SHIRLEY ELLACER (NPI# 1982738241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982738241 |
| Entity Type | Individual |
| Full Name | SHIRLEY ELLACER |
| Practice Address |
33229 Ryan Dr Apt 15 Leesburg FL 34788-3718 |
| Practice Telephone | 3179872603 |
| Mailing Telephone | 3179872603 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2009-02-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | PT23179 | FL | Other Service Providers |
| Street Address |
33229 RYAN DR APT 15 |
| City | LEESBURG |
| State | FL |
| Zip Code | 34788-3718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346752060 | Latoya Luella Burnette | Homemaker | 9324 Cemetery Ave, Leesburg, FL 34788 | 2017-11-03 |
| 1407396781 | Rachelle Desir | Developmental Therapist | 33242 Kaylee Way, Leesburg, FL 34788 | 2017-03-06 |
| 1184752750 | Suzanne Mary Howard | Social Worker | 33057 Professional Drive, Lake Center of Hope, Leesburg, FL 34788 | 2007-03-02 |
| 1386798460 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 10041 Us Hwy 441, Suite E, Leesburg, FL 34788 | 2007-01-23 |
| 1558412486 | Samuel Bundz Md Pa | Surgery | 8112 Centralia Ct, Suite 101, Leesburg, FL 34788 | 2007-01-16 |
| 1174628481 | Foy Edward Dark Jr. | Chiropractor | 32629 Blossom Lane, Leesburg, FL 34788 | 2006-09-13 |
| 1033220744 | Miguel A Gonzalez | Internal Medicine | 33025 Professional Drive, Leesburg, FL 34788 | 2006-08-31 |
| 1215968821 | N Chandramohan Md Pa | Internal Medicine | 32845 Radio Road, Ste 102, Leesburg, FL 34788 | 2006-07-05 |
| 1548296361 | Endosurg Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 8100 Cr 44 Leg A, Leesburg, FL 34788 | 2006-06-23 |
| 1629014956 | Steven Joseph Nerad | Technician, Cardiology | 8135 Centralia Court, Suite 102, Leesburg, FL 34788 | 2006-06-22 |
| Find all providers in zip 34788 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255990115 | Cher Renee Shell | Contractor | 169 Hedgerow Dr, Leesburg, GA 31763-5554 | 2019-06-13 |
| 1528523693 | Linda Faye Fields | Contractor | 102 Northwood Dr, Leesburg, GA 31763-4310 | 2019-02-04 |
| 1003308594 | Patrina Jimmerson | Contractor | 212 Leslie Hwy, Leesburg, GA 31763-4337 | 2018-05-31 |
| 1407360423 | Andrea Jane Krommingaburks | Contractor | 133 Leighton Dr, Leesburg, GA 31763-4785 | 2017-11-29 |
| 1730691015 | Lakeisha Covin | Contractor | 140 Summerfield Dr, Leesburg, GA 31763-5548 | 2017-10-26 |
| 1932636677 | Angela Carr | Contractor | 108 Winding Way Apt C, Leesburg, GA 31763-2933 | 2017-05-12 |
| 1003366840 | Derrick Smith | Contractor | 100 Medley Dr, Leesburg, GA 31763-3272 | 2016-10-05 |
| 1255889002 | Sinay P Edwards | Contractor | 295 Saint Clair Dr, Leesburg, GA 31763-3254 | 2016-09-21 |
| 1023480332 | Juanita Elizabeth Simpson | Contractor | 1911 Harcourt Drive, Leesburg, FL 34748 | 2015-10-26 |
| 1770913725 | Josette Nakanyi Zahinda | Contractor | 528 Covington Ter Ne, Leesburg, VA 20176-2479 | 2013-11-12 |
| Find all providers in LEESBURG | ||||
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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.