MR. RONALD ELLYSON (NPI# 1952465981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952465981 |
| Entity Type | Individual |
| Full Name | MR. RONALD ELLYSON |
| Credential | PA-C |
| Practice Address |
60 Ingalls Rd Bldg 82 Ste. 412 Fort Monroe VA 23651-1032 |
| Mailing Address |
1058 Clipper Dr Hampton VA 23669-1025 |
| Practice Telephone | 7577884768 |
| Practice Fax Number | 7577882962 |
| Mailing Telephone | 7578508181 |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
60 INGALLS RD BLDG 82 STE. 412 |
| City | FORT MONROE |
| State | VA |
| Zip Code | 23651-1032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821294729 | Mcdonald Army Health Center | Clinic/Center | Building 82 Ingals, Fort Monroe, VA 23651 | 2007-06-26 |
| 1386743409 | Mcdonald Army Health Center | Pharmacy | Ingalls Rd Bldg 82, Ft Monroe, VA 23651 | 2006-09-22 |
| 1750997441 | Adrienne Reddick | Nurse Practitioner | 17 Moat Walk Unit 140a, Fort Monroe, VA 23651-1020 | 2020-09-18 |
| 1538679352 | Artisan Counseling | Counselor | 11 Moat Walk, Fort Monroe, VA 23651-1020 | 2017-10-06 |
| 1386163368 | Virginia Chiropractic & Wellness | Chiropractor | 4 Reeder Cir Apt 35b, Fort Monroe, VA 23651-1027 | 2017-09-12 |
| 1255304887 | Michael Lee Russell Sr. | Clinical Neuropsychologist | Hq, Tradoc, Suite 412 Atbo-m, Bldg 82, 60 Ingalls Road, Fort Monroe, VA 23651-1032 | 2006-02-13 |
| 1740267962 | Peter David Cross | Family Medicine | 60 Ingalls Rd, Craven Army Health Clinic, Fort Monroe, VA 23651-1032 | 2005-12-29 |
| 1821202151 | Mcdonald Army Health Center | Clinic/Center | 60 Ingalls Rd, Fort Monroe, VA 23651-1032 | 2007-05-09 |
| 1679637235 | Tamara Williams Fox | Family Medicine | 60 Ingalls Rd, Building 82, Fort Monroe, VA 23651-1032 | 2006-12-20 |
| 1023410859 | Kristi Langschied | Physical Therapy Assistant | 2 Fenwick Rd, Fort Monroe, VA 23651-1120 | 2014-09-24 |
| Find all providers in zip 23651 | ||||
| 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 |
|---|---|---|---|---|
| 1750981866 | Madison Emily Lloyd | Physician Assistant | 3416 Gayton Meadows Ter, Henrico, VA 23233-6647 | 2020-10-28 |
| 1962001529 | Careteam, LLC | Physician Assistant | 1330 Amherst St Ste E, Winchester, VA 22601-3054 | 2020-10-23 |
| 1730788514 | Alaina Nichole Wayland | Physician Assistant | 10180 Portsmouth Rd Apt 1, Manassas, VA 20109-8024 | 2020-10-22 |
| 1467050633 | Timothy Jacob Simpson | Physician Assistant | 113 S Davis Ave Apt 6105, Richmond, VA 23220-5156 | 2020-10-11 |
| 1205433885 | Jackson Laboue | Physician Assistant | 3510 Archer Springs Ter, Richmond, VA 23235-2163 | 2020-10-06 |
| 1639786320 | William Barr | Physician Assistant | 240 Gena Ct, Newport News, VA 23602-6300 | 2020-09-26 |
| 1336755297 | Taylor Jones | Physician Assistant | 583 Fowler St, Marion, VA 24354-2203 | 2020-09-16 |
| 1366058232 | Carah Grace Whichard | Physician Assistant | 18778 Grahams Dr, Abingdon, VA 24211-7096 | 2020-09-16 |
| 1962015750 | Hannah Wallen | Physician Assistant | 8101 Hinson Farm Rd Ste 501, Alexandria, VA 22306-3403 | 2020-08-31 |
| 1073126215 | Nickolas Patrick Forsberg | Physician Assistant | 11800 Sunrise Valley Dr Fl 8, Reston, VA 20191-5300 | 2020-08-27 |
| Find all providers with the same taxonomy | ||||
| City | FORT MONROE |
| Zip Code | 23651 |
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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.