DR. JONATHAN D ELLEN (NPI# 1477658094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477658094 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN D ELLEN |
| Credential | MD |
| Practice Address |
4441 E Lohman Ave Las Cruces NM 88011-8267 |
| Mailing Address |
Po Box 1000 Dept 0420 Memphis TN 38148-0420 |
| Practice Telephone | 9014842052 |
| Mailing Telephone | 9014842052 |
| Mailing Fax Number | 9015078298 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2018-07-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | 26906 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BLUE CROSS | 4035038 | 01 |
| TN | 3092947 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871533547 | Jonathan Mark Ellen | Pediatrics | 501 6th Ave South, St. Petersburg, FL 33701 | 2006-06-08 |
| Street Address |
4441 E LOHMAN AVE |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88011-8267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679578066 | Rehabilitation Hospital of Southern New Mexico, Inc | Rehabilitation Hospital | 4441 E Lohman Ave, Las Cruces, NM 88011-8267 | 2005-06-14 |
| 1528612769 | Tina Trinh Le | Physical Therapist | 4441 E Lohman Ave, Las Cruces, NM 88011-8267 | 2019-07-26 |
| 1851848360 | Jonathan Ellen Md PC | Physical Medicine & Rehabilitation | 4441 E Lohman Ave, Las Cruces, NM 88011-8267 | 2016-09-01 |
| 1033569785 | Rehabilitation Hospital of Southern New Mexico Inc | Clinic/Center | 4441 E Lohman Ave, Las Cruces, NM 88011-8267 | 2016-06-14 |
| 1366742074 | Jacob Albert Martinez | Speech-Language Pathologist | 4441 E Lohman Ave, Las Cruces, NM 88011-8267 | 2010-10-27 |
| 1750538583 | Dona Ana Rehabilitation Physicians PC | Physical Medicine & Rehabilitation | 4441 E Lohman Ave, Las Cruces, NM 88011-8267 | 2008-08-22 |
| 1023277373 | Kandy J Bracken | Occupational Therapist | 4441 E Lohman Ave, Las Cruces, NM 88011-8267 | 2008-06-03 |
| 1811025349 | Kimberly Ann Encapera | Physical Medicine & Rehabilitation | 4441 E Lohman Ave, Las Cruces, NM 88011-8267 | 2007-02-28 |
| 1861473027 | Altaf Ahmed Md Pa | Physical Medicine & Rehabilitation | 4441 E Lohman Ave, Las Cruces, NM 88011-8267 | 2005-11-07 |
| 1073594230 | Altaf Ahmed | Physical Medicine & Rehabilitation | 4441 E Lohman Ave, Las Cruces, NM 88011-8267 | 2005-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356954648 | Asc of The Heart Institute | Internal Medicine | 1250 N Sonoma Ranch Blvd, Las Cruces, NM 88011 | 2020-08-26 |
| 1104449206 | Kruti Gitesh Shah | Student in an Organized Health Care Education/Training Program | Mountain View Regional Medical Cente, Graduate Medical Education, 4351 E Lohman Ave Suite 300, Las Cruces, NM 88011 | 2020-05-22 |
| 1831719368 | Borna Mansouri | Student in an Organized Health Care Education/Training Program | 4351 E. Lahman Ave, Suite 300, Moutnainview Regional Medical Center Graduta, Las Cruces, NM 88011 | 2020-04-24 |
| 1306474408 | Madonna Petula Phillip | Student in an Organized Health Care Education/Training Program | 4351 E Lohmon Avenue Suite 300, Las Cruces, NM 88011 | 2020-04-01 |
| 1285267849 | Back In Action Therapy of Las Cruces | Occupational Therapist | 4440 Sonoma Ranch Blvd, Suite F, Las Cruces, NM 88011 | 2020-02-21 |
| 1649818725 | Kimberly Ann Smetzer | Registered Nurse | 4401 East Lohman, Building 5, Las Cruces, NM 88011 | 2019-12-19 |
| 1548806375 | Melinda Michelle Fowler | Social Worker | 2605 Terrace Drive, Las Cruces, NM 88011 | 2019-11-27 |
| 1871134692 | Rio Grande Hematology and Oncology, LLC | Internal Medicine | 4391 East Lohman Ave., Las Cruces, NM 88011 | 2019-10-02 |
| 1972083640 | Lorianna R. Narvaez | Counselor | 1155 S. Telshor Suite 302-a, Las Cruces, NM 88011 | 2018-08-21 |
| 1215416524 | Aday Orthodontics, PC | Dentist | 2701 Missouri Ave., Suite D, Las Cruces, NM 88011 | 2018-08-08 |
| Find all providers in zip 88011 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790005478 | Yvonne F Gonzales | Physical Medicine & Rehabilitation | 123 West Mountain Avenue, Las Cruces, NM 88005 | 2010-06-04 |
| 1083854947 | Anna Young | Physical Medicine & Rehabilitation | 4301 E Lohman Ave Ste 122, Las Cruces, NM 88011-8255 | 2009-03-04 |
| 1891209987 | Mark Alexis Balverde | Physical Medicine & Rehabilitation | 1350 Hillrise Cir, Las Cruces, NM 88011-4759 | 2017-11-28 |
| 1326550575 | Christopher David Brown | Physical Medicine & Rehabilitation | 1005 Lujan Hill Rd, Las Cruces, NM 88007-6304 | 2017-10-27 |
| 1851848360 | Jonathan Ellen Md PC | Physical Medicine & Rehabilitation | 4441 E Lohman Ave, Las Cruces, NM 88011-8267 | 2016-09-01 |
| 1952668071 | L Tyson Sloan | Physical Medicine & Rehabilitation | 4351 E Lohman Ave Ste 301, Las Cruces, NM 88011-8262 | 2012-04-13 |
| 1750538583 | Dona Ana Rehabilitation Physicians PC | Physical Medicine & Rehabilitation | 4441 E Lohman Ave, Las Cruces, NM 88011-8267 | 2008-08-22 |
| 1871791038 | Jason Emmanuel Rosenberg | Physical Medicine & Rehabilitation | 4351 E Lohman Ave, Suite 301, Las Cruces, NM 88011-8259 | 2007-07-10 |
| 1114147808 | Jone Marlene Schauer | Physical Medicine & Rehabilitation | 2445 Missouri Ave, Suite A, Las Cruces, NM 88001-5111 | 2007-04-26 |
| 1811025349 | Kimberly Ann Encapera | Physical Medicine & Rehabilitation | 4441 E Lohman Ave, Las Cruces, NM 88011-8267 | 2007-02-28 |
| Find all providers in LAS CRUCES | ||||
| City | LAS CRUCES |
| Zip Code | 88011 |
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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.