JENNIFER WATTERS ELLIS (NPI# 1659334902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659334902 |
| Entity Type | Individual |
| Full Name | JENNIFER WATTERS ELLIS |
| Credential | MD |
| Practice Address |
3773 Olentangy River Rd Columbus OH 43214-3425 |
| Mailing Address |
5400 Frantz Rd Ste 250 Dublin OH 43016-6102 |
| Practice Telephone | 6145663861 |
| Practice Fax Number | 6145663835 |
| Enumeration Date | 2006-04-08 |
| Last Update Date | 2017-08-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 35076845 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2313366 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487157277 | Jennifer Ellis | Nurse Practitioner | 16101 Ventura Blvd Ste 333, Encino, CA 91436-2516 | 2018-03-17 |
| 1609286194 | Jennifer Ellis | Clinic/Center | 208 Oriole St., Harrisonville, MO 64701-0000 | 2014-05-06 |
| 1376986745 | Jennifer Shermaine Ellis | Counselor | 273 S 118th East Ave, Tulsa, OK 74128-2224 | 2013-04-16 |
| 1316212913 | Jennifer M Ellis | Counselor | 1816 W Point Pike Ste 209, Lansdale, PA 19446-5696 | 2012-03-14 |
| 1639457997 | Jennifer Lynne Ellis | Pharmacist | 333 Westfield St, Silverton, OR 97381-1936 | 2011-08-03 |
| 1851683775 | Jennifer Ellis | Massage Therapist | 180 S Cherry St, Suite F, Monticello, FL 32344-1929 | 2011-05-11 |
| 1609180819 | Jennifer Jeanne Ellis | Counselor | 7745 Jonagold Dr Se, Grand Rapids, MI 49508-7602 | 2010-07-29 |
| 1952577603 | Jennifer Ellis | Social Worker | 3800 University Ave, Columbus, GA 31907-5609 | 2008-05-02 |
| 1972702819 | Jennifer Lowe Ellis | Preventive Medicine | 1539 Ashland City Rd Ste C, Clarksville, TN 37040-6416 | 2007-07-12 |
| 1083839492 | Jennifer Ellis | Pharmacist | 6111 Ferguson Rd, Oskaloosa, KS 66066-5388 | 2007-04-13 |
| Street Address |
3773 OLENTANGY RIVER RD |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43214-3425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912906504 | Sally Ann Todhunter | Physical Therapist | 3773 Olentangy River Rd, Columbus, OH 43214-3425 | 2005-07-18 |
| 1700439965 | Slayde Humbert | Physical Therapist | 3773 Olentangy River Rd, Columbus, OH 43214-3425 | 2019-07-17 |
| 1326690520 | Mark Anthony Russ | Physical Therapist | 3773 Olentangy River Rd, Columbus, OH 43214-3425 | 2019-07-09 |
| 1104482355 | Joseph David Jones | Physical Therapist | 3773 Olentangy River Rd, Columbus, OH 43214-3425 | 2019-05-14 |
| 1639642960 | Joseph Paul Alexander | Physical Therapist | 3773 Olentangy River Rd, Columbus, OH 43214-3425 | 2019-01-09 |
| 1285100560 | Ashley Brianne Stickler | Physical Therapist | 3773 Olentangy River Rd, Columbus, OH 43214-3425 | 2018-10-15 |
| 1952885857 | Melissa Durrett | Physical Therapist | 3773 Olentangy River Rd, Columbus, OH 43214-3425 | 2018-09-18 |
| 1790268076 | Erin Diaczun | Physical Therapist | 3773 Olentangy River Rd, Columbus, OH 43214-3425 | 2018-09-12 |
| 1336622612 | Cassandra Rae Mccully | Physical Therapist | 3773 Olentangy River Rd, Columbus, OH 43214-3425 | 2018-09-12 |
| 1154804433 | Mindy Haren | Physical Therapist | 3773 Olentangy River Rd, Columbus, OH 43214-3425 | 2018-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275145070 | The Smile Method LLC | Dentist | 3545 Olentangy River Rd., Suite 128, Columbus, OH 43214 | 2020-08-21 |
| 1083175681 | Mahima Venkatesh Prasad | Student in an Organized Health Care Education/Training Program | 3535 Olentangy River Road Ground/yellow, Columbus, OH 43214 | 2019-03-27 |
| 1346737988 | Julie Jackson | Occupational Therapist | 214 Westwood Rd, Columbus, OH 43214 | 2018-04-19 |
| 1942703830 | A1 Nursing Solution,llc | Nursing Care | 4770 Indianola Ave Ste Ll-j, Columbus, OH 43214 | 2018-03-16 |
| 1699280024 | Darlene R Britford | Social Worker | 3770 N. High Street, Columbus, OH 43214 | 2017-12-07 |
| 1194235739 | Molly Luckner | Social Worker | 3763 N High St., Ste A, Columbus, OH 43214 | 2017-10-10 |
| 1700395357 | Deidre Monique Radford | Peer Specialist | 3770 North High St., Columbus, OH 43214 | 2017-09-27 |
| 1154844884 | Beth Balog | Pharmacist | 513 Arden Rd, Columbus, OH 43214 | 2017-07-25 |
| 1164951430 | Raad Bin Zakir Chowdhury | Student in an Organized Health Care Education/Training Program | 3595 Olentangy River Road, Columbus, OH 43214 | 2017-06-08 |
| 1841734787 | Joel Franck | Counselor | 3620 High Street, Suite 107, Columbus, OH 43214 | 2016-12-12 |
| Find all providers in zip 43214 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386252757 | Eventus Wholehealth Midwest Inc | Family Medicine | 2100 Midway St # 3722, Columbus, IN 47201-3722 | 2020-07-21 |
| 1699320705 | Kelly Cephas-hill | Family Medicine | 2339 Linden Ave, Columbus, OH 43211-1631 | 2019-08-06 |
| 1043877962 | 1 On 1 Staffing and Wellness Clinic | Family Medicine | 1315 Delauney Ave Ste 201-a, Columbus, GA 31901-2367 | 2019-05-27 |
| 1952893950 | Midland Medical Group, LLC | Family Medicine | 1000 Georgesville Rd, Columbus, OH 43228 | 2018-06-05 |
| 1134635105 | 138 Med | Family Medicine | 30 Lakeridge Ct, Columbus, GA 31904-1800 | 2017-12-28 |
| 1689193922 | Timothy John Moore | Family Medicine | 180 Reinhard Ave, Columbus, OH 43206-2635 | 2017-09-19 |
| 1013437532 | Mission Medical Associates, Inc. | Family Medicine | 589 Peniel Rd, Columbus, NC 28722 | 2017-06-26 |
| 1942735287 | Dean Fordham | Family Medicine | 6886 Shadybrook Trl, Columbus, GA 31904-3802 | 2017-04-24 |
| 1487188587 | Steven Hanrahan | Family Medicine | 2000 10th Ave Ste 380, Columbus, GA 31901-3709 | 2017-04-14 |
| 1962935866 | Alexandra Blood | Family Medicine | 5868 N Hamilton Rd Ste 200, Columbus, OH 43230-1328 | 2017-04-07 |
| Find all providers in COLUMBUS | ||||
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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.