DR. GARRETTSON S ELLIS (NPI# 1336145317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336145317 |
| Entity Type | Individual |
| Full Name | DR. GARRETTSON S ELLIS |
| Credential | M.D. |
| Practice Address |
5050 Poplar Ave Suite 800 Memphis TN 38157-0101 |
| Practice Telephone | 9012762662 |
| Practice Fax Number | 9012741871 |
| Mailing Telephone | 9012762662 |
| Mailing Fax Number | 9012741871 |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2013-06-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
38522 | TN | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
38522 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3161384 | 05 | |
| TN | MEDICARE | 38943941 | 01 |
| Street Address |
5050 POPLAR AVE SUITE 800 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38157-0101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952832867 | Tiffany Wright | Nurse Practitioner | 5050 Poplar Ave, Suite 800, Memphis, TN 38157-0101 | 2017-03-22 |
| 1922557909 | Mahmod Abdelghani | Nurse Practitioner | 5050 Poplar Ave, Suite 800, Memphis, TN 38157-0101 | 2016-10-01 |
| 1316317407 | Rha Health Services Tn, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5050 Poplar Ave, Suite 710, Memphis, TN 38157-0101 | 2015-10-01 |
| 1801292081 | Mid-south Home Health, LLC | Chore Provider | 5050 Poplar Ave, Suite #2404, Memphis, TN 38157-0101 | 2014-11-14 |
| 1417353103 | Mid South Senior Care, LLC | In Home Supportive Care | 5050 Poplar Ave, Suite 2400, Memphis, TN 38157-0101 | 2014-11-07 |
| 1174925143 | Memphis Men's Clinic, PC | Specialist/Technologist, Other | 5050 Poplar Ave, Ste 718, Memphis, TN 38157-0101 | 2014-09-22 |
| 1427308618 | Alida Novarese Gage | Psychologist | 5050 Poplar Ave, Ste 1632, Memphis, TN 38157-1632 | 2012-09-14 |
| 1033465620 | Methodist Le Bonheur Healthcare Eap | Counselor | 5050 Poplar Ave, Suite # 1118, Memphis, TN 38157-0101 | 2012-08-01 |
| 1023376878 | David Irvin Williams | Internal Medicine | 5050 Poplar Ave, Ste 800, Memphis, TN 38157-0800 | 2012-04-30 |
| 1396938239 | John J Harris Md PC | Psychiatry & Neurology | 5050 Poplar Ave, Suite 618, Memphis, TN 38157-0618 | 2007-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285869503 | Nathan Eric Wilds | Internal Medicine | 5050 Poplar Ave., Suite 800, Mid-south Pulmonary Specialists, P.C., Memphis, TN 38157 | 2009-05-17 |
| 1669018859 | Angela Carroll Childs | Specialist/Technologist, Other | 5050 Poplar Ave Ste 300, Memphis, TN 38157-0300 | 2019-11-21 |
| 1407813439 | Mark S Ledoux | Psychiatry & Neurology | 5050 Poplar Ave Ste 511, Memphis, TN 38157-0500 | 2006-04-26 |
| 1912565946 | Veracity Neuroscience LLC | Psychiatry & Neurology | 5050 Poplar Ave Ste 511, Memphis, TN 38157-0500 | 2019-06-04 |
| 1720503659 | Cura Partners, LLC | In Home Supportive Care | 5050 Poplar Ave Ste 535, Memphis, TN 38157-0535 | 2017-08-11 |
| 1407115579 | Allyson Brooke Williams | Nurse Practitioner | 5050 Poplar Avenue Suite 511, Memphis, TN 38157-0618 | 2012-05-10 |
| 1952667503 | Kimberly Anne Marsh | Internal Medicine | Mid-south Pulmonary Specialists, P.C., 5050 Poplar Ave., Suite 800, Memphis, TN 38157-0800 | 2012-04-09 |
| 1710019930 | Michael Munday | Internal Medicine | 5050 Poplar Ave Ste 800, Memphis, TN 38157-0800 | 2007-03-12 |
| 1972014942 | Nicholas L Pickett | Nurse Practitioner | 5050 Poplar Ave Ste 800, Memphis, TN 38157-0800 | 2017-10-18 |
| 1205353224 | Ashley Williford | Nurse Practitioner | 5050 Poplar Ave Ste 800, Memphis, TN 38157-0800 | 2017-08-30 |
| Find all providers in zip 38157 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134472384 | The Lung Clinic LLC | Internal Medicine | 6019 Walnut Grove Rd., Memphis, TN 38120-0000 | 2012-10-24 |
| 1952667503 | Kimberly Anne Marsh | Internal Medicine | Mid-south Pulmonary Specialists, P.C., 5050 Poplar Ave., Suite 800, Memphis, TN 38157-0800 | 2012-04-09 |
| 1285869503 | Nathan Eric Wilds | Internal Medicine | 5050 Poplar Ave., Suite 800, Mid-south Pulmonary Specialists, P.C., Memphis, TN 38157 | 2009-05-17 |
| 1710019930 | Michael Munday | Internal Medicine | 5050 Poplar Ave Ste 800, Memphis, TN 38157-0800 | 2007-03-12 |
| 1669478103 | Emmel B. Golden Jr. | Internal Medicine | 6025 Walnut Grove Rd, Ste 508, Memphis, TN 38120-2125 | 2005-06-21 |
| 1558781492 | Anthony Mattox | Internal Medicine | 1265 Union Ave, Memphis, TN 38104-3415 | 2014-04-18 |
| 1023376878 | David Irvin Williams | Internal Medicine | 5050 Poplar Ave, Ste 800, Memphis, TN 38157-0800 | 2012-04-30 |
| 1811279656 | Memphis Lung Physicians Foundation, Inc. | Internal Medicine | 6025 Walnut Grove Rd, Suite 508, Memphis, TN 38120-2131 | 2011-09-19 |
| 1225317126 | Muhammad Muhye-ud-din Sheikh | Internal Medicine | 6025 Walnut Grove Rd Ste 508, Memphis, TN 38120-2125 | 2011-08-09 |
| 1194956474 | Julio Alberto Lanfranco Molina | Internal Medicine | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2009-08-04 |
| Find all providers in MEMPHIS | ||||
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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.