JOHN M ELLIS (NPI# 1720057755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720057755 |
| Entity Type | Individual |
| Full Name | JOHN M ELLIS |
| Credential | MD |
| Practice Address |
70 East Street Valley Regional Medical Services Methuen MA 01844 |
| Mailing Address |
77 Warren St Rm 339 Brighton MA 02135 |
| Practice Telephone | 9786880773 |
| Practice Fax Number | 9786816173 |
| Mailing Telephone | 6175625359 |
| Mailing Fax Number | 6175625415 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2009-02-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
58546 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 3032701 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013613 | John Ellis Iv | Pharmacist | 135 Rudders Xing, Newnan, GA 30263-7032 | 2020-11-02 |
| 1407495617 | John Leonard Ellis | Psychologist | 4439 Walnut Ridge Rd, Lenoir, NC 28645-3989 | 2020-01-06 |
| 1750637393 | John Darris Ellis | Marriage & Family Therapist | Yellowstone Behavioral Health 2538 Big Horn Ave, Cody Office, Cody, WY 82414-9299 | 2012-08-01 |
| 1538353552 | John Conard Ellis | Pediatrics | 7414 Hazelwood Ave, Indianapolis, IN 46260-3471 | 2007-09-03 |
| 1962619031 | John Paul Ellis | Psychologist | 1108 Grand Avenue, #2, St Paul, MN 55105-2614 | 2007-05-17 |
| 1437276300 | John Bockhoff Ellis | Dentist | 2901 S Florida Ave, Lakeland, FL 33803-4032 | 2007-03-23 |
| 1376670935 | John A Ellis | Family Medicine | 337 Sterling Road, South Lancaster, MA 01561 | 2007-02-28 |
| 1083798557 | John Franklin Ellis | Chiropractor | 2368 Us Highway 23 N, Ste 102, Weber City, VA 24290-7384 | 2006-10-24 |
| 1194831115 | John Lynn Ellis | Chiropractor | 3391 County Road 2240, Salem, MO 65560-8546 | 2006-08-22 |
| 1922011378 | John A Ellis | Dentist | 444 Wilton Rd, Farmington, ME 04938-6135 | 2006-08-15 |
| Street Address |
70 EAST STREET VALLEY REGIONAL MEDICAL SERVICES |
| City | METHUEN |
| State | MA |
| Zip Code | 01844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316933005 | Blair Cooke Roberts | Family Medicine | 70 East Street, Mfhc, Methuen, MA 01805-0001 | 2005-09-27 |
| 1922553486 | Holy Family Medical Specialty Practice Pllc | Internal Medicine | 70 East Street, Methuen, MA 01844-6144 | 2016-08-24 |
| 1922479799 | Scott Arthur Sr. | Nurse Practitioner | 70 East Street, Methuen, MA 01844 | 2015-10-19 |
| 1902198260 | Lmrad Co | Radiology | 70 East Street, Radiology Dept -holy Family Hospital, Methuen, MA 01844 | 2011-05-05 |
| 1154544377 | Edward Thomas O'neil | Physical Medicine & Rehabilitation | 70 East Street, Holy Family Hospital, Methuen, MA 01950 | 2007-04-10 |
| 1346284940 | Rehab Associates of New England | Radiology | 70 East Street, Methuen, MA 01844 | 2006-06-15 |
| 1891733069 | Astrid O Peterson | Radiology | 70 East Street, Holy Family Hospital H., Methuen, MA 01844 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093313629 | Claude Zeligou | Behavior Technician | Guy Lougbo, 26 Loring Road, Methuan, MA 01844 | 2020-10-15 |
| 1265938609 | Angely Martinez | Student in an Organized Health Care Education/Training Program | 28 Kirk Street, Methuen, MA 01844 | 2018-04-04 |
| 1073037909 | Lauren Boenitz | Physical Therapy Assistant | 318 1/2 Broadway, Methuen, MA 01844 | 2017-08-02 |
| 1821512229 | Janice Marie Benoit | Registered Nurse | 12 Ingales Court, M, Methuen, MA 01844 | 2017-07-28 |
| 1194266825 | Zuri Counseling Services LLC | Nurse Practitioner | 39 Haverhill Street, Methuen, MA 01844 | 2017-03-14 |
| 1740732775 | Florinda Delarosa | Assistant Behavior Analyst | 106 North Lowell St, Methuen, MA 01844 | 2016-10-25 |
| 1376094888 | Kristan Mazaka | Social Worker | 19 1/2 Mystic Street, Methuen, MA 01844 | 2016-10-19 |
| 1013365394 | Diana Echeverry | Counselor | 271 Broadway St. Apartment 7, Methuen, MA 01844 | 2016-05-27 |
| 1104283944 | Danielle Lee Lambert | Counselor | 100a Haverhill St., Methuen, MA 01844 | 2016-01-25 |
| 1265839443 | Josef Peter Kish | Counselor | 100a Haverhill Street, Metheun, MA 01844 | 2014-12-03 |
| Find all providers in zip 01844 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609344555 | Rosalind Mandelbaum | Psychiatry & Neurology | 45 Resnik Rd Ste 205, Plymouth, MA 02360-7223 | 2018-11-08 |
| 1336626324 | Mary Jane Lim Fat | Psychiatry & Neurology | 450 Brookline Ave Dept Dana2, Boston, MA 02215-5418 | 2018-07-23 |
| 1336668326 | Western Mass Neurology PC | Psychiatry & Neurology | 175 Carew St Ste 140, Springfield, MA 01104-2389 | 2017-09-12 |
| 1417475336 | Hampshire Neurology LLC | Psychiatry & Neurology | 234 Russell St Ste 206, Hadley, MA 01035-3534 | 2017-08-30 |
| 1487170312 | Emg Laboratory, LLC | Psychiatry & Neurology | 51 Main St Ste 6, Hyannis, MA 02601 | 2017-08-22 |
| 1821538497 | Santiago Arroyo | Psychiatry & Neurology | 28 Constitution Rd, Charlestown, MA 02129-2008 | 2017-03-02 |
| 1801256094 | Lincoln S Darla X | Psychiatry & Neurology | 260 Tremont Street 2nd Floor, Tufts Medical Center, Biewend Building, Boston, MA 02111 | 2016-03-01 |
| 1871975144 | Yadira Flores Montanez | Psychiatry & Neurology | 1 Brookline Pl Ste 406, Brookline, MA 02445-7296 | 2015-06-23 |
| 1104207901 | Aditi Ahlawat | Psychiatry & Neurology | 1280 W Central St Ste 102, Franklin, MA 02038-3110 | 2015-06-17 |
| 1558755835 | Grigoriy I Labun | Psychiatry & Neurology | 23 Peach Tree Ln, Newton, MA 02459-3123 | 2015-03-24 |
| Find all providers with the same taxonomy | ||||
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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.