Carol A Ellis (NPI# 1194919647, PAC ID# 1850489840) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1194919647 |
PAC ID by PECOS | 1850489840 |
Professional Enrollment ID | I20071113000528 |
Full Name | Carol A Ellis |
Organization Legal Name | CATALYST MEDICAL GROUP, PLLC |
Address |
2315 8th St Lewiston ID 83501-7301 |
Phone Number | 2087461383 |
Gender | F |
Graduation Year | 2007 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 2365722105 |
Number of Group Practice Members | 48 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
130003 | ST JOSEPH REGIONAL MEDICAL CENTER |
501332 | TRI-STATE MEMORIAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
808 Port Dr, Clarkston, WA 99403-6009 | 5092542730 | CATALYST MEDICAL GROUP, PLLC |
2315 8th St, Lewiston, ID 83501-7301 | 2087461383 | CATALYST MEDICAL GROUP, PLLC |
Organization Legal Name | CATALYST MEDICAL GROUP, PLLC |
Physicians | 57 |
Name | Specialty | Organization | Address |
---|---|---|---|
Dewayne Lynn Weaver | Orthopedic Surgery | Catalyst Medical Group, Pllc | 320 Warner Dr, Lewiston, ID 83501-4441 |
Candice M Klemens | Physician Assistant | Catalyst Medical Group, Pllc | 1221 Highland Ave, Clarkston, WA 99403-2829 |
Andrea N Hedrick | Certified Nurse Midwife (cnm) | Catalyst Medical Group, Pllc | 2315 8th St, Lewiston, ID 83501-7301 |
Bryan J Beardsley | Orthopedic Surgery | Catalyst Medical Group, Pllc | 808 Port Dr, Clarkston, WA 99403-6009 |
Gregory P Schultz | Pediatric Medicine | Catalyst Medical Group, Pllc | 2315 8th St, Lewiston, ID 83501-7301 |
Sean A Urquhart | Obstetrics/gynecology | Catalyst Medical Group, Pllc | 2315 8th St, Lewiston, ID 83501-7301 |
Anita R Ringering | Nurse Practitioner | Catalyst Medical Group, Pllc | 2315 8th St, Lewiston, ID 83501-7301 |
Robert S Mahal | Nurse Practitioner | Catalyst Medical Group, Pllc | 2315 8th St, Lewiston, ID 83501-7301 |
Gregory Robert Obray | Physician Assistant | Catalyst Medical Group, Pllc | 1221 Highland Ave, Clarkston, WA 99403-2829 |
Darby Lynch Justis | Pediatric Medicine | Catalyst Medical Group, Pllc | 2315 8th St, Lewiston, ID 83501-7301 |
Street Address |
2315 8TH ST |
City | LEWISTON |
State | ID |
Zip | 83501-7301 |
Name | Specialty | Organization | Address |
---|---|---|---|
Andrea N Hedrick | Certified Nurse Midwife (cnm) | Catalyst Medical Group, Pllc | 2315 8th St, Lewiston, ID 83501-7301 |
Gregory P Schultz | Pediatric Medicine | Catalyst Medical Group, Pllc | 2315 8th St, Lewiston, ID 83501-7301 |
Sean A Urquhart | Obstetrics/gynecology | Catalyst Medical Group, Pllc | 2315 8th St, Lewiston, ID 83501-7301 |
Anita R Ringering | Nurse Practitioner | Catalyst Medical Group, Pllc | 2315 8th St, Lewiston, ID 83501-7301 |
Robert S Mahal | Nurse Practitioner | Catalyst Medical Group, Pllc | 2315 8th St, Lewiston, ID 83501-7301 |
Darby Lynch Justis | Pediatric Medicine | Catalyst Medical Group, Pllc | 2315 8th St, Lewiston, ID 83501-7301 |
Todd M Carpenter | Nurse Practitioner | Catalyst Medical Group, Pllc | 2315 8th St, Lewiston, ID 83501-7301 |
Rebecca Lyn Horne | Nurse Practitioner | Catalyst Medical Group, Pllc | 2315 8th St, Lewiston, ID 83501-7301 |
Danielle Barnes | Physician Assistant | Catalyst Medical Group, Pllc | 2315 8th St, Lewiston, ID 83501-7301 |
Timothy J Dykstra | Internal Medicine | Catalyst Medical Group, Pllc | 2315 8th St, Lewiston, ID 83501-7301 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Lori L Holder | Clinical Social Worker | 504 Main St, Suite 472, Lewiston, ID 83501-1806 | |
Thomas R Boyer | Chiropractic | 717 D St, Lewiston, ID 83501-1826 | |
Rebecca A Bohnenkamp | Clinical Social Worker | 523 /2 Main St, Suite 7, Lewiston, ID 83501-1870 | |
Kristy Anne Kuehfuss | Psychologist, Clinical | 633 Main St, Suite B2, Lewiston, ID 83501-1882 | |
Clinton R Morgan | Hematology/oncology | St Joseph Hospital LLC | 1250 Idaho St, Lewiston, ID 83501-1965 |
Alice Myra Forsythe | Medical Oncology | St Joseph Hospital LLC | 1250 Idaho St, Lewiston, ID 83501-1965 |
John Siebel | Hematology/oncology | St Joseph Hospital LLC | 1250 Idaho St, Lewiston, ID 83501-1965 |
Michele R Dickison | Nurse Practitioner | St Joseph Hospital LLC | 1250 Idaho St, Lewiston, ID 83501-1965 |
Debra L Street | Clinical Social Worker | 0309 2nd St, Lewiston, ID 83501-2163 | |
Mark F Yama | Psychologist, Clinical | 428 6th Ave, Lewiston, ID 83501-2355 | |
Find all physicians in zip 83501 |
City | LEWISTON |
Zip Code | 83501 |
Specialty | NURSE PRACTITIONER |
City + Specialty | LEWISTON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Carol A 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.