David A Ellis (NPI# 1184711426, PAC ID# 3476522723) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1184711426 |
| PAC ID by PECOS | 3476522723 |
| Professional Enrollment ID | I20041001001100 |
| Full Name | David A Ellis |
| Address |
917 S Scheuber Rd Centralia WA 98531-9027 |
| Phone Number | 3607369384 |
| Gender | M |
| Credential | MD |
| Medical School | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1976 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | GENERAL PRACTICE |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500019 | PROVIDENCE CENTRALIA HOSPITAL |
| 500139 | CAPITAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 917 S Scheuber Rd, Centralia, WA 98531-9027 | 3607369384 |
| Street Address |
917 S SCHEUBER RD |
| City | CENTRALIA |
| State | WA |
| Zip | 98531-9027 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph L Dolezal | Optometry | 1125 Mellen St, Centralia, WA 98531-1173 | |
| Jason A Buono | Physical Therapy | Centralia Physical Therapy Ps Inc | 1118 View Ave, Centralia, WA 98531-1870 |
| Sara J Hess | Physical Therapy | Centralia Physical Therapy Ps Inc | 1118 View Ave, Centralia, WA 98531-1870 |
| Kristin Kay Hood | Physical Therapy | Centralia Physical Therapy Ps Inc | 1118 View Ave, Centralia, WA 98531-1870 |
| Gregory A Sonntag | Physical Therapy | Centralia Physical Therapy Ps Inc | 1118 View Ave, Centralia, WA 98531-1870 |
| Todd L Gentzler | Physical Therapy | Centralia Physical Therapy Ps Inc | 1118 View Ave, Centralia, WA 98531-1870 |
| Jacob Andrew Keeling | Physical Therapy | Centralia Physical Therapy Ps Inc | 1118 View Ave, Centralia, WA 98531-1870 |
| Holly A Lickwala | Physical Therapy | Centralia Physical Therapy Ps Inc | 1118 View Ave, Centralia, WA 98531-1870 |
| Steven Aaron Zakai | Physical Therapy | Centralia Physical Therapy Ps Inc | 1118 View Ave, Centralia, WA 98531-1870 |
| Erin D Buono | Physical Therapy | Centralia Physical Therapy Ps Inc | 1118 View Ave, Centralia, WA 98531-1870 |
| Find all physicians in zip 98531 | |||
| City | CENTRALIA |
| Zip Code | 98531 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CENTRALIA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on David 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.