THOMAS W ELLIS


Address: 5202 Miller Rd, Flint, MI 48507-1040
Phone: 8107327700

THOMAS W ELLIS (NPI# 1427163039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427163039
Entity Type Individual
Full Name THOMAS W ELLIS
Practice Address 5202 Miller Rd
Flint
MI 48507-1040
Mailing Address 744 W Michigan Ave
Jackson
MI 49201-1909
Practice Telephone 8107327700
Mailing Telephone 8665700077
Mailing Fax Number 2484790652
Enumeration Date 2006-08-21
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner TE086820 MI Physician Assistants & Advanced Practice Nursing Providers

Other Providers THOMAS ELLIS

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
1326030354 Thomas J Ellis Family Medicine 1204 E Fire Tower Rd, Ecu Physicians Family Medicine Firetower Medical Office, Greenville, NC 27858-4196 2005-08-16
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
1124036645 Thomas James Ellis Orthopaedic Surgery 4605 Sawmill Rd, Upper Arlington, OH 43220-2246 2006-08-03

Office Location

Street Address 5202 MILLER RD
City FLINT
State MI
Zip Code 48507-1040

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730182452 Arnielito C. Tuazon Anesthesiology 5202 Miller Rd, Flint, MI 48507-1040 2005-05-27
1659801058 Monica Culver Nurse Practitioner 5202 Miller Rd, Flint, MI 48507-1040 2017-06-18
1396832549 Genesee Care L.L.C. Clinic/Center 5202 Miller Rd, Flint, MI 48507-1040 2006-10-09
1346358264 Jon A. Santiago Specialist 5202 Miller Rd, Flint, MI 48507-1040 2006-08-29
1699880203 Luanne M Dyke Nurse Anesthetist, Certified Registered 5202 Miller Rd, Flint, MI 48507-1040 2006-08-21
1487676052 James C. Culver, M.d., P.C. Anesthesiology 5202 Miller Rd, Flint, MI 48507-1040 2006-07-24
1538114228 Ambulatory Anesthesia Care, Pllc Specialist 5202 Miller Rd, Flint, MI 48507-1040 2006-05-23
1033167176 Vascular Surgery Assoc, P.C. Surgery 5202 Miller Rd, Flint, MI 48507-1040 2006-05-04
1255305124 James Clifford Culver Specialist 5202 Miller Rd, Flint, MI 48507-1040 2006-02-15
1700850690 John Clement Kohn Specialist 5202 Miller Rd, Flint, MI 48507-1040 2006-02-15
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245847870 Alexis Nichole Leach Physician Assistant 5494 South Dort Hwy, Flint, MI 48507 2020-09-28
1508330317 Jeffrey Mark Funck Registered Nurse G-4443 Miller Road, Suite 100, Flint, MI 48507 2019-01-15
1861981292 Lavonne L Alexander Nurse Practitioner 4500 S Saginaw St Ste 1875, Flint, MI 48507 2018-05-01
1760984348 Melissa Dawn Hoffman Psychologist 5402 Gateway Centre Drive, Suite B, Flint, MI 48507 2018-02-28
1902327323 Katee Mast Case Manager/Care Coordinator 110 Eldon Baker Drive, Flint, MI 48507 2017-07-06
1699228460 Joshua Sinclair Social Worker 2442 E Maple Ave Ste 207, Flint, MI 48507 2016-07-28
1477903730 Gracie Hunter Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1110 Eldon Baker, Flint, MI 48507 2016-06-17
1528412822 Drita Gojcaj Massage Therapist 3426 Miller Road, Flint, MI 48507 2016-04-22
1629422100 Ellen Makarewicz-ely Massage Therapist 3426 Miller Rd, Flint, MI 48507 2016-04-20
1700262722 Katelyn Bailey Nurse Practitioner 1420 W Twelfth St, Flint, MI 48507 2015-07-31
Find all providers in zip 48507

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639676919 Amanda Kate Waltrip Nurse Practitioner 300 E 1st St Ste 201, Flint, MI 48502-1900 2018-04-12
1225567084 Tara Ann Kalinowski Nurse Practitioner 2265 S Linden Rd Ste A, Flint, MI 48532-5408 2017-06-06
1700262722 Katelyn Bailey Nurse Practitioner 1420 W Twelfth St, Flint, MI 48507 2015-07-31
1033596549 Deosha Williams Nurse Practitioner 4203 Cayuga Trl, Flint, MI 48532-3581 2015-05-04
1649660606 Venita Sharron Thornton Nurse Practitioner 1165 Linden Road, Flint, MI 48532 2015-01-29
1790199313 Laurel Anne Paradise-bumhoffer Nurse Practitioner 3807 North Center Road, Flint, MI 48506 2014-06-12
1285982520 Andrea Ann Rossi Nurse Practitioner 4302 Underhill Drive, Flint, MI 48506 2012-08-16
1235439142 Paula M Anderson Nurse Practitioner 420 W Fifth Ave, Flint, MI 48503 2010-10-26
1386782381 Genesys Integrated Group Practice PC Nurse Practitioner 307 E Court St, Flint, MI 48502-1611 2007-02-02
1164532966 Bethany Lynn Pummill Nurse Practitioner 3011 North Center Rd, Flint, MI 48506 2006-08-30
Find all providers in FLINT

Competitor

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City FLINT
Zip Code 48507

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Dataset Information

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.

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