MARY ANN ELLIS (NPI# 1639567688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639567688 |
| Entity Type | Individual |
| Full Name | MARY ANN ELLIS |
| Practice Address |
3570 Forest Lake Dr Uniontown OH 44685-8105 |
| Mailing Address |
3241 Middleboro Way Dublin OH 43017-1728 |
| Practice Telephone | 7202002825 |
| Mailing Telephone | 6147911650 |
| Enumeration Date | 2014-12-29 |
| Last Update Date | 2014-12-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 611718 | OH | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | FFM UID | MAE2015 | 01 |
| OH | MLN UID | ME2015 | 01 |
| Street Address |
3570 FOREST LAKE DR |
| City | UNIONTOWN |
| State | OH |
| Zip Code | 44685-8105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578953022 | Tyler Davis | Specialist | 3570 Forest Lake Dr, Uniontown, OH 44685-8105 | 2015-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719457 | Bonnie Jean Dearmitt | Home Health Aide | 1550 Corporate Woods Parkway, Uniontown, OH 44685 | 2020-08-10 |
| 1902434012 | Jennifer Lenz | Physical Therapist | 1490 Town Park Blvd., Uniontown, OH 44685 | 2020-04-01 |
| 1245778505 | Mary Christina Mcmullen | Nurse Practitioner | 1560 Corporate Woods Pkwy Ste 313, Uniontown, OH 44685 | 2017-02-07 |
| 1447649173 | Verrelle Lee Wyatt | Physical Therapist | 1587 Boettler Rd Ste 140, Uniontown, OH 44685 | 2015-01-19 |
| 1043636459 | Cathy Anne Marshall | Licensed Practical Nurse | 3474 Wright Rd Nw, Uniontown, OH 44685 | 2014-03-10 |
| 1033545991 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 3761 Massilon Rd, Green, OH 44685 | 2013-09-23 |
| 1417399643 | T's Transportation | Private Vehicle | 3072 Raymond St Nw, Uniontown, OH 44685 | 2013-07-30 |
| 1831531052 | Carmen Polanco Santos | Internal Medicine | 1946 Town Park Blvd Ste 330, Uniontown, OH 44685 | 2013-07-30 |
| 1659637171 | Summa Emergency Associates Inc | Emergency Medicine | 1825 Frank Parkway, Uniontown, OH 44685 | 2012-04-10 |
| 1659661619 | Olga A Kuzmin | Internal Medicine | 1835 Franks Parkway, Summa Physicians Inc. Green Internal Medicine, Uniontown, OH 44685 | 2011-04-12 |
| Find all providers in zip 44685 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518044999 | Aaron L. Sobol | Specialist | 139 W Fayette St, Uniontown, PA 15401-3207 | 2006-11-01 |
| 1902907462 | James P Gallo | Specialist | 649 Cherry Tree Ln, Uniontown, PA 15401-8947 | 2006-09-26 |
| 1760582225 | Meaddows Medical Care, P.C. | Specialist | 1 So Mt Vernon Ave, Uniontown, PA 15401 | 2006-09-25 |
| 1417054743 | Dr. Desai and Patel Urology | Specialist | 205 Easy Street, Suite 101, Uniontown, PA 15401 | 2006-09-20 |
| 1760435457 | Open Air Imaging, Inc. | Specialist | 280 Mcclellandtown Rd, Suite D, Uniontown, PA 15401-3111 | 2006-05-17 |
| 1053378521 | Uniontown Medical Rehabilitation PC | Specialist | 60d Connellsville St, Uniontown, PA 15401-3848 | 2006-04-28 |
| 1164496840 | Ravindran Nadarajah | Specialist | 160 Wayland Smith Dr, Suite 204, Uniontown, PA 15401-7500 | 2006-02-17 |
| 1598763328 | John F Oliveti | Specialist | 1790 Town Park Blvd, Ste I, Uniontown, OH 44685-7972 | 2005-07-14 |
| 1932105764 | Jean B Braun | Specialist | 105 Bierer Ln, Uniontown, PA 15401-3117 | 2005-06-27 |
| 1124021605 | Richard Joseph Pish | Specialist | 650 Cherry Tree Ln, Uniontown, PA 15401-8947 | 2005-05-27 |
| Find all providers in UNIONTOWN | ||||
Please comment or provide details below to improve the information on MARY ANN ELLIS.
| 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.