DR. WILFRED J.G. ELLIS (NPI# 1811936198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811936198 |
| Entity Type | Individual |
| Full Name | DR. WILFRED J.G. ELLIS |
| Credential | M.D. |
| Practice Address |
441 E 8th St Lima OH 45804-2482 |
| Mailing Address |
329 N West St Lima OH 45801-4332 |
| Practice Telephone | 4192213072 |
| Practice Fax Number | 4192258878 |
| Mailing Telephone | 4192213072 |
| Mailing Fax Number | 4192258878 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2016-01-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
35060082 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0804535 | 05 |
| Street Address |
441 E 8TH ST |
| City | LIMA |
| State | OH |
| Zip Code | 45804-2482 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053398537 | Micah Jared Sobota | Pharmacist | 441 E 8th St, Lima, OH 45804-2482 | 2005-12-27 |
| 1407416753 | Ahmed Khaled Nagy | Dentist | 441 E 8th St, Lima, OH 45804-2482 | 2019-06-18 |
| 1730746587 | Amee N Croy | Nurse Practitioner | 441 E 8th St, Lima, OH 45804 | 2019-05-28 |
| 1164984746 | Alice Lynn Risner | Nurse Practitioner | 441 E 8th St, Lima, OH 45804-2482 | 2019-04-03 |
| 1235655622 | Barbra D Forest | Nurse Practitioner | 441 E 8th St, Lima, OH 45804-2482 | 2017-08-17 |
| 1154861128 | Bailey Heminger | Pharmacist | 441 E 8th St, Lima, OH 45804-2482 | 2017-02-24 |
| 1437696564 | Zaynab Al-quraishi | Dentist | 441 E 8th St, Lima, OH 45804-2482 | 2017-01-26 |
| 1063884096 | Danielle M. Finch | Social Worker | 441 E 8th St, Lima, OH 45804-2482 | 2015-10-29 |
| 1023494952 | Kathryn Elizabeth Rosenbeck | Nurse Practitioner | 441 E 8th St, Lima, OH 45804-2482 | 2015-08-03 |
| 1003290180 | Alexandra Hintz | Pharmacist | 441 E 8th St, Lima, OH 45804-2482 | 2015-07-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134729817 | Luke Holliday | Pharmacist | Sams Club Pharmacy, 1150 Greely Chapel Rd, Lima, OH 45804 | 2020-10-30 |
| 1306482393 | Olympia Monik Johnson | Case Manager/Care Coordinator | 799 S. Main St, Lima, OH 45804 | 2019-11-25 |
| 1982260139 | Jenna Renee Warnecke | Speech-Language Pathologist | Shawnee Manor, 2535 Fort Amanda Rd, Lima, OH 45804 | 2019-05-14 |
| 1942728282 | Premier Care of Ohio, LLC. | Community/Behavioral Health | 2727 St. Johns Rd, Ste D, Lima, OH 45804 | 2017-09-07 |
| 1093250078 | Gevette Love | Counselor | 311 E. Market St., Lima, OH 45804 | 2016-12-29 |
| 1134595416 | Rewa A Banks | Nurse Practitioner | 2895 Harding Hwy Ste C, Lima, OH 45804 | 2015-08-20 |
| 1295148195 | Adaptive Medical Marketing, Inc | Durable Medical Equipment & Medical Supplies | 1378 Bellefontaine Ave, Lima, OH 45804 | 2014-06-09 |
| 1265771869 | Laura B Hile | Nurse Practitioner | 1875 South Dixie Highway, Lima, OH 45804 | 2013-02-04 |
| 1184960593 | Jenna L Kimmel | Nurse Practitioner | 799 S. Main St., Lima, OH 45804 | 2012-12-13 |
| 1437398054 | Champaign Residential Services, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2450 Mandolin Drive, Lima, OH 45804 | 2009-02-05 |
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| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730109562 | Infectious Diseases Inc | Internal Medicine | 329 N West St, Lima, OH 45801-4332 | 2006-07-21 |
| 1538331954 | Mid West Infectious Disease | Internal Medicine | 830 W High St, Suite 250, Lima, OH 45801-3971 | 2008-03-26 |
| 1487677332 | Infusion Center of Northwest Ohio | Internal Medicine | 329 N West St, Lima, OH 45801-4332 | 2006-07-25 |
| 1649209214 | Regional Infectious Diseases and Infusion Center Inc | Internal Medicine | 830 W High St, Suite 255, Lima, OH 45801-3971 | 2006-07-03 |
| 1386683357 | Solomon Merhari Beraki | Internal Medicine | 830 W High St, Suite 380, Lima, OH 45801-3971 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902422470 | Aids Healthcare Foundation | Internal Medicine | 815 W Broad St # 350, Columbus, OH 43222-1464 | 2020-06-22 |
| 1801378302 | Nicole M Cleland | Internal Medicine | 540 Parmalee Ave Ste 610, Youngstown, OH 44510-1605 | 2018-08-30 |
| 1316339104 | Premier Specialists In Infectious Disease, LLC | Internal Medicine | 4316 Dressler Rd Nw, Canton, OH 44718-2752 | 2015-03-03 |
| 1104222603 | Mohammad Ali Rai | Internal Medicine | 200 Eden Avenue, Cincinnati, OH 45219-0001 | 2014-11-10 |
| 1114335601 | Francis Gertrudis Wadskier Montagne | Internal Medicine | 400 Matthew St Ste 202, Marietta, OH 45750-1656 | 2014-07-28 |
| 1669895660 | Harrison Bradford Hawley | Internal Medicine | 6761 Trailview Dr, Dayton, OH 45414-2165 | 2014-01-27 |
| 1225472376 | Rishi Sharma | Internal Medicine | 3609 Park East Dr., Suite 207, Beachwood, OH 44122-4309 | 2013-04-19 |
| 1811277460 | Klaus Infectious Disease LLC | Internal Medicine | 837 Park St, Columbus, OH 43215-1441 | 2011-08-26 |
| 1538450580 | Infectious Disease Physicians, LLC | Internal Medicine | 3864 Maple Grove Ln, Dayton, OH 45440-4502 | 2011-04-26 |
| 1003110685 | Charles Harding King | Internal Medicine | 5550 Vanture Drive, Cuyahoga County Board of Health, Parma, OH 44130-9315 | 2010-12-22 |
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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.