ELLIS EUGENE MARSH


Address: 303 Benner Pike, State College, PA 16801-7304
Phone: 8142724403

ELLIS EUGENE MARSH (NPI# 1790755452) 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) 1790755452
Entity Type Individual
Full Name ELLIS EUGENE MARSH
Credential M.D.
Practice Address 303 Benner Pike
State College
PA 16801-7304
Practice Telephone 8142724403
Practice Fax Number 8142724440
Mailing Telephone 8142724403
Mailing Fax Number 8142724440
Enumeration Date 2006-01-25
Last Update Date 2013-01-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0400X Psychiatry & Neurology
Specialization: Neurology
MD441925 PA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AL DEA BM0894647 01
AL 000086091 05

Office Location

Street Address 303 BENNER PIKE
City STATE COLLEGE
State PA
Zip Code 16801-7304

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215934732 Amy L Hays Family Medicine 303 Benner Pike, State College, PA 16801-7304 2005-06-30
1972618262 Jason D Fragin Internal Medicine 303 Benner Pike, State College, PA 16801-7304 2006-08-20
1669452728 Robert E Davis Internal Medicine 303 Benner Pike, Suite 1, State College, PA 16801 2006-01-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851880975 Creative Reflections Counseling, LLC Counselor 315 S Allen St Ste 124b, State College, PA 16801 2018-05-03
1679097901 Michelle L Grove Home Health Aide 2100 E College Ave Ste B, State College, PA 16801 2017-07-28
1740702034 Matthew Ishler Counselor 315 S. Allen Street Ste 326, State College, PA 16801 2017-07-09
1699206300 Emily Lauer Specialist/Technologist 102a Multisport Indoor Facility, State College, PA 16801 2017-03-23
1740721075 Luk Devorski Student in an Organized Health Care Education/Training Program Rec Hall University Park, Penn State University, State College, PA 16801 2017-03-20
1013465764 Pennsylvania Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 201 West Beaver Avenue, State College, PA 16801 2016-09-12
1740685858 Mallory L. Miller Physician Assistant 100 Radnor Rd Ste 101, State College, PA 16801 2014-10-31
1386053981 Christopher Hippenmeyer Specialist/Technologist 102a East Area Locker Building, Pennsylvania State University, University Park, PA 16801 2014-08-07
1982022059 Christy Sharer Counselor 301 S Allen St Ste 106, State College, PA 16801 2014-04-04
1912250523 Eva M Letwin Counselor 2011 Cato Ave Ste 201, State College, PA 16801 2012-10-19
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Taxonomy Information

Taxonomy Code 2084N0400X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780079566 Christina R. Catherine Psychiatry & Neurology 2121 Old Gatesburg Rd Ste 100, State College, PA 16803-2290 2015-03-30
1023351285 Benjamin Bradley Pollock Psychiatry & Neurology 200 Scenery Dr, State College, PA 16801-7974 2013-04-05
1780849281 Leslie S. Mcdougall Psychiatry & Neurology 2121 Old Gatesburg Rd, Ste 100, State College, PA 16803-2290 2008-07-23
1437114923 John Kevin Parry Psychiatry & Neurology 200 Scenery Dr, State College, PA 16801-7974 2006-04-19
1467415315 Brian A. Hyman Psychiatry & Neurology 2121 Old Gatesburg Rd, Suite 100, State College, PA 16803-2290 2006-04-11
1164485397 E. P. Roy IIi Psychiatry & Neurology 2121 Old Gatesburg Rd, Suite 100, State College, PA 16803-2290 2006-04-10
1992767230 John E. Mateer Psychiatry & Neurology 200 Scenery Dr, State College, PA 16801-7974 2006-04-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1922624584 Armstrong County Memorial Hospital Psychiatry & Neurology 500 Medical Arts Bldg Ste 510, Kittanning, PA 16201-7137 2020-06-19
1174149975 Somerset Health Services, Inc. Psychiatry & Neurology 126 E Church St Ste 2300, Somerset, PA 15501-2272 2020-06-18
1730725771 Jbj Investments LLC Psychiatry & Neurology 2170 Ferncroft Ln, Chester Springs, PA 19425-3846 2019-11-25
1619538865 Unknown Azima Shaji Psychiatry & Neurology St. Luke's University and Health Network- Anderson, Medical Education Office- 1700, St. Luke's Blvd, Easton, PA 18045 2019-06-27
1629636790 Catherine Rachel Craven Psychiatry & Neurology 1700 St Lukes Blvd Ofc, Easton, PA 18045-5670 2019-06-03
1073170569 Charles P. Gennaula, M.d., P.C. Psychiatry & Neurology 100 Peasant Village Ln Ste 100, Rostraver Township, PA 15012-4333 2019-05-21
1902460876 Pearlmed Pllc Psychiatry & Neurology 1510 Chester Pike Ste 160, Eddystone, PA 19022-1375 2019-04-26
1144787094 Shobha Asthana Md PC Psychiatry & Neurology 100 Peasant Village Ln Ste 103, Rostraver Township, PA 15012-4333 2019-02-27
1972060176 Ncv Diagnostics LLC Psychiatry & Neurology 1 Brown St Ste C, Philadelphia, PA 19123-3361 2019-02-23
1235609959 Lower Merion Neurology, PC Psychiatry & Neurology 100 E Lancaster Ave Ste 161, Wynnewood, PA 19096-3427 2018-11-26
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City STATE COLLEGE
Zip Code 16801

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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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