Rudy J Ellis Jr. (NPI# 1740281583, PAC ID# 3577623867) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1740281583 |
| PAC ID by PECOS | 3577623867 |
| Professional Enrollment ID | I20081117000340 |
| Full Name | Rudy J Ellis Jr. |
| Organization Legal Name | ELLIS AND BADENHAUSEN ORTHOPAEDICS PSC |
| Address |
5120 Dixie Hwy Suite 103 Louisville KY 40216-1775 |
| Phone Number | 5024490449 |
| Gender | M |
| Medical School | UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE |
| Graduation Year | 1977 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 9032104559 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180088 | NORTON HOSPITALS, INC |
| Address | Phone | Organization |
|---|---|---|
| 13151 Magisterial Dr, Suite 200, Louisville, KY 40223-4103 | 5025871236 | ELLIS AND BADENHAUSEN ORTHOPAEDICS PSC |
| 5120 Dixie Hwy, Suite 103, Louisville, KY 40216-1775 | 5024490449 | ELLIS AND BADENHAUSEN ORTHOPAEDICS PSC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | ELLIS AND BADENHAUSEN ORTHOPAEDICS PSC |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Christopher Vardeman | Physical Therapy | Ellis and Badenhausen Orthopaedics Psc | 5120 Dixie Hwy, Suite 103, Louisville, KY 40216-1775 |
| Devin Conway | Physical Therapy | Ellis and Badenhausen Orthopaedics Psc | 13151 Magisterial Dr, Suite 200, Louisville, KY 40223-4103 |
| Sean Michael Griffin | Orthopedic Surgery | Ellis and Badenhausen Orthopaedics Psc | 4123 Dutchmans Ln, Suite 101, Louisville, KY 40207-4718 |
| Michael Salamon | Orthopedic Surgery | Ellis and Badenhausen Orthopaedics Psc | 5120 Dixie Hwy, Suite 103, Louisville, KY 40216-1775 |
| Daniel Edward Rueff | Orthopedic Surgery | Ellis and Badenhausen Orthopaedics Psc | 5120 Dixie Hwy, Suite 103, Louisville, KY 40216-1775 |
| George Jeffrey Popham | Orthopedic Surgery | Ellis and Badenhausen Orthopaedics Psc | 5120 Dixie Hwy, Suite 103, Louisville, KY 40216-1775 |
| Akbar Nawab | Orthopedic Surgery | Ellis and Badenhausen Orthopaedics Psc | 5120 Dixie Hwy, Suite 103, Louisville, KY 40216-1775 |
| George Spencer Sickles | Physical Therapy | Ellis and Badenhausen Orthopaedics Psc | 5120 Dixie Hwy, Suite 103, Louisville, KY 40216-1775 |
| Joseph Pt Baribeau | Physical Therapy | Ellis and Badenhausen Orthopaedics Psc | 5120 Dixie Hwy, Suite 103, Louisville, KY 40216-1775 |
| Mark G Smith | Orthopedic Surgery | Ellis and Badenhausen Orthopaedics Psc | 5120 Dixie Hwy, Suite 103, Louisville, KY 40216-1775 |
| Street Address |
5120 DIXIE HWY SUITE 103 |
| City | LOUISVILLE |
| State | KY |
| Zip | 40216-1775 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Christopher Vardeman | Physical Therapy | Ellis and Badenhausen Orthopaedics Psc | 5120 Dixie Hwy, Suite 103, Louisville, KY 40216-1775 |
| Michael Salamon | Orthopedic Surgery | Ellis and Badenhausen Orthopaedics Psc | 5120 Dixie Hwy, Suite 103, Louisville, KY 40216-1775 |
| Daniel Edward Rueff | Orthopedic Surgery | Ellis and Badenhausen Orthopaedics Psc | 5120 Dixie Hwy, Suite 103, Louisville, KY 40216-1775 |
| George Jeffrey Popham | Orthopedic Surgery | Ellis and Badenhausen Orthopaedics Psc | 5120 Dixie Hwy, Suite 103, Louisville, KY 40216-1775 |
| Akbar Nawab | Orthopedic Surgery | Ellis and Badenhausen Orthopaedics Psc | 5120 Dixie Hwy, Suite 103, Louisville, KY 40216-1775 |
| George Spencer Sickles | Physical Therapy | Ellis and Badenhausen Orthopaedics Psc | 5120 Dixie Hwy, Suite 103, Louisville, KY 40216-1775 |
| Joseph Pt Baribeau | Physical Therapy | Ellis and Badenhausen Orthopaedics Psc | 5120 Dixie Hwy, Suite 103, Louisville, KY 40216-1775 |
| Mark G Smith | Orthopedic Surgery | Ellis and Badenhausen Orthopaedics Psc | 5120 Dixie Hwy, Suite 103, Louisville, KY 40216-1775 |
| Lawrence A Schaper | Orthopedic Surgery | Ellis and Badenhausen Orthopaedics Psc | 5120 Dixie Hwy, Suite 103, Louisville, KY 40216-1775 |
| Kelsi J Barnes | Physician Assistant | Ellis and Badenhausen Orthopaedics Psc | 5120 Dixie Hwy, Suite 103, Louisville, KY 40216-1775 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Izabella M Sullivan | Nurse Practitioner | Baptist Health Medical Group Inc | 7100 Raggard Rd, Louisville, KY 40216-1287 |
| Amanda Saccone | Nurse Practitioner | Take Care Health Kentucky, P.s.c. | 5100 Dixie Hwy, Louisville, KY 40216-1702 |
| Haydee N Canovas | Nurse Practitioner | Take Care Health Kentucky, P.s.c. | 5100 Dixie Hwy, Louisville, KY 40216-1702 |
| Nella J Perrella | Nurse Practitioner | Take Care Health Kentucky, P.s.c. | 5100 Dixie Hwy, Louisville, KY 40216-1702 |
| Carolyn E Kallmeyer | Nurse Practitioner | Take Care Health Kentucky, P.s.c. | 5100 Dixie Hwy, Louisville, KY 40216-1702 |
| Linda W Mcmillan | Nurse Practitioner | Take Care Health Kentucky, P.s.c. | 5100 Dixie Hwy, Louisville, KY 40216-1702 |
| Amy Ketterer | Nurse Practitioner | Take Care Health Kentucky, P.s.c. | 5100 Dixie Hwy, Louisville, KY 40216-1702 |
| Carrie A Mendelsberg | Nurse Practitioner | Take Care Health Kentucky, P.s.c. | 5100 Dixie Hwy, Louisville, KY 40216-1702 |
| Donald C Mcfadden | Optometry | Dr. Mark Lynn and Associates, Pllc | 5224 Dixie Hwy, Louisville, KY 40216-1704 |
| Carl G Stanis | Optometry | Dr. Mark Lynn and Associates, Pllc | 5224 Dixie Hwy, Louisville, KY 40216-1704 |
| Find all physicians in zip 40216 | |||
| City | LOUISVILLE |
| Zip Code | 40216 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | LOUISVILLE + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Rudy J Ellis Jr..
| 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.