DR. MARY KATHRYN ELLIS (NPI# 1962452706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962452706 |
| Entity Type | Individual |
| Full Name | DR. MARY KATHRYN ELLIS |
| Credential | MD |
| Practice Address |
2900 W Oklahoma Ave Milwaukee WI 53215-4330 |
| Practice Telephone | 4146496572 |
| Mailing Telephone | 4146496572 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
39682-020 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 34074200 | 05 | |
| WI | RAILROAD MEDICARE | P00202747 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881224996 | Mary Elizabeth Ellis | Physician Assistant | 1 Hospital Dr # 3400, Asheville, NC 28801-4550 | 2020-01-17 |
| 1720594088 | Mary Ellis | Student in an Organized Health Care Education/Training Program | 3533 Southern Blvd Ste 5200, Kettering, OH 45429-1275 | 2017-12-22 |
| 1730517293 | Mary Hannah Ellis | Counselor | 703 Copperline Dr, Unit 208, Chapel Hill, NC 27516-4488 | 2013-10-21 |
| 1295042869 | Mary Ann Ellis | Counselor | 20114 E Pennsylvania Ave, Dunnellon, FL 34432-6033 | 2010-09-02 |
| 1437486172 | Mary Ellis | Licensed Practical Nurse | 3073 Prosperity Ln, Columbus, OH 43231-8822 | 2009-11-17 |
| 1588816573 | Mary Louise Ellis | Pharmacist | 1327 Blue Ave, Zanesville, OH 43701-2403 | 2008-10-21 |
| 1821297300 | Mary Lucena Ellis | Speech-Language Pathologist | 2810 45th St, Rock Island, IL 61201-5860 | 2007-07-13 |
| 1437360872 | Mary Louise Ellis | Registered Nurse | 20094 Mission Blvd, Hayward, CA 94541-1237 | 2007-05-25 |
| 1003964131 | Mary Linda Ellis | Counselor | 2070 Buford Hwy, Ste 2-d, Buford, GA 30518-6079 | 2007-01-08 |
| 1982268231 | Mary Claire Ellis | Student in an Organized Health Care Education/Training Program | Duke University Hospital 2301 Erwin Rd, Durham, NC 27710-0001 | 2019-04-23 |
| Street Address |
2900 W OKLAHOMA AVE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53215-4330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386640811 | Moises A Garcia | Internal Medicine | 2900 W Oklahoma Ave, 5th Fl, Milwaukee, WI 53215-4330 | 2005-06-21 |
| 1366040883 | Amy Lynn Mann | Occupational Therapist | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2020-10-16 |
| 1992302616 | Taylor A Umpierrez | Nurse Practitioner | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2020-10-06 |
| 1831705664 | Fauzan Ali | Anesthesiologist Assistant | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2020-09-17 |
| 1992318091 | Sarah E Gelhaar | Nurse Practitioner | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2020-08-28 |
| 1831700483 | David J Guerard | Nurse Practitioner | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2020-08-16 |
| 1083225767 | Melanie M Quella | Nurse Practitioner | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2020-08-14 |
| 1740890219 | Kathleen Rose Silveira | Pharmacist | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2020-08-08 |
| 1245849264 | Anna K Coppin | Nurse Practitioner | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2020-07-27 |
| 1780209320 | Angie Knutson | Pharmacist | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2020-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841829918 | Joshua Michael Brooks | Student in an Organized Health Care Education/Training Program | Aurora St. Lukes Medical Center 2901 W Oklahoma Ave, Milwaukee, WI 53215 | 2020-04-02 |
| 1053967091 | Kristina Strupp | Clinical Nurse Specialist | 2900 W. Oaklahoma Avenue, Milwaukee, WI 53215 | 2019-08-15 |
| 1427510296 | Madelyn Pickle | Student in an Organized Health Care Education/Training Program | 2801 W. Kinnickinnic Rd Ste 250, Milwaukee, WI 53215 | 2019-04-02 |
| 1932601838 | Elizabeth D Morawski | Nurse Practitioner | 2801 Kinnickinnic Parkway, Suite 630, Milwaukee, WI 53215 | 2018-03-06 |
| 1457872673 | Canzata Kimberly Dent | Counselor | 2727 W. Cleveland Suite 204, Milwaukee, WI 53215 | 2017-06-28 |
| 1538689955 | Christian Pena | Durable Medical Equipment & Medical Supplies | 2800 W Forest Home Ave, Suite 100, Milwaukee, WI 53215 | 2017-06-27 |
| 1386178804 | Dane A Olsen | Family Medicine | 801 W Kinnickinnic River Pkwy., Suite 250, Milwaukee, WI 53215 | 2017-04-12 |
| 1811443492 | Thomas Diamond | Physical Therapist | 2901 Kinnickinnic Parkway, Milwaukee, WI 53215 | 2016-09-01 |
| 1487055133 | Sam Khalili | Otolaryngology | 2801 W Kinnickinnic River Pkwy # 680, Milwaukee, WI 53215 | 2014-09-12 |
| 1992105621 | Nicole R Hall | Nurse Practitioner | 2901 S Kinnickinnic Ave, Milwaukee, WI 53215 | 2014-08-29 |
| Find all providers in zip 53215 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1790307080 | Rihawi Md Sc | Internal Medicine | 2801 W Kinnickinnic River Pkwy Ste 445, Milwaukee, WI 53215-3669 | 2020-05-11 |
| 1699835256 | Stuart A Levy | Internal Medicine | 9509 N Wakefield Ct, Milwaukee, WI 53217-1245 | 2006-12-12 |
| 1861563058 | Omprakash Ahuja | Internal Medicine | 3070 N 51st Street, Suite 506, Milwaukee, WI 53210-1645 | 2006-11-11 |
| 1770005399 | Divyansh Bajaj | Internal Medicine | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2017-07-14 |
| 1003268343 | Mohammed Omer Ahmed Abdalla | Internal Medicine | 8701 W Watertown Plank Rd Dept Of, Milwaukee, WI 53226-3548 | 2016-07-11 |
| 1114353737 | Bangash Medical Associates Sc | Internal Medicine | 7235 W Appleton Ave, Milwaukee, WI 53216-1932 | 2013-09-16 |
| 1750721346 | Uzair Khan Ghori | Internal Medicine | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2013-06-27 |
| 1497091003 | Milwaukee Medical Associates, Sc | Internal Medicine | 2741 W Layton Ave, #201, Milwaukee, WI 53221-2600 | 2012-12-31 |
| 1477817351 | Andrew Jason Zane | Internal Medicine | 3201 S 16th St Ste 2015, Milwaukee, WI 53215 | 2012-06-26 |
| 1992063226 | Jorge Leopoldo Sanchez | Internal Medicine | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2012-04-24 |
| Find all providers in MILWAUKEE | ||||
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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.