CAROLYN ELLIS (NPI# 1841555398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841555398 |
| Entity Type | Individual |
| Full Name | CAROLYN ELLIS |
| Credential | DO |
| Practice Address |
2025 Indian Rocks Rd S Largo FL 33774-1035 |
| Practice Telephone | 7275867103 |
| Practice Fax Number | 7275857205 |
| Mailing Telephone | 7275867103 |
| Mailing Fax Number | 7275857205 |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2012-07-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | UO3064 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588890677 | Carolyn Ilona Ellis | Counselor | 3001 Aloma Ave Ste 214, Winter Park, FL 32792-3752 | 2009-06-03 |
| 1720094808 | Carolyn M Ellis | Nurse Practitioner | 4498 1st Ave, Evansville, IN 47710-3622 | 2006-07-31 |
| 1104291533 | Carolyn Ellis | Physician Assistant | 1904 Highway 46 S, Suite 3, Dickson, TN 37055-7744 | 2015-12-10 |
| 1982877908 | Carolyn Jean Ellis | Technician, Other | 2901 Turtle Creek Dr, Attn: Hs Carolyn Ellis, Port Arthur, TX 77642-8056 | 2008-04-10 |
| 1225001548 | Carolyn Denese Ellis | Specialist | 532 S Aiken Ave, Aiken Medical Building, Pittsburgh, PA 15232-1521 | 2006-02-08 |
| Street Address |
2025 INDIAN ROCKS RD S |
| City | LARGO |
| State | FL |
| Zip Code | 33774-1035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740283589 | William Williams | Emergency Medicine | 2025 Indian Rocks Rd S, Largo, FL 33774-1035 | 2005-05-24 |
| 1952862492 | Lennox Kai-zoen Din | Student in an Organized Health Care Education/Training Program | 2025 Indian Rocks Rd S, Largo, FL 33774-1035 | 2019-03-27 |
| 1942767009 | Jaclyn Marie Gramazio | Social Worker | 2025 Indian Rocks Rd S, Largo, FL 33774-1035 | 2019-02-25 |
| 1871902791 | Sunbeam Point Emergency Physicians LLC | Physician Assistant | 2025 Indian Rocks Rd S, Largo, FL 33774-1035 | 2014-08-05 |
| 1861757320 | Khasha Touloei | Dermatology | 2025 Indian Rocks Rd S, Largo, FL 33774-1035 | 2012-07-11 |
| 1285999755 | Jonathan Dunn | Anesthesiology | 2025 Indian Rocks Rd S, Largo, FL 33774-1035 | 2012-07-10 |
| 1518222082 | Richard Limbert | Dermatology | 2025 Indian Rocks Rd S, Largo, FL 33774-1035 | 2012-07-10 |
| 1760740781 | Gulf-to-bay Anesthesiology Associates LLC | Anesthesiology | 2025 Indian Rocks Rd S, Largo, FL 33774-1035 | 2012-04-27 |
| 1407131055 | Largo Radiology Consultants | Clinic/Center | 2025 Indian Rocks Rd S, Largo, FL 33774-1035 | 2011-10-14 |
| 1457632119 | Nora Kathleen Burns | Psychiatry & Neurology | 2025 Indian Rocks Rd S, Largo, FL 33774-1035 | 2011-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467930818 | Anthea Marina Dsouza | Physical Therapist | 3500 Oak Manor Lane, Largo, FL 33774 | 2018-07-29 |
| 1265918874 | Bertishia Lashanti Mosley | Home Health | 2308 Fulton Way, Largo, FL 33774 | 2018-07-17 |
| 1639660699 | Tanya Jadhav | Dentist | 12963 Walsingham Rd, Largo, FL 33774 | 2018-05-25 |
| 1588001390 | Lindsay Erin Spotts | Dietitian, Registered | 14763 Sunset Drive, Largo, FL 33774 | 2013-06-03 |
| 1235572314 | Jasmine Gardens LLC | Assisted Living Facility | 11355 131st St, Largo, FL 33774 | 2013-04-09 |
| 1033484183 | The Body Masters, Inc | Massage Therapist | 12552 Indian Rocks Road, Largo, FL 33774 | 2012-03-21 |
| 1902112923 | Christie Youssef | Family Medicine | 2025 Indian Rocks Rd., Largo, FL 33774 | 2010-08-27 |
| 1568777548 | Lee Laravia | General Practice | 2025 Indian Rocks Rd, Largo, FL 33774 | 2010-08-13 |
| 1699957068 | Indian Oaks Incorporated | Assisted Living Facility | 11355 131st Street North, Largo, FL 33774 | 2007-11-28 |
| 1487867164 | Eric Nathan Grosch | Internal Medicine | 11800 Hammock Drive, Largo, FL 33774 | 2007-05-08 |
| Find all providers in zip 33774 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457765968 | Summer Moon | Dermatology | 115 Highland Ave N, Largo, FL 33770 | 2014-06-12 |
| 1770726499 | Whitney Lapolla Delozier | Dermatology | 8787 Bryan Dairy Rd Ste 360, Largo, FL 33777-1260 | 2009-04-10 |
| 1912143603 | Preventative Wound Care Associates LLC | Dermatology | 9956 Sago Point Dr, Largo, FL 33777-4913 | 2008-12-30 |
| 1164679668 | Christopher J Ballard | Dermatology | 11200 Seminole Blvd Ste 205, Largo, FL 33778-3240 | 2008-08-26 |
| 1972596690 | Barbara Christine Williamson | Dermatology | 1400 Mercantile Ln, Ste#110, Largo, MD 20774-5341 | 2005-08-28 |
| 1750895140 | Christina Michelle Baden | Dermatology | 8250 Bryan Dairy Rd Ste 250, Largo, FL 33777-1360 | 2017-11-22 |
| 1528416633 | Erin Lowe | Dermatology | 201 14th St Sw, Largo, FL 33770-3133 | 2016-05-31 |
| 1326496522 | Katherine Weber Braunlich | Dermatology | 201 14th St Sw, Largo, FL 33770-3133 | 2016-05-27 |
| 1568807238 | Dawnielle Endly | Dermatology | 201 14th St Sw, Largo, FL 33770-3133 | 2013-05-07 |
| 1669716395 | Visage Dermatology and Aesthetic Center, LLC | Dermatology | 1400 Mercantile Ln, Suite 110, Largo, MD 20774-5341 | 2012-11-19 |
| Find all providers in LARGO | ||||
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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.