DR. MADGE ELLIS (NPI# 1619954948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619954948 |
| Entity Type | Individual |
| Full Name | DR. MADGE ELLIS |
| Credential | M.D. |
| Practice Address |
1898 Braeburn Dr Salem VA 24153-7301 |
| Practice Telephone | 5407723008 |
| Practice Fax Number | 5407723352 |
| Mailing Telephone | 5407723008 |
| Mailing Fax Number | 5407723352 |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2009-07-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 0101229254 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 007311974 | 05 |
| Street Address |
1898 BRAEBURN DR |
| City | SALEM |
| State | VA |
| Zip Code | 24153-7301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134126766 | Robert Cameron Ripley | Surgery | 1898 Braeburn Dr, Salem, VA 24153-7301 | 2005-06-28 |
| 1265651517 | Nadeem Khuri | Surgery | 1898 Braeburn Dr, Salem, VA 24153-7301 | 2007-04-25 |
| 1063593093 | Salem Surgical Associates PC | Surgery | 1898 Braeburn Dr, Salem, VA 24153-7301 | 2006-10-18 |
| 1720085160 | Allen Reif Kessler II | Surgery | 1898 Braeburn Dr, Salem, VA 24153-7301 | 2005-06-30 |
| 1356348791 | Robert Barclay Williams | Surgery | 1898 Braeburn Dr, Salem, VA 24153-7301 | 2005-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669001228 | Paul Mcguire | Student in an Organized Health Care Education/Training Program | 1906 Braeburn Drive Psychiatry Gme, Salem, VA 24153 | 2020-04-06 |
| 1386114965 | Dynamic Medical LLC | Clinical Medical Laboratory | 1201 Texas Street, Salem, VA 24153 | 2018-11-27 |
| 1134607898 | Renew Psychiatry Services | Psychiatry & Neurology | 177 Electric Rd, Salem, VA 24153 | 2018-08-03 |
| 1508304015 | Samantha Getz | Assisted Living Facility | 3706 Knollridge Rd., Salem, VA 24153 | 2017-02-03 |
| 1518409762 | Melissa Ward | Case Manager/Care Coordinator | 1380 Southside Dr, Suite 100, Salem, VA 24153 | 2016-11-04 |
| 1154729051 | Allison Marie Parry | Physician Assistant | 1336 W Main St., Salem, VA 24153 | 2014-12-09 |
| 1598199457 | Stacy Stanley | Occupational Therapy Assistant | 4812 Moore Rd, Salem, VA 24153 | 2013-08-28 |
| 1366888034 | Dolores Hager | Speech-Language Pathologist | 1851 Harrogate Dr, Salem, VA 24153 | 2013-05-21 |
| 1073850764 | Joel Aaron Nickerson | Specialist/Technologist | 400 Spartan Dr., Salem High School, Salem, VA 24153 | 2013-01-15 |
| 1023387271 | National Diabetic Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 2153 Apperson Drive, Salem, VA 24153 | 2011-12-16 |
| Find all providers in zip 24153 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205027703 | Samuel J. Williams II | Surgery | 834 Red Ln, Salem, VA 24153-2726 | 2007-08-08 |
| 1548487184 | Carrie Elizabeth Allison | Surgery | 655 Winter St Se, Salem, OR 97301-3919 | 2007-04-18 |
| 1598816639 | John Robert Madison | Surgery | 2094 E State St Ste D, Salem, OH 44460-4409 | 2007-01-16 |
| 1386715753 | Danny E Sankovic | Surgery | 1515 E State Street, Salem, OH 44460 | 2006-11-10 |
| 1588755516 | Arthur J. Innes | Surgery | 6160 Crooked Stick Loop Se, Salem, OR 97306 | 2006-09-27 |
| 1215985148 | William Edris Barnes II | Surgery | 141 Hospital Dr Ste 102, Salem, KY 42078-8043 | 2006-05-04 |
| 1265498307 | John E Patricelli | Surgery | 1 Pointers Auburn Rd, Salem, NJ 08079-4311 | 2006-04-26 |
| 1982606885 | Jonathan Fox Noel | Surgery | 505 W Homer St Ste 102, Salem, IN 47167-1698 | 2005-08-11 |
| 1881694032 | Salem Clinic Corp | Surgery | 8 Bypass Road, Salem, NJ 08079 | 2005-07-29 |
| 1750380713 | Curtis L Lockwood | Surgery | 8 By Pass Rd, Salem, NJ 08079-2054 | 2005-07-20 |
| Find all providers in SALEM | ||||
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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.