Ernest R Ennis


Address: 2230 Malvern Ave, Suite E, Hot Springs, AR 71901-8000

Ernest R Ennis (NPI# 1851794291, PAC ID# 1355395336) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1851794291
PAC ID by PECOS 1355395336
Professional Enrollment ID I20141216002433
Full Name Ernest R Ennis
Address 2230 Malvern Ave
Suite E
Hot Springs
AR 71901-8000
Gender M
Graduation Year 2014
Primary Specialty NURSE PRACTITIONER
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
040078 NATIONAL PARK MEDICAL CENTER

Other Locations

Address Phone Organization
2230 Malvern Ave, Suite E, Hot Springs, AR 71901-8000

Organization Information

Office Location

Street Address 2230 MALVERN AVE
SUITE E
City HOT SPRINGS
State AR
Zip 71901-8000

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Competitor

Search similar physicians

City HOT SPRINGS
Zip Code 71901
Specialty NURSE PRACTITIONER
City + Specialty HOT SPRINGS + NURSE PRACTITIONER

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Dataset Information

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.

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