LAUREN JEAN ELLER (NPI# 1497165559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497165559 |
| Entity Type | Individual |
| Full Name | LAUREN JEAN ELLER |
| Credential | PA-C |
| Practice Address |
810 Mitchell Ave Salisbury NC 28144-6253 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 7042165633 |
| Practice Fax Number | 7046390785 |
| Mailing Telephone | 7043847840 |
| Mailing Fax Number | 7043847830 |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2014-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 0010-04959 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
0010-04959 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
0010-04959 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033642335 | Lauren Eller | Student in an Organized Health Care Education/Training Program | 1015 Nw 22nd Ave, Legacy Good Samaritan Medical Center, Portland, OR 97210-3025 | 2017-04-04 |
| Street Address |
810 MITCHELL AVE |
| City | SALISBURY |
| State | NC |
| Zip Code | 28144-6253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740261809 | Harrison Armistead Latimer | Orthopaedic Surgery | 810 Mitchell Ave, Salisbury, NC 28144-6253 | 2005-11-07 |
| 1235777913 | Elizabeth Tilley Nottingham | Physician Assistant | 810 Mitchell Ave, Salisbury, NC 28144-6253 | 2019-12-13 |
| 1417483330 | Rebecca Shomo | Specialist/Technologist | 810 Mitchell Ave, Salisbury, NC 28144-6253 | 2017-05-11 |
| 1134571284 | Danielle Boley | Physician Assistant | 810 Mitchell Ave, Salisbury, NC 28144 | 2016-07-12 |
| 1053708891 | Graylan D Byrd | Physician Assistant | 810 Mitchell Ave, Salisbury, NC 28144-6253 | 2015-04-20 |
| 1770827388 | Novant Medical Group, Inc | Orthopaedic Surgery | 810 Mitchell Ave, Salisbury, NC 28144-6253 | 2012-11-20 |
| 1043581812 | Cullan Robert Reilly | Podiatrist | 810 Mitchell Ave, Salisbury, NC 28144-6253 | 2012-01-25 |
| 1013203470 | Paul Michael Lichstein | Orthopaedic Surgery | 810 Mitchell Ave, Salisbury, NC 28144 | 2011-06-23 |
| 1891937504 | Jessica Rivera | Physical Therapist | 810 Mitchell Ave, Salisbury, NC 28144-6253 | 2009-03-26 |
| 1013963446 | James L. Comadoll | Orthopaedic Surgery | 810 Mitchell Ave, Salisbury, NC 28144-6253 | 2006-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679059364 | Lisbet Lopez Cherniavsky | Dentist | Salisbury Family Dentistry, 140 Mahaley Ave, Salisbury, NC 28144 | 2018-07-16 |
| 1386140945 | Rowan Regional Medical Center, Inc. | Hospice Care, Community Based | 1229 Statesville Blvd, Salisbury, NC 28144 | 2018-04-03 |
| 1184142713 | Ally Home Care Salisbury, LLC | In Home Supportive Care | 301 S Main St Suite 120, Salisbury, NC 28144 | 2017-09-04 |
| 1700236676 | Phase II Transportation Inc | Ambulance | 109 S Mccoy Rd, Salisbury, NC 28144 | 2016-06-21 |
| 1043677727 | Concepts of Independence LLC. | Residential Treatment Facility, Emotionally Disturbed Children | 530 E. Fisher Street, Salisbury, NC 28144 | 2016-01-26 |
| 1801279138 | Tara Puma | Speech-Language Pathologist | 1630 Bellevue Rd, Salisbury, NC 28144 | 2015-07-06 |
| 1285012534 | Stephanie Georgia Pierce | Counselor | 714 South Main Street, S&h Youth and Adult Services, Inc., Salisbury, NC 28144 | 2015-05-07 |
| 1598177248 | Jeffrey Carter | Counselor | 107 W Cemetary St., Salisbury, NC 28144 | 2014-05-29 |
| 1659631786 | Mary Frances Miller | Nurse Practitioner | 1601 Brenner Avenue Endocrinology Bldg(21), Us Dept. of Veteran Affairs W.g.(bill)hefner Bldg, Salisbury, NC 28144 | 2012-05-23 |
| 1699041244 | Matthew Lewis Marshburn | Specialist/Technologist | 605 Grove Street, Salisbury, NC 28144 | 2012-03-28 |
| Find all providers in zip 28144 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740897768 | Katelin Raye Talbert | Physician Assistant | 1675 Woodbrooke Dr, Salisbury, MD 21804-8502 | 2020-09-24 |
| 1720564263 | Kevin Aebli | Physician Assistant | 1675 Woodbrooke Dr, Salisbury, MD 21804-8502 | 2018-07-18 |
| 1578914263 | David Carsen Hyde | Physician Assistant | 100 E Carroll St, Salisbury, MD 21801-5493 | 2016-06-24 |
| 1407199706 | William Ennis Jr. | Physician Assistant | 6507 Deer Pointe Dr, Salisbury, MD 21804-1667 | 2013-04-04 |
| 1154560449 | Timothy Ryan Schenk | Physician Assistant | 605 Grove St, Salisbury, NC 28144-3233 | 2009-02-11 |
| 1952551749 | Michael James Russo | Physician Assistant | 1675 Woodbrooke Dr, Salisbury, MD 21804-8502 | 2008-09-29 |
| 1588628721 | James Kris Watson | Physician Assistant | 320 Jake Alexander Blvd W, Suite 103, Salisbury, NC 28147-1442 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174170575 | Katherine Mccullough | Physician Assistant | Duke University Medicine Center 2301 Erwin Rd, Durham, NC 27710-0001 | 2019-08-20 |
| 1740845148 | Brenda Kay Dushek | Physician Assistant | 20 Medical Campus Dr Nw Ste 104, Supply, NC 28462-4094 | 2019-05-01 |
| 1851955579 | Morgan Elizabeth Bridgers | Physician Assistant | 4051 Burnett Womack Dept of Surgery Cb 7050, Chapel Hill, NC 27599-1843 | 2019-04-29 |
| 1265947725 | Molly Cunningham Pradhan | Physician Assistant | 2301 Erwin Road Dumc 2945, Durham, NC 27710-0001 | 2017-12-06 |
| 1497273700 | Joseph Cameron Jones | Physician Assistant | 404 Westwood Ave Ste 303, High Point, NC 27262-4315 | 2017-09-07 |
| 1871011106 | Tashianna Renee Stockton | Physician Assistant | 101 Manning Drive Cb #7600, Chapel Hill, NC 27599-0001 | 2017-09-07 |
| 1205365335 | Joe Gates | Physician Assistant | 408 8th St Ste 1, North Wilkesboro, NC 28659-4167 | 2017-06-12 |
| 1023547585 | Audrey Catherine Fortezzo | Physician Assistant | 581 Leroy George Dr Ste 300, Clyde, NC 28721-8085 | 2017-06-08 |
| 1184013294 | Danielle King | Physician Assistant | 3611 N Duke Street, Durham, NC 27704 | 2015-01-13 |
| 1629474978 | Gary Lee Aldrich Jr. | Physician Assistant | 103a Mcalpine Ln, Laurinburg, NC 28352-4637 | 2014-11-14 |
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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.