DR. RYAN ELLIS (NPI# 1437758828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437758828 |
| Entity Type | Individual |
| Full Name | DR. RYAN ELLIS |
| Practice Address |
3575 Bridge Rd Suffolk VA 23435-1800 |
| Mailing Address |
50 Kilverstone Way Hampton VA 23669-4818 |
| Practice Telephone | 7579470236 |
| Mailing Telephone | 7573468002 |
| Enumeration Date | 2020-10-18 |
| Last Update Date | 2020-10-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 0202210640 | VA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861878522 | Ryan Ellis | Nurse Anesthetist, Certified Registered | 4511 Barcelona Cir, Farmington, NM 87401-2892 | 2015-08-05 |
| 1235379454 | Ryan Ellis | Dentist | 5479 N Fresno St Ste 104, Fresno, CA 93710-8328 | 2009-02-27 |
| 1477163368 | Ryan Ellis | Physical Therapist | 69 Cottage Rd, Mifflin, PA 17058-7030 | 2020-08-05 |
| 1518596998 | Ryan Charles Ellis | Student in an Organized Health Care Education/Training Program | Cleveland Clinic, 9500 Euclid Avenue/na-23, Cleveland, OH 44195 | 2020-04-07 |
| 1437791399 | Ryan Ellis | Dentist | 31843 Rancho California Rd Ste 300, Temecula, CA 92591-5120 | 2019-10-11 |
| 1811315724 | Ryan Joseph Ellis | Student in an Organized Health Care Education/Training Program | 240 E Huron St, Mcgaw Pavilion, Suite 1-200, Chicago, IL 60611 | 2014-03-29 |
| 1528336146 | Ryan Michael Ellis | Physician Assistant | 36485 Inland Valley Dr, Wildomar, CA 92595-9681 | 2011-12-09 |
| Street Address |
3575 BRIDGE RD |
| City | SUFFOLK |
| State | VA |
| Zip Code | 23435-1800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053458000 | Enochs Eye Care Pllc | Optometrist | 3575 Bridge Rd, Suite 21, Suffolk, VA 23435-1805 | 2007-01-31 |
| 1528565900 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 3575 Bridge Rd, Suffolk, VA 23435-1800 | 2018-04-11 |
| 1952440034 | Ff Acquisition LLC | Durable Medical Equipment & Medical Supplies | 3575 Bridge Rd, Suffolk, VA 23435-1800 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902423700 | Sean Eric Surber | Physical Therapist | 5818 D Harbour View Blvd., Suite 150, Suffolk, VA 23435 | 2020-06-29 |
| 1871158691 | Lumen Flux Pllc | Dentist | 5501 Bennett's Pasture Road, Suite D, Suffolk, VA 23435 | 2019-05-07 |
| 1588175970 | Louisa Catherine Korte | Anesthesiology | 3107 Summerhouse Drive, Suffolk, VA 23435 | 2017-10-12 |
| 1134648686 | Nicole Short Brown | Non-emergency Medical Transport (VAN) | 782 D Bennetts Meadow Lane, Suffolk, VA 23435 | 2017-09-15 |
| 1104346923 | Southerncare, Inc. | Hospice Care, Community Based | 1037 Champions Way Ste 600, Suffolk, VA 23435 | 2017-06-22 |
| 1801245329 | Usn | Military Hospital | 3602 Traverse Circle, Suffolk, VA 23435 | 2016-06-06 |
| 1366836173 | Vernon Johnson | Counselor | 6805 Castlewood Avenue, Suffolk, VA 23435 | 2015-03-19 |
| 1265776751 | Sister's Developing Growth & Change, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6101 Bradford Drive #b, Suffolk, VA 23435 | 2012-11-21 |
| 1770899247 | Lefcoe, Weinstein, Sachs, Schiff & Associates | Dentist | 210 Meadow View Boulevard, Suffolk, VA 23435 | 2010-08-23 |
| 1770805178 | Nikkiah Wyatt Smith | Counselor | 5705 Lee Farm Ln Ste D, Suffolk, VA 23435 | 2010-02-25 |
| Find all providers in zip 23435 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306458435 | Andrea Arnet Vincent | Pharmacist | 118 W Constance Rd, Suffolk, VA 23434-4411 | 2020-08-19 |
| 1538414750 | Sonal Mcphee | Pharmacist | 5839 Harbour View Blvd Ste 102, Suffolk, VA 23435-3797 | 2012-07-14 |
| 1639452477 | Linda Dianne Fuller | Pharmacist | 324 Baron Blvd, Suffolk, VA 23435-2486 | 2011-09-27 |
| 1497037956 | Latasha Warren | Pharmacist | 2902 Godwin Blvd, Suffolk, VA 23434-8040 | 2011-09-12 |
| 1689962763 | Shani Evine Brumley | Pharmacist | 5204 Bartons Creek Ct, Suffolk, VA 23435-2689 | 2011-07-11 |
| 1962794065 | Neil Michael Addesso Jr. | Pharmacist | 7386 Harbour Towne Pkwy Ste A, Suffolk, VA 23435-3463 | 2011-05-07 |
| 1154610459 | Lok P Acharya | Pharmacist | 515 North Main St., Suffolk, VA 23434 | 2011-04-07 |
| 1053610725 | Milton T Futrell Jr. | Pharmacist | 1240 Holland Rd, Suffolk, VA 23434-6313 | 2011-03-21 |
| 1467603860 | Richard Eugene Mcphee | Pharmacist | 3033 N James Dr, Suffolk, VA 23435-3352 | 2008-10-02 |
| 1568672632 | Verra Olga Sausen | Pharmacist | 3633 Bridge Rd, Suffolk, VA 23435-1807 | 2007-05-23 |
| Find all providers in SUFFOLK | ||||
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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.