Laurie J Ellis (NPI# 1770578254, PAC ID# 2961433735) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1770578254 |
| PAC ID by PECOS | 2961433735 |
| Professional Enrollment ID | I20050822001385 |
| Full Name | Laurie J Ellis |
| Organization Legal Name | WOSETH DERMATOLOGY, P.C. |
| Address |
1548 E 4500 S Salt Lake City UT 84117-5209 |
| Phone Number | 8012668841 |
| Gender | F |
| Credential | NP |
| Graduation Year | 1997 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1557392313 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1548 E 4500 S, Salt Lake City, UT 84117-5209 | 8012668841 | WOSETH DERMATOLOGY, P.C. |
| 1548 E 4500 S, Suite 202, Salt Lake City, UT 84117-5209 | 8012668841 | WOSETH DERMATOLOGY, P.C. |
| Organization Legal Name | WOSETH DERMATOLOGY, P.C. |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Douglas M Woseth | Dermatology | Woseth Dermatology, P.C. | 4040 W Daybreak Pkwy, Suite 200, South Jordan, UT 84009-1288 |
| Elena M Hadjicharalambous | Dermatology | Woseth Dermatology, P.C. | 1548 E 4500, Suite 202, Salt Lake City, UT 84117-5209 |
| Breton Adam Orel Yates | Dermatology | Woseth Dermatology, P.C. | 1548 E 4500, Suite 202, Salt Lake City, UT 84117-5209 |
| Angela K Brimhall | Dermatology | Woseth Dermatology, P.C. | 1548 E 4500, Suite 202, Salt Lake City, UT 84117-5209 |
| Michael Richard Swinyer | Physician Assistant | Woseth Dermatology, P.C. | 1548 E 4500, Suite 202, Salt Lake City, UT 84117-5209 |
| Shane Michael Farr | Physician Assistant | Woseth Dermatology, P.C. | 4040 W Daybreak Pkwy, Suite 200, South Jordan, UT 84009-1288 |
| Alisa Seeberger | Nurse Practitioner | Woseth Dermatology, P.C. | 1548 E 4500, Suite 202, Salt Lake City, UT 84117-5209 |
| Leonard J Swinyer | Dermatology | Woseth Dermatology, P.C. | 1548 E 4500, Suite 202, Salt Lake City, UT 84117-5209 |
| Street Address |
1548 E 4500 S |
| City | SALT LAKE CITY |
| State | UT |
| Zip | 84117-5209 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tiffani T Fries | Chiropractic | 1548 E 4500 S, Suite 101, Salt Lake City, UT 84117-5209 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David A Mehregan | Pathology | Utah Pathology Service Inc | 5330 S 900 E, Suite 120, Salt Lake City, UT 84117-3504 |
| Julie A Jackson | Pathology | Utah Pathology Service Inc | 5330 S 900 E, Suite 120, Salt Lake City, UT 84117-3504 |
| Isaac E Lloyd | Pathology | Utah Pathology Service Inc | 5330 S 900 E, Suite 120, Salt Lake City, UT 84117-3504 |
| Ralph W Gant | Clinical Psychologist | 5525 S 900 E Plaza II, Suite 102, Murray, UT 84117-3505 | |
| Scott Asay | Chiropractic | Apollo Health Centers | 5525 S 900, Suite 310, Murray, UT 84117-3516 |
| Timothy P Young | Family Medicine | Apollo Health Centers | 5525 S 900, Suite 310, Murray, UT 84117-3516 |
| Travis Castillon | Chiropractic | Apollo Health Centers | 5525 S 900, Suite 310, Murray, UT 84117-3516 |
| Jason Dayne Petersen | Plastic and Reconstructive Surgery | J Dayne Petersen Md PC | 5353 S 960, Salt Lake City, UT 84117-3533 |
| Summer Rae Kottsick | Nurse Practitioner | Ihc Health Services Inc | 2160 E 4500, Holladay Pedia N, Salt Lake City, UT 84117-4011 |
| Andrea Loving | Nurse Practitioner | 2180 E 4500, Suite 105, Holladay, UT 84117-4017 | |
| Find all physicians in zip 84117 | |||
| City | SALT LAKE CITY |
| Zip Code | 84117 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SALT LAKE CITY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Laurie J 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.