KENNETH ELLIS (NPI# 1447248133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447248133 |
| Entity Type | Individual |
| Full Name | KENNETH ELLIS |
| Credential | DO |
| Practice Address |
1099 Augusta Falls Way Naples FL 34119-1362 |
| Practice Telephone | 2395951774 |
| Mailing Telephone | 2395951774 |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2011-03-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | OS 6596 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 275519000 | 05 | |
| FL | BCBS | 57885 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154403210 | Kenneth Nickolas Ellis | Dentist | 7995 Bellfort St, Houston, TX 77061-1960 | 2006-10-19 |
| 1417973850 | Kenneth J Ellis | Psychologist | 1106 Columbia Ave, Suite 100, Marysville, WA 98270-4335 | 2006-07-15 |
| 1215981022 | Kenneth R Ellis | Ophthalmology | 1213 24th St, Suite 300, Anacortes, WA 98221-2592 | 2006-05-19 |
| 1992212633 | Kenneth Ellis | Case Manager/Care Coordinator | 1802 Hwy 82 West, Crossett, AR 71635 | 2018-01-03 |
| 1700103934 | Kenneth Ray Ellis | Specialist | 2243 Eddie Williams Rd, Johnson City, TN 37601-2872 | 2010-04-28 |
| 1215017694 | Kenneth R Ellis | Psychologist | 5525 Twin Knolls Rd, Suite 327, Columbia, MD 21045-3266 | 2006-10-17 |
| 1114902228 | Kenneth K Ellis | Internal Medicine | 11111 Research Blvd, Suite 390, Austin, TX 78759-5264 | 2005-12-12 |
| Street Address |
1099 AUGUSTA FALLS WAY |
| City | NAPLES |
| State | FL |
| Zip Code | 34119-1362 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114553005 | Michael Spicuzza | Emergency Medical Technician, Intermediate | 3315 Grand Cypress Drive, #201, Naples, FL 34119 | 2020-03-23 |
| 1033771993 | Stephanie N Chandler | Nurse Practitioner | 6340 Pine Ridge Rd, Suite 201, Naples, FL 34119 | 2019-07-01 |
| 1174041701 | Bradley W. Coleman | Pharmacist | 3917 Upolo Lane, Naples, FL 34119 | 2017-09-04 |
| 1437676350 | Brenda A Schlueter | Clinic/Center | 7070 Venice Way Apt 2904, Naples, FL 34119 | 2017-08-23 |
| 1457760548 | Loving Care Home Health Agency, Inc. | Home Health | 2590 Northbrooke Plaza Drive, Suite 208, Naples, FL 34119 | 2014-08-04 |
| 1578971826 | Maria Rienzi | Physician Assistant | Physicians Regional Medical Group, 6101 Pine Ridge Rd, Naples, FL 34119 | 2014-07-31 |
| 1861832941 | Queanh N Phan | Dentist | 8855 Immokalee Rd, Suite 10, Naples, FL 34119 | 2013-07-03 |
| 1144505199 | Isabelle Faucher | Dietitian, Registered | 4522 Executive Dr Unit 103, Naples, FL 34119 | 2011-10-20 |
| 1528340973 | Amy Hemsworth | Pharmacist | 13520 Tamiami Trail N, Naples, FL 34119 | 2011-09-12 |
| 1437469970 | Marika Walker | Physician Assistant | 4513 Executive Dr., Naples, FL 34119 | 2010-10-18 |
| Find all providers in zip 34119 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194288100 | Art of Medicine Pain Specialists, LLC | Anesthesiology | 3555 Kraft Rd Ste 120, Naples, FL 34105-5037 | 2019-04-08 |
| 1952817223 | Tsc Anesthesia LLC | Anesthesiology | 130 Tamiami Trl N Ste 210, Naples, FL 34102-6233 | 2017-12-21 |
| 1013343367 | Mobile Asc, LLC | Anesthesiology | 1007 Tivoli Dr, Naples, FL 34104-0863 | 2013-09-18 |
| 1427358464 | Mobile Anesthesiologists of Florida, Inc. | Anesthesiology | 3894 Mannix Dr, Unit 206, Naples, FL 34114-5404 | 2010-10-25 |
| 1902057235 | Dewayne Lockhart Jr. | Anesthesiology | 3555 Kraft Rd Suite 120, Naples, FL 34105 | 2008-10-06 |
| 1689878076 | Steven Frederick Woodring | Anesthesiology | 215 Airport Rd S, Naples, FL 34104-3531 | 2007-06-12 |
| 1316149396 | Hoon Dae Yu | Anesthesiology | 2828 Tamiami Trail North, Naples, FL 34103 | 2007-06-03 |
| 1144370693 | Chaturani Ranasinghe | Anesthesiology | 1855 Veterans Park Dr Ste 304, Naples, FL 34109-0446 | 2007-01-10 |
| 1922198068 | Joseph Vincent Pergolizzi Jr. | Anesthesiology | 868 106th Ave N, Naples, FL 34108 | 2006-10-12 |
| 1053357632 | Linda Jo Rice | Anesthesiology | Collier Health Services Univ of Fl Pediatr Dental Cent, 7505 Grand Lely Drive, Naples, FL 34113 | 2006-06-21 |
| Find all providers in NAPLES | ||||
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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.