Paul William Ellis (NPI# 1174594873, PAC ID# 2365403037) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1174594873 |
| PAC ID by PECOS | 2365403037 |
| Professional Enrollment ID | I20171201002239 |
| Full Name | Paul William Ellis |
| Organization Legal Name | ORTHOCAROLINA, PA |
| Address |
1915 Randolph Rd Charlotte NC 28207-1101 |
| Phone Number | 7043391000 |
| Gender | M |
| Credential | PA |
| Graduation Year | 2002 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2062316821 |
| Number of Group Practice Members | 402 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340053 | NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER |
| 340113 | CAROLINAS MEDICAL CENTER/BEHAV HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 1915 Randolph Rd, Charlotte, NC 28207-1101 | 7043391000 | ORTHOCAROLINA, PA |
| 2001 Randolph Rd, Charlotte, NC 28207-1215 | 7043322225 | ORTHOCAROLINA, PA |
| Organization Legal Name | ORTHOCAROLINA, PA |
| Physicians | 395 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Taylor Marshall Simmons | Physical Therapy | Orthocarolina, Pa | 197 Piedmont Blvd, Suite 111, Rock Hill, SC 29732-1825 |
| Lacy Peterson | Physical Therapy | Orthocarolina, Pa | 214 18th St Se, Hickory, NC 28602-1363 |
| Matthew Quay Johnson | Physical Therapy | Orthocarolina, Pa | 150 Fairview Rd, Suite 230, Mooresville, NC 28117-9508 |
| James Steven Starman | Orthopedic Surgery | Orthocarolina, Pa | 445 Pineview Dr, Suite 220, Kernersville, NC 27284-3818 |
| Erica Kay Locklear | Nurse Practitioner | Orthocarolina, Pa | 1604 Medical Dr, Laurinburg, NC 28352-5524 |
| Michael Steven Gart | Plastic and Reconstructive Surgery | Orthocarolina, Pa | 2001 E 7th St, Charlotte, NC 28204-3311 |
| Debra Myhr | Physical Therapy | Orthocarolina, Pa | 703 Comfort Lane, Monroe, NC 28112 |
| Margaret Mcbride Hanna | Physical Therapy | Orthocarolina, Pa | 5935 Carnegie Blvd, Suite 104, Charlotte, NC 28209-4672 |
| Michael Devon Bates | Orthopedic Surgery | Orthocarolina, Pa | 9848 N Tryon St, Charlotte, NC 28262-5512 |
| Judit A Staneata | Physical Medicine and Rehabilitation | Orthocarolina, Pa | 180 Kimel Park Dr, Winston Salem, NC 27103-6976 |
| Street Address |
1915 RANDOLPH RD |
| City | CHARLOTTE |
| State | NC |
| Zip | 28207-1101 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Philip M Dayvault | Physician Assistant | Orthocarolina, Pa | 1915 Randolph Rd, Charlotte, NC 28207-1101 |
| Tyler L Carllee | Orthopedic Surgery | Orthocarolina, Pa | 1915 Randolph Rd, Charlotte, NC 28207-1101 |
| Lindsay C Collins | Physician Assistant | Orthocarolina, Pa | 1915 Randolph Rd, Charlotte, NC 28207-1101 |
| Kristen L Alford | Physical Therapy | Orthocarolina, Pa | 1915 Randolph Rd, Charlotte, NC 28207-1101 |
| Marcie Heslop Siebert | Occupational Therapy | Orthocarolina, Pa | 1915 Randolph Rd, Charlotte, NC 28207-1101 |
| Eric C Heckman | Physician Assistant | Orthocarolina, Pa | 1915 Randolph Rd, Charlotte, NC 28207-1101 |
| Shannon Mullaly | Physical Therapy | Orthocarolina, Pa | 1915 Randolph Rd, Charlotte, NC 28207-1101 |
| Timothy A Boyd | Physician Assistant | Orthocarolina, Pa | 1915 Randolph Rd, Charlotte, NC 28207-1101 |
| Raymond G Gaston | Hand Surgery | Orthocarolina, Pa | 1915 Randolph Rd, Charlotte, NC 28207-1101 |
| Michael H Long | Physician Assistant | Orthocarolina, Pa | 1915 Randolph Rd, Charlotte, NC 28207-1101 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin M Rudisel | Internal Medicine | Novant Medical Group Inc | 1901 Randolph Rd, Charlotte, NC 28207-1101 |
| Ryan M Garcia | Hand Surgery | Orthocarolina, Pa | 1915 Randolph Rd, Charlotte, NC 28207-1101 |
| Christopher C Gabriel | Physical Therapy | Orthocarolina, Pa | 1915 Randolph Rd, Charlotte, NC 28207-1101 |
| Kevin C Vanvoorhis | Physical Therapy | Orthocarolina, Pa | 1915 Randolph Rd, Charlotte, NC 28207-1101 |
| Vidya Venkat | Physician Assistant | Providence Anesthesiology Associates Pa | 1901 Randolph Rd, Charlotte, NC 28207-1101 |
| Matthew C Erbe | Physical Therapy | Orthocarolina, Pa | 1915 Randolph Rd, Charlotte, NC 28207-1101 |
| Ashley Marie Coudron | Occupational Therapy | Orthocarolina, Pa | 1915 Randolph Rd, Charlotte, NC 28207-1101 |
| Steven Craig Frantz | Physician Assistant | Novant Medical Group Inc | 1901 Randolph Rd, Charlotte, NC 28207-1101 |
| Kevin R Brown | Physician Assistant | Orthocarolina, Pa | 1915 Randolph Rd, Charlotte, NC 28207-1101 |
| Suzanne E Lundy | Physical Therapy | Orthocarolina, Pa | 1915 Randolph Rd, Charlotte, NC 28207-1101 |
| Find all physicians in zip 28207 | |||
| City | CHARLOTTE |
| Zip Code | 28207 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | CHARLOTTE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Paul William 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.