Kyle J Ellison (NPI# 1639352206, PAC ID# 1557444817) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1639352206 |
| PAC ID by PECOS | 1557444817 |
| Professional Enrollment ID | I20080208000414 |
| Full Name | Kyle J Ellison |
| Address |
133 Nw 32nd St Newcastle OK 73065-6349 |
| Gender | M |
| Graduation Year | 2007 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 133 Nw 32nd St, Newcastle, OK 73065-6349 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_182_overall | Functional Outcome Assessment | 100% |
| Street Address |
133 NW 32ND ST |
| City | NEWCASTLE |
| State | OK |
| Zip | 73065-6349 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William T Swearingen | Family Medicine | Norman Regional Providers-primary Care | 300 S Main St, Primary Care Newcastle, Newcastle, OK 73065-5403 |
| Lindsey N Leehan | Nurse Practitioner | Healthcare Stat of Newcastle LLC | 2120 N Main St, Suite B, Newcastle, OK 73065-6247 |
| Jeramiah L Walker | Nurse Practitioner | 300 Nw 32nd St, Newcastle, OK 73065-6300 | |
| Lauryn R Jeffcoat | Physician Assistant | Medical Resource Management LLC | 1000 Nw 32nd St, Newcastle, OK 73065-6334 |
| Melissa Ann Walker | Physician Assistant | Medical Resource Management LLC | 1000 Nw 32nd St, Newcastle, OK 73065-6334 |
| Tiffany Brook Stutzman | Physician Assistant | Medical Resource Management LLC | 1000 Nw 32nd St, Newcastle, OK 73065-6334 |
| Dona E Robertson | Physician Assistant | Medical Resource Management LLC | 1000 Nw 32nd St, Newcastle, OK 73065-6334 |
| Mariah Paige Melton | Physician Assistant | Medical Resource Management LLC | 1000 Nw 32nd St, Newcastle, OK 73065-6334 |
| Nicole Fetters | Physician Assistant | Medical Resource Management LLC | 1000 Nw 32nd St, Newcastle, OK 73065-6334 |
| Chad S Edminsten | Physician Assistant | Medical Resource Management LLC | 1000 Nw 32nd St, Newcastle, OK 73065-6334 |
| Find all physicians in zip 73065 | |||
| City | NEWCASTLE |
| Zip Code | 73065 |
| Specialty | CHIROPRACTIC |
| City + Specialty | NEWCASTLE + CHIROPRACTIC |
Please comment or provide details below to improve the information on Kyle J Ellison.
| 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.