgee | Physician Assistant | 3001 Green Bay Rd, Gi Department, North Chicago, IL 60064-3048 | 2006-05-19 |
| 1780634063 | Inna Shusterman | Physician Assistant | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2006-05-10 |
| 1861451692 | Jeanne Marie Robach | Physician Assistant | 3001 Green Bay Rd, Bldg 133-ca; Mail Code 18-b, North Chicago, IL 60064-3048 | 2006-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831707298 | Eliza Ballen | Physician Assistant | 335 Sylvan Rd, Lake Bluff, IL 60044-2562 | 2020-07-21 |
| 1477177947 | Rybecca Janovyak | Physician Assistant | 14432 High Rd, Lockport, IL 60441-9402 | 2020-06-01 |
| 1518591759 | Julie Jenkot | Physician Assistant | 333 N Michigan Ave Fl 14, Chicago, IL 60601-3901 | 2020-02-26 |
| 1801429873 | Hinjal D Jha | Physician Assistant | 22285 N Pepper Rd Ste 409, Lake Barrington, IL 60010-2542 | 2020-02-19 |
| 1770120222 | Alvina Shaikh | Physician Assistant | 4009 Warren Ave, Bellwood, IL 60104-2066 | 2019-12-03 |
| 1457997561 | Jasleen Mohini Singh | Physician Assistant | 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 | 2019-11-24 |
| 1538705272 | Bethany Mae Frisby | Physician Assistant | 8630 W Golf Rd, Niles, IL 60714-5600 | 2019-11-18 |
| 1134761984 | Ella-marie Rakowski | Physician Assistant | 25 Acorn Dr, Hawthorn Woods, IL 60047-7407 | 2019-10-14 |
| 1467001859 | Timothy Omotayo Adesanya | Physician Assistant | Graham Correctional Center, 12078 Illinois Rte 185, Hilliboro, IL 62049 | 2019-09-09 |
| 1518514066 | Victoria Moore | Physician Assistant | 979 W Main St, West Dundee, IL 60118-2088 | 2019-08-20 |
| Find all providers with the same taxonomy | ||||
| City | NORTH CHICAGO |
| Zip Code | 60064 |
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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.