SHAWN ELLIS


Address: 3533 Southern Blvd, Ste 5650, Kettering, OH 45429-1264
Phone: 9372943611

SHAWN ELLIS (NPI# 1700025244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700025244
Entity Type Individual
Full Name SHAWN ELLIS
Practice Address 3533 Southern Blvd
Ste 5650
Kettering
OH 45429-1264
Practice Telephone 9372943611
Practice Fax Number 9372949010
Mailing Telephone 9372943611
Mailing Fax Number 9372949010
Enumeration Date 2009-02-06
Last Update Date 2009-02-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 242T00000X Perfusionist 060010 OH Technologists, Technicians & Other Technical Service Providers

Other Providers SHAWN ELLIS

NPI Name Taxonomy Address Enumeration
1851551790 Shawn Michael Ellis Anesthesiology 4345 W Memorial Rd Ste 110, Oklahoma City, OK 73134-1717 2008-06-13

Office Location

Street Address 3533 SOUTHERN BLVD
STE 5650
City KETTERING
State OH
Zip Code 45429-1264

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285630137 V. Joseph Karnitis Obstetrics & Gynecology 3533 Southern Blvd, Suite 4100, Kettering, OH 45429-1264 2005-06-24
1881208346 Alexander John Armstrong Physician Assistant 3533 Southern Blvd, Kettering, OH 45429-1264 2020-09-02
1740739051 Angela Yost Nurse Practitioner 3533 Southern Blvd, Suite 5350, Kettering, OH 45429-1264 2016-09-27
1215385968 Angela Ponder Dietitian, Registered 3533 Southern Blvd, Suite 3750, Kettering, OH 45429-1264 2016-06-02
1992175798 Megan Haas Physician Assistant 3533 Southern Blvd, Suite 5650, Kettering, OH 45429-1264 2015-10-06
1578931564 Brian Wesche Nurse Anesthetist, Certified Registered 3533 Southern Blvd, Suite 3400, Kettering, OH 45429-1264 2015-09-08
1932577012 Brooke Marie Obrien Nurse Anesthetist, Certified Registered 3533 Southern Blvd, Suite 3400, Kettering, OH 45429-1264 2015-09-08
1841682499 Keith A Rooker Nurse Anesthetist, Certified Registered 3533 Southern Blvd, Ste 400, Kettering, OH 45429-1264 2015-02-19
1770972804 Kristen Roth Nurse Anesthetist, Certified Registered 3533 Southern Blvd, Suite 3400, Kettering, OH 45429-1264 2015-01-13
1841600574 Riyad J Tayim Surgery 3533 Southern Blvd, Ste 2250, Kettering, OH 45429-1270 2014-05-02
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821576414 Lauren Danielle Sivley Nurse Practitioner 3535 Sourthern Boulevard, Kettering, OH 45429 2018-08-06
1114446127 Louai Al-samkari Chiropractor 1441 E. Stroop Rd., Kettering, OH 45429 2017-09-12
1407373756 Benjamin Edward Adkins Specialist/Technologist 4116 Vinita Dr., Kettering, OH 45429 2017-08-28
1972036341 James Kim Student in an Organized Health Care Education/Training Program 3535 Southern Boulevard, Kettering, OH 45429 2017-04-04
1023549847 Adrienne Krysiak Emergency Medicine 3525 Southern Boulevard, Kettering, OH 45429 2017-03-23
1386021889 Cassandra Mckoy Counselor 529 East Stroop Road, Kettering, OH 45429 2015-05-04
1417343088 Candace Benoit Obstetrics & Gynecology 3533 Southern Blvd Ste 4600, Dayton, OH 45429 2015-04-10
1275933574 Lee Schwieterman Nurse Practitioner 3535 Southern Blvd., 1 East, Kettering, OH 45429 2014-08-25
1497161947 Robert Jonathon Fresch Jr. Obstetrics & Gynecology 3533 Southern Blvd Ste 3750, Kettering, OH 45429 2014-07-05
1821349812 Lucas Brewer Counselor 1524 E Stroop Rd Ste 300, Kettering, OH 45429 2012-10-01
Find all providers in zip 45429

Taxonomy Information

Taxonomy Code 242T00000X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Perfusionist

Taxonomy Definition

A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient’s circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the appropriate equipment and techniques to be used.
Notes: Source: Health Professions Career and Education Directory, American Medical Association [1/1/2007: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841603735 James Pitcher Perfusionist 3533 Southern Blvd Ste 5650, Kettering, OH 45429-1263 2014-06-09
1447551296 Chad Svaranowic Perfusionist 3533 Southern Blvd, Ste 5650, Kettering, OH 45429-1264 2010-11-10
1548400880 Sharon Halter Perfusionist 580 Lincoln Park Blvd, Suite 322, Kettering, OH 45429-3474 2009-02-26
1265672505 Douglas Tidwell Perfusionist 580 Lincoln Park Blvd, Suite 322, Kettering, OH 45429-3474 2009-02-26
1457590994 Mark Nelson Perfusionist 3533 Southern Blvd, Ste 5650, Kettering, OH 45429-1264 2009-02-06
1710126255 Brian Crawford Perfusionist 3533 Southern Blvd, Ste 5650, Kettering, OH 45429-1264 2009-02-06
1275772717 Kenneth Gill Perfusionist 3533 Southern Blvd, Ste 5650, Kettering, OH 45429-1264 2009-02-06
1306091350 Aaron Joseph Siefker Perfusionist 580 Lincoln Park Blvd, Suite 322, Kettering, OH 45429-3474 2008-11-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1225456494 Majdi Mojahed Perfusionist 1386 Powersdale Ave, Youngstown, OH 44502-2154 2014-04-03
1598967663 William Anthony Mervar Perfusionist 15849 Arbor Trl, Newbury, OH 44065-9100 2007-06-01
1760019483 Mark Mckinney Perfusionist 1520 S Main St Ste 3, Dayton, OH 45409-2643 2020-03-24
1578903209 Mark James Burger Perfusionist 1520 S Main St, Suite 3, Dayton, OH 45409-2698 2013-06-26
1821305202 Krystle Kulon Perfusionist 6780 Mayfield Rd, Mayfield Hts, OH 44124-2203 2010-09-08
1336374859 Mark E Mccloskey Perfusionist 2200 Philadelphia Dr, Suite 555, Dayton, OH 45406-1840 2009-05-28
1194967638 Scott M Turner Perfusionist 30 E Apple St Ste 6252, Dayton, OH 45409-2939 2009-03-30
1255573788 Marian F Hull Perfusionist 30 E Apple St Ste 6252, Dayton, OH 45409-2939 2009-03-30
1679715114 Greg Alan Grant Perfusionist 30 E Apple St Ste 6252, Dayton, OH 45409-2939 2009-03-30
1164662417 Angela Susanne Hoefler Perfusionist 2200 Philadelphia Dr, Suite 301, Dayton, OH 45406-1840 2009-02-26
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Competitor

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City KETTERING
Zip Code 45429

Improve Information

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Dataset Information

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.

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