Ronald Ellis (NPI# 1942342936, PAC ID# 0244136828) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PAIN MANAGEMENT.
| Nation Provider ID (NPI) | 1942342936 |
| PAC ID by PECOS | 0244136828 |
| Professional Enrollment ID | I20160119000978 |
| Full Name | Ronald Ellis |
| Organization Legal Name | LOUISIANA PAIN CARE, LLC |
| Address |
210 Layton Ave Suite 20 Monroe LA 71210-8548 |
| Phone Number | 3183236405 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1976 |
| Primary Specialty | PAIN MANAGEMENT |
| Group Practice PAC ID | 9032015607 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190125 | ST FRANCIS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 210 Layton Ave, Suite 20, Monroe, LA 71210-8548 | 3183236405 | LOUISIANA PAIN CARE, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | LOUISIANA PAIN CARE, LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vincent R Forte | Interventional Pain Management | Louisiana Pain Care, LLC | 210 Layton Ave, Suite 20, Monroe, LA 71210-8548 |
| Paul B Roberts | Nurse Practitioner | Louisiana Pain Care, LLC | 210 Layton Ave, Suite 20, Monroe, LA 71210-8548 |
| John L Ledbetter | Interventional Pain Management | Louisiana Pain Care, LLC | 210 Layton Ave, Suite 20, Monroe, LA 71210-8548 |
| Anderson C Austin | Nurse Practitioner | Louisiana Pain Care, LLC | 210 Layton Ave, Suite 20, Monroe, LA 71210-8548 |
| James Gordon | Interventional Pain Management | Louisiana Pain Care, LLC | 210 Layton Ave, Suite 20, Monroe, LA 71210-8548 |
| Street Address |
210 LAYTON AVE SUITE 20 |
| City | MONROE |
| State | LA |
| Zip | 71210-8548 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vincent R Forte | Interventional Pain Management | Louisiana Pain Care, LLC | 210 Layton Ave, Suite 20, Monroe, LA 71210-8548 |
| Paul B Roberts | Nurse Practitioner | Louisiana Pain Care, LLC | 210 Layton Ave, Suite 20, Monroe, LA 71210-8548 |
| John L Ledbetter | Interventional Pain Management | Louisiana Pain Care, LLC | 210 Layton Ave, Suite 20, Monroe, LA 71210-8548 |
| Rolando Garcia Jr. | Certified Registered Nurse Anesthetist (crna) | 210 Layton Ave, Suite 10, Monroe, LA 71201-8548 | |
| Anderson C Austin | Nurse Practitioner | Louisiana Pain Care, LLC | 210 Layton Ave, Suite 20, Monroe, LA 71210-8548 |
| James Gordon | Interventional Pain Management | Louisiana Pain Care, LLC | 210 Layton Ave, Suite 20, Monroe, LA 71210-8548 |
| City | MONROE |
| Zip Code | 71210 |
| Specialty | PAIN MANAGEMENT |
| City + Specialty | MONROE + PAIN MANAGEMENT |
Please comment or provide details below to improve the information on Ronald Ellis.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.