Wilfred J G Ellis (NPI# 1811936198, PAC ID# 3173544616) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INFECTIOUS DISEASE.
| Nation Provider ID (NPI) | 1811936198 |
| PAC ID by PECOS | 3173544616 |
| Professional Enrollment ID | I20110207000620 |
| Full Name | Wilfred J G Ellis |
| Address |
324 S Cole St Lima OH 45805-3258 |
| Gender | M |
| Medical School | WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1982 |
| Primary Specialty | INFECTIOUS DISEASE |
| Secondary Specialties | PEDIATRIC MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360009 | LIMA MEMORIAL HEALTH SYSTEM |
| 360058 | MERCER COUNTY JOINT TOWNSHIP COMMUNITY HOSPITAL |
| 360032 | GRAND LAKE HEALTH SYSTEM |
| 360013 | WILSON MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 324 S Cole St, Lima, OH 45805-3258 |
| Street Address |
324 S COLE ST |
| City | LIMA |
| State | OH |
| Zip | 45805-3258 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Darryl M Haycock | Podiatry | 2311 Baton Rouge, Lima, OH 45805-1129 | |
| Mary Shenouda | Ophthalmology | Advanced Vision Care, Inc | 2300 Baton Rouge, Lima, OH 45805-1130 |
| Michael T Craig | Ophthalmology | Advanced Vision Care, Inc | 2300 Baton Rouge, Lima, OH 45805-1130 |
| Michael Griffith | Psychologist, Clinical | 3000 Elida Rd, Suite 2, Lima, OH 45805-1232 | |
| Michael Fishbaugh Jr. | Optometry | Michael A. Fishbaugh Jr. O.d. Inc. | 1301 N Cable Rd, Lima, OH 45805-1407 |
| Amy L Bankey | Optometry | Michael A. Fishbaugh Jr. O.d. Inc. | 1301 N Cable Rd, Lima, OH 45805-1407 |
| Ashley Nicole Schoenherr | Optometry | Michael A. Fishbaugh Jr. O.d. Inc. | 1301 N Cable Rd, Lima, OH 45805-1407 |
| John Gillis | Chiropractic | 1905 Latham Ave, Lima, OH 45805-1637 | |
| Matthew P Ziccardi | Clinical Psychologist | 1045 Mackenzie Dr, Lima, OH 45805-1660 | |
| Omar A Sweidan | Optometry | 2155 Allentown Rd, Lima, OH 45805-1705 | |
| Find all physicians in zip 45805 | |||
| City | LIMA |
| Zip Code | 45805 |
| Specialty | INFECTIOUS DISEASE |
| City + Specialty | LIMA + INFECTIOUS DISEASE |
Please comment or provide details below to improve the information on Wilfred J G 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.