DARYL ELLIS (NPI# 1467468355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467468355 |
| Entity Type | Individual |
| Full Name | DARYL ELLIS |
| Credential | MD |
| Practice Address |
5009 River Chase Dr Suite 500 Phenix City AL 36867-7425 |
| Mailing Address |
5009 Riverchase Dr Suite 500 Phenix City AL 36867-7490 |
| Practice Telephone | 3344489505 |
| Practice Fax Number | 3344489575 |
| Mailing Telephone | 3344489505 |
| Mailing Fax Number | 3344489575 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2012-11-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 00018084 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 009997735 | 05 |
| Street Address |
5009 RIVER CHASE DR SUITE 500 |
| City | PHENIX CITY |
| State | AL |
| Zip Code | 36867-7425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013998640 | Robert Mark Ritchea | Internal Medicine | 5009 River Chase Dr, Bldg. 200, Phenix City, AL 36867-7425 | 2005-11-10 |
| 1336639384 | James Wayne Veitch Jr. | Physical Therapy Assistant | 5009 River Chase Dr, Ste 100c, Phenix City, AL 36867-7484 | 2018-05-15 |
| 1790159887 | Benchmark Physical Therapy of Alabama, LLC | Occupational Therapist | 5009 River Chase Dr, Ste 100c, Phenix City, AL 36867-7484 | 2015-11-30 |
| 1598025074 | Keena Natashia Edwards | Physical Therapy Assistant | 5009 River Chase Dr, Ste 100c, Phenix City, AL 36867-7484 | 2012-05-18 |
| 1619167350 | Phenix City Pulmonary & Critical Care, P.C. | Internal Medicine | 5009 River Chase Dr, Bldg 600 Ste A, Phenix City, AL 36867-7425 | 2007-07-30 |
| 1881726305 | R. Griff Gordy PC | Optometrist | 5009 River Chase Dr, Building 100 Suite B, Phenix City, AL 36867-7425 | 2007-03-10 |
| 1932116555 | Robert Ritchea, Md, PC | Internal Medicine | 5009 River Chase Dr, Bldg 200, Phenix City, AL 36867-7425 | 2006-08-03 |
| 1396776845 | Richard G Gordy | Optometrist | 5009 River Chase Dr, Bldg 100 Suite C, Phenix City, AL 36867-7425 | 2006-07-05 |
| 1336170570 | Chattahoochee Valley Home Health, LLC | Home Health | 5009 River Chase Dr, Bldg 100, Suite D, Phenix City, AL 36867-7484 | 2006-07-05 |
| 1548204258 | Hershel Harold Dugan II | Physical Therapist | 5009 River Chase Dr, Ste 100c, Phenix City, AL 36867-7484 | 2006-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316576986 | Victoria Martinec | Dental Hygienist | 3732 Us Hwy 280, Phenix City, AL 36867 | 2020-04-06 |
| 1255993390 | Alexa Paige Jones | Family Medicine | 3700 Ste A S Railroad St, Phenix City, AL 36867 | 2019-06-28 |
| 1548755150 | David Thompson | Student in an Organized Health Care Education/Training Program | 4401 Riverchase Dr., Phenix City, AL 36867 | 2018-06-26 |
| 1134613714 | Sarah Uehara Yee | Dentist | 3732 Hwy 280 Bypass, Phenix City, AL 36867 | 2018-06-18 |
| 1770074676 | James L Pridgen IIi | Registered Nurse | 1533 Summerplace Dr, Phenix City, AL 36867 | 2018-05-25 |
| 1598288219 | Rachelle Moliere | Nurse Practitioner | 4402 Riverchase Drive, #4301, Phenix City, AL 36867 | 2017-07-25 |
| 1417477852 | Devin William Collins | Orthopaedic Surgery | 4401 River Chase Drive, Phenix City, AL 36867 | 2017-06-27 |
| 1770003774 | Tabatha Yvette Jones | Registered Nurse | 506 Lee Rd 554, Phenix City, AL 36867 | 2017-06-21 |
| 1134659030 | Jack Clifford Golden Jr. | Pharmacist | 3700 Us Hwy 280/431n, Phenix City, AL 36867 | 2017-06-14 |
| 1386098440 | Mudassar Khan | Orthopaedic Surgery | 4401 Riverchase Dr, Phenix City, AL 36867 | 2016-04-14 |
| Find all providers in zip 36867 | ||||
| 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 |
|---|---|---|---|---|
| 1255993390 | Alexa Paige Jones | Family Medicine | 3700 Ste A S Railroad St, Phenix City, AL 36867 | 2019-06-28 |
| 1700217593 | Sunshine Spinal Center | Family Medicine | 3304 Us Highway 80 West, B-1, Phenix City, AL 36870 | 2013-12-05 |
| 1689922205 | William R. Jordan, M.d., LLC | Family Medicine | 1212 7th Ave Ste B, Phenix City, AL 36867-5805 | 2012-08-29 |
| 1982765475 | Edward Irving Lammons | Family Medicine | 701 13th St, Phenix City, AL 36867-5038 | 2006-12-12 |
| 1043325400 | Gary Amon Dillard | Family Medicine | 1810 Stadium Drive Ste 240, Phenix City, AL 36867 | 2006-08-19 |
| 1588778591 | James Frederick Zumstein | Family Medicine | 1810 Stadium Drive, Suite 230, Phenix City, AL 36867-3100 | 2006-08-18 |
| 1891705166 | Bi-city Medical Ministries, Inc. | Family Medicine | 5009 Riverchase Drive, Suite 500, Phenix City, AL 36867-7490 | 2006-08-09 |
| 1043250327 | Michael W Johnston | Family Medicine | 7 Windsweep Ct, Phenix City, AL 36870-2336 | 2006-06-07 |
| 1598746943 | Bradley Lamar Carden | Family Medicine | 3700 S Railroad St, Suite A, Phenix City, AL 36867-2993 | 2005-11-10 |
| 1083607618 | Richard A Valentine | Family Medicine | 1615 21st Ct, Phenix City, AL 36867-3727 | 2005-08-30 |
| Find all providers in PHENIX CITY | ||||
| City | PHENIX CITY |
| Zip Code | 36867 |
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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.