MR. JAMES P. ENNIS II (NPI# 1598047367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598047367 |
| Entity Type | Individual |
| Full Name | MR. JAMES P. ENNIS II |
| Credential | PA-C |
| Practice Address |
4023 Cloverland Drive Phoenix MD 21131-2139 |
| Practice Telephone | 4435145864 |
| Practice Fax Number | 4104209641 |
| Mailing Telephone | 4435145864 |
| Mailing Fax Number | 4104209641 |
| Enumeration Date | 2011-09-16 |
| Last Update Date | 2011-09-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316419583 | James Christopher Ennis | Occupational Therapist | 12580 Natureview Cir, Bradenton, FL 34212-2982 | 2018-12-27 |
| 1295286706 | James Ennis | Clinical Nurse Specialist | 900 Cummings Center, Suite 107w, Lahey Health Primary Care, Beverly, Beverly, MA 01915 | 2016-10-19 |
| 1720165236 | James Walter Ennis II | Dentist | 2043 Tynecastle Hwy, Banner Elk, NC 28604-9710 | 2006-11-01 |
| 1881666865 | James R Ennis | General Practice | 180 Northstar, Holts Summit, MO 65043 | 2006-02-03 |
| 1508831298 | James Michael Ennis | Psychologist | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2006-02-17 |
| Street Address |
4023 CLOVERLAND DRIVE |
| City | PHOENIX |
| State | MD |
| Zip Code | 21131-2139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114118387 | Mina Kirkova | Social Worker | 3009 Jackson Ridge Ct, Phoenix, MD 21131 | 2007-08-05 |
| 1629101381 | Kenneth Barry Sharoff | Social Worker | 1 Cross Creek Ct, Phoenix, MD 21131 | 2007-03-13 |
| 1508999798 | Nancy Lee Sharoff | Social Worker | 1 Cross Creek Ct, Phoenix, MD 21131 | 2007-03-14 |
| 1093977134 | Amy Ruth Rakusin | Counselor | 10 Cross Creek Ct, Phoenix, MD 21131-1000 | 2008-06-30 |
| 1932493616 | Kenneth Sharoff, Phd Inc. | Social Worker | 1 Cross Creek Ct, Phoenix, MD 21131-1000 | 2011-05-31 |
| 1063608735 | Catherine Anderson North | Radiology | 1410 Phoenix Rd W, Phoenix, MD 21131-1024 | 2007-09-17 |
| 1528482643 | Charles Warnke | Speech-Language Pathologist | 13 Stonewood Ct, Phoenix, MD 21131-1116 | 2014-02-10 |
| 1699259580 | Keith Dibenedetto | Nurse Practitioner | 2617 Stockton Rd, Phoenix, MD 21131-1117 | 2018-09-18 |
| 1952775694 | Aileen Mccausland | Occupational Therapy Assistant | 2515 Stockton Rd, Phoenix, MD 21131-1127 | 2015-11-18 |
| 1124309430 | Amanda Brady Watters Gorman | Registered Nurse | 2113 Highland Ridge Dr, Phoenix, MD 21131-1217 | 2011-08-31 |
| Find all providers in zip 21131 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831630375 | Surgeassist, Pllc | Physician Assistant | 125 N 2nd St Ste 110, #443, Phoenix, AZ 85004-2427 | 2017-03-16 |
| 1245695139 | Alex Hall | Physician Assistant | 15830 N 35th Ave Ste 1, Phoenix, AZ 85053-7640 | 2015-12-21 |
| 1730550146 | Jennifer Zazueta | Physician Assistant | 4126 E Nighthawk Way, Phoenix, AZ 85048 | 2015-10-12 |
| 1023327251 | Perry A. Brazel | Physician Assistant | 3815 E Bell Rd Ste 2100, Phoenix, AZ 85032-2134 | 2010-10-06 |
| 1720305535 | Arizona Surgeons Assistant PC | Physician Assistant | 4369 E Hartford Ave, Phoenix, AZ 85032-2298 | 2010-05-03 |
| 1023296381 | On-call Surgical Assistants LLC | Physician Assistant | 5710 W Spur Dr, Phoenix, AZ 85083-1245 | 2008-02-08 |
| 1760527725 | North Valley Surgical Assisting, Inc. | Physician Assistant | 4150 W. Peoria Ave, Ste 121, Phoenix, AZ 85029 | 2007-02-20 |
| 1548321136 | Laura M Hanschka | Physician Assistant | 5025 N Central Ave # 148, Phoenix, AZ 85012-1520 | 2006-12-13 |
| 1134148513 | Corey L Thompson | Physician Assistant | 4340 E Indian School Rd, Ste 21-562, Phoenix, AZ 85018-5360 | 2006-07-18 |
| 1558392415 | Michele Kasparian | Physician Assistant | Carl T. Hayden Va Medical Center, 650 E. Indian School Rd., Phoenix, AZ 85012 | 2006-07-06 |
| Find all providers in PHOENIX | ||||
Please comment or provide details below to improve the information on MR. JAMES P. ENNIS II.
| 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.