DR. THOMAS J ELLIS (NPI# 1326030354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326030354 |
| Entity Type | Individual |
| Full Name | DR. THOMAS J ELLIS |
| Credential | MD |
| Practice Address |
1204 E Fire Tower Rd Ecu Physicians Family Medicine Firetower Medical Office Greenville NC 27858-4196 |
| Mailing Address |
Po Box 751069 Charlotte NC 28275-1069 |
| Practice Telephone | 2527441122 |
| Practice Fax Number | 2527441133 |
| Mailing Telephone | 2527443253 |
| Mailing Fax Number | 2527443194 |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2011-11-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 9400483 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS NC | 30618 | 01 |
| NC | RAILROAD MEDICARE | 80110816 | 01 |
| NC | 8930618 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275720997 | Thomas Shawn Ellis | Psychologist | 1240 California St Apt 3, San Francisco, CA 94109-5060 | 2007-09-26 |
| 1700893054 | Thomas Charles Ellis | Chiropractor | 122 Mulberry Ln, Wilson, OK 73463-6203 | 2006-08-01 |
| 1942797436 | Thomas Ellis | Behavior Technician | 90 Carando Dr, Springfield, MA 01104-4205 | 2018-04-19 |
| 1659736676 | Thomas Edward Ellis | Psychologist | 12301 Main St, The Menninger Clinic, Houston, TX 77035-6207 | 2015-12-17 |
| 1144357542 | Thomas Matthew Ellis | Counselor | 1133 Grand Ave, Saint Paul, MN 55105-2629 | 2007-02-27 |
| 1922151240 | Thomas R. Ellis | Anesthesiology | 450 Sutter Street, San Francisco, CA 94108-4206 | 2007-01-19 |
| 1689731242 | Thomas W. Ellis | Emergency Medicine | 7777 Hennessy Blvd, Baton Rouge, LA 70808-4300 | 2007-01-03 |
| 1235234428 | Thomas J Ellis | Orthopaedic Surgery | 101 Regent Ct, State College, PA 16801-7965 | 2006-09-13 |
| 1427163039 | Thomas W Ellis | Nurse Practitioner | 5202 Miller Rd, Flint, MI 48507-1040 | 2006-08-21 |
| 1124036645 | Thomas James Ellis | Orthopaedic Surgery | 4605 Sawmill Rd, Upper Arlington, OH 43220-2246 | 2006-08-03 |
| Street Address |
1204 E FIRE TOWER RD ECU PHYSICIANS FAMILY MEDICINE FIRETOWER MEDICAL OFFICE |
| City | GREENVILLE |
| State | NC |
| Zip Code | 27858-4196 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144691528 | Marissa F Kleffman Underwood | Nurse Practitioner | 1204 E Fire Tower Rd, Greenville, NC 27858-4196 | 2015-10-12 |
| 1982929949 | David Russell Gilbert Jr. | Family Medicine | 1204 E Fire Tower Rd, Greenville, NC 27858-4196 | 2010-04-02 |
| 1043447410 | Celeste T. Jackson | Family Medicine | 1204 E Fire Tower Rd, Ecu Physicians Firetower Medical Office, Greenville, NC 27858-4196 | 2009-06-12 |
| 1831353093 | Deepti Sharma | Family Medicine | 1204 E Fire Tower Rd, Greenville, NC 27858-4196 | 2008-07-16 |
| 1336348093 | Qing Cao | Family Medicine | 1204 E Fire Tower Rd, Ecu Physicians Family Medicine Firetower Medical Office, Greenville, NC 27858-4196 | 2007-07-13 |
| 1124145214 | Audie C Florida | Family Medicine | 1204 E Fire Tower Rd, Greenville, NC 27858-4196 | 2007-03-23 |
| 1013072511 | Sean Pumphrey | Social Worker | 1204 E Fire Tower Rd, Ecu Physicians Firetower Medical Office, Greenville, NC 27858-4196 | 2006-12-26 |
| 1588607634 | Tiffany Buck Langston | Nurse Practitioner | 1204 E Fire Tower Rd, Ecu Physicians Family Medicine, Greenville, NC 27858-4196 | 2006-06-14 |
| 1548209489 | Denis Brunt | Physical Therapist | 1204 E Fire Tower Rd, Greenville, NC 27858-6179 | 2006-06-06 |
| 1841248358 | East Carolina University | Family Medicine | 1204 E Fire Tower Rd, Greenville, NC 27858-4196 | 2006-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740890797 | Kari Melissa Carr | Counselor | 4410 Health Sciences Building, Greenville, NC 27858 | 2020-08-05 |
| 1518584705 | Apriann Marchelle Sutton | Social Worker | 2050 Eastgate Dr., # E, Greenville, NC 27858 | 2020-07-03 |
| 1174145338 | Matthew Charles Whited | Psychologist | Pass Clinic Rawl Building Room 311, East Carolina University, Greenville, NC 27858 | 2020-05-11 |
| 1760025043 | Brooke Elizabeth Wallace | Occupational Therapist | 740 Greenville Blvd, Ste 400 #133, Greenville, NC 27858 | 2019-10-19 |
| 1770141699 | Andrew Pickett | Specialist/Technologist | 130b Scales Field House, Ecu, Greenville, NC 27858 | 2019-06-05 |
| 1659836591 | Advanced Regenerative Care, Pllc | Physical Medicine & Rehabilitation | 504 C Red Banks Road, Greenville, NC 27858 | 2019-02-05 |
| 1316410996 | East Carolina Acupuncture Inc | Acupuncturist | 211 Commerce Street, Suite A, Greenville, NC 27858 | 2019-01-07 |
| 1922597368 | Kevin Westbrook | Respiratory Therapist, Registered | 513 Abington Court, Greenville, NC 27858 | 2018-05-01 |
| 1871090167 | Faith Based Counseling Services, LLC | Counselor | 235 Commerece Street, Greenville, NC 27858 | 2018-04-12 |
| 1639677800 | Marcus Brian Ward, Dmd, Pa | Clinic/Center | 3912 East 10th St., Greenville, NC 27858 | 2018-01-23 |
| Find all providers in zip 27858 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164031373 | Rohith Reddy Guduru Venkata | Family Medicine | Delta Regional Medical Center, 1400 E Union St, Greenville, MS 38703 | 2020-07-24 |
| 1497373344 | Dhruval Patel | Family Medicine | 564 Cypress Ln Apt 11d, Greenville, MS 38701-7415 | 2020-07-08 |
| 1457983280 | Emmyget Family Medicine, Pa | Family Medicine | 3405 White Horse Rd Ste E, Greenville, SC 29611-5947 | 2020-02-10 |
| 1275184848 | Rmcca Clinic B, LLC | Family Medicine | 45 Medical Arts Ct Ste 3, Greenville, AL 36037-3872 | 2019-09-25 |
| 1558918342 | Lv Stabler Primary Care LLC | Family Medicine | 45 Medical Arts Ct Ste 2, Greenville, AL 36037-3872 | 2019-08-26 |
| 1205306099 | Prisma Health University Medical Group | Family Medicine | 110 Osage Drive, Greenville, SC 29605 | 2018-12-05 |
| 1336618222 | Ashley Rushin | Family Medicine | 4400 Interstate Highway 30 W, Greenville, TX 75402-4615 | 2018-11-20 |
| 1003209636 | Billy Don Mitchell | Family Medicine | 3080 Cr 3115, Billy Don Mitchell M.d., Greenville, TX 75402 | 2015-03-06 |
| 1437597259 | Frank V Cioppettini | Family Medicine | 31 Memorial Medical Dr, Greenville, SC 29605-4407 | 2013-06-14 |
| 1679816706 | St. Francis Physician Services Inc | Family Medicine | 75 E. Mcbee Avenue, Greenville, SC 29601-2737 | 2013-03-27 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 27858 |
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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.