CHARLES ELLIS (NPI# 1922403450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922403450 |
| Entity Type | Individual |
| Full Name | CHARLES ELLIS |
| Other Name | CHARLES GABRIEL ELLIS |
| Practice Address |
1675 Woodbrooke Dr Salisbury MD 21804-8502 |
| Practice Telephone | 4107494154 |
| Practice Fax Number | 4108609583 |
| Mailing Telephone | 4107494154 |
| Mailing Fax Number | 4108609583 |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2014-10-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | C05576 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164827929 | Charles Ellis | Pharmacist | 534 S 5th St W, Missoula, MT 59801-2618 | 2014-10-22 |
| 1922230010 | Charles Carlisle Ellis | Speech-Language Pathologist | 14015 Santa Fe Ct, Bakersfield, CA 93314-8357 | 2009-08-22 |
| 1124196845 | Charles T. Ellis | Psychiatry & Neurology | 2600 Winny Ave., Helena, MT 59601 | 2006-12-01 |
| 1427131572 | Charles H. Ellis | Dentist | 6930 Cahaba Valley Rd, Suite 1, Birmingham, AL 35242-2672 | 2006-10-23 |
| 1013098698 | Charles Lee Ellis | Dentist | 1107 S Fifth St Ste 250, Mebane, NC 27302-9896 | 2006-10-18 |
| 1215017009 | Charles Ellis | Counselor | 5130 S. Pecos Road, Suite 2b, Las Vegas, NV 89120 | 2006-10-16 |
| 1134165343 | Charles Michael Ellis | Physical Therapist | 2000 Berry Chase Pl, Montgomery, AL 36117-6896 | 2006-06-22 |
| 1861447088 | Charles E Ellis | Nurse Anesthetist, Certified Registered | 165 Sabal Ln, Englewood, FL 34223-5938 | 2006-05-24 |
| 1881222669 | Charles Ellis | Urology | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2020-03-29 |
| 1184020968 | Charles Ellis Jr. | Counselor | 5130 S Pecos Rd, Las Vegas, NV 89120-1201 | 2014-11-06 |
| Street Address |
1675 WOODBROOKE DR |
| City | SALISBURY |
| State | MD |
| Zip Code | 21804-8502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316948524 | Kemuel Ray Carey | Specialist/Technologist | 1675 Woodbrooke Dr, Salisbury, MD 21804-8502 | 2005-08-10 |
| 1740897768 | Katelin Raye Talbert | Physician Assistant | 1675 Woodbrooke Dr, Salisbury, MD 21804-8502 | 2020-09-24 |
| 1336606979 | Brendan C Gaden | Physician Assistant | 1675 Woodbrooke Dr, Salisbury, MD 21804-8502 | 2019-03-01 |
| 1861968877 | Victoria Elise Arnao | Orthopaedic Surgery | 1675 Woodbrooke Dr, Salisbury, MD 21804-8502 | 2018-10-17 |
| 1720564263 | Kevin Aebli | Physician Assistant | 1675 Woodbrooke Dr, Salisbury, MD 21804-8502 | 2018-07-18 |
| 1548752017 | Stephanie Lynn Taylor | Physician Assistant | 1675 Woodbrooke Dr, Salisbury, MD 21804 | 2018-05-31 |
| 1912410119 | Paige Marie Venables | Physician Assistant | 1675 Woodbrooke Dr, Salisbury, MD 21804-8502 | 2017-11-09 |
| 1861913311 | Bo Alan Wilkinson | Orthopaedic Surgery | 1675 Woodbrooke Dr, Salisbury, MD 21804-8502 | 2017-07-05 |
| 1215359047 | Katelin Whitelock | Physician Assistant | 1675 Woodbrooke Dr, Salisbury, MD 21804-8502 | 2014-01-14 |
| 1679995740 | Tessa Rolnick Cornett | Physician Assistant | 1675 Woodbrooke Dr, Salisbury, MD 21804-8502 | 2014-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578125969 | Lifes Energy Wellness Center Inc. | Community/Behavioral Health | 2324 West Zion Road Suite, Suite 112, Salisbury, MD 21804 | 2019-07-05 |
| 1578125340 | Lifes Energy Wellness Center Inc. | Counselor | 2324 West Zion Road Suite 112, Suite 112, Salisbury, MD 21804 | 2019-07-02 |
| 1093377855 | Lifes Energy Wellness Center Inc. | Clinic/Center | 2324 West Zion Road Suite #112, Salisbury, MD 21804 | 2019-07-02 |
| 1356904874 | Carly Showell Finkbeiner | Behavioral Analyst | 30507 Foxchase Dr, Salisbury, MD 21804 | 2019-04-19 |
| 1750844940 | Clifton Waters | Driver | 206 Davis St, Salisbury, MD 21804 | 2019-04-13 |
| 1487125415 | Rebecca J. Raygor | Social Worker | Wicomico High School, 201 Long Ave., Salisbury, MD 21804 | 2018-12-17 |
| 1639662745 | Peninsula Physical Therapy, LLC | Physical Therapist | 720 E College Ave Ste 11, Salisbury, MD 21804 | 2018-06-13 |
| 1376079533 | Kerry Choplin | Behavior Technician | 8032 Snow Hill Rd., Salisbury, MD 21804 | 2017-05-10 |
| 1558892992 | Three Lower Counties Community Services, Inc. | Clinic/Center | 1647 Woodbrooke Drive, Salisbury, MD 21804 | 2017-03-27 |
| 1508304759 | Driven Physiotherapy, LLC | Clinic/Center | 1029 Zircon Ct., Salisbury, MD 21804 | 2017-02-08 |
| Find all providers in zip 21804 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609493683 | Haley Rose Thornton | Physician Assistant | 617 Emerald Bay Dr, Salisbury, NC 28146-1582 | 2020-06-25 |
| 1801363262 | Jayme Lynn Isett | Physician Assistant | 314 W Carroll St Ste 1, Salisbury, MD 21801-5409 | 2018-10-24 |
| 1770069353 | Samuel Robert Brittingham | Physician Assistant | 100 E. Carroll St, 3rd Floor, West Tower, Salisbury, MD 21801 | 2018-07-17 |
| 1871950790 | Melissa Noah | Physician Assistant | 31413 Winterplace Pkwy Ste 103, Salisbury, MD 21804-1877 | 2016-01-22 |
| 1013301092 | Megan Way | Physician Assistant | 320 Jake Alexander Blvd W Ste 103, Salisbury, NC 28147-1443 | 2015-03-26 |
| 1932155629 | Lloyd Jeff Taylor | Physician Assistant | 1509 E Innes St, Suite B, Salisbury, NC 28146-6018 | 2006-05-25 |
| 1437119138 | Patricia Deery Adams | Physician Assistant | 1601 Brenner Avenue, Vamc, Salisbury, NC 28144 | 2006-03-25 |
| 1619964327 | Julie Lynn Parrish | Physician Assistant | 314 W Carroll St, Suite 1, Salisbury, MD 21801-5409 | 2005-09-29 |
| 1699778811 | Heidi Elizabeth Callahan | Physician Assistant | 100 E Carroll St, # 400, Salisbury, MD 21801-5422 | 2005-05-23 |
| 1093348609 | Lauren Nolan | Physician Assistant | 612 Mocksville Ave, Salisbury, NC 28144-2732 | 2020-02-21 |
| Find all providers in SALISBURY | ||||
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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.