Marlene S Ellis (NPI# 1619008505, PAC ID# 4183655186) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1619008505 |
| PAC ID by PECOS | 4183655186 |
| Professional Enrollment ID | I20050830000415 |
| Full Name | Marlene S Ellis |
| Address |
212 S Park Ave Fremont OH 43420-2954 |
| Phone Number | 4193325838 |
| Gender | F |
| Credential | CSW |
| Graduation Year | 1989 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 212 S Park Ave, Fremont, OH 43420-2954 | 4193325838 |
| Street Address |
212 S PARK AVE |
| City | FREMONT |
| State | OH |
| Zip | 43420-2954 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles L Valone | Internal Medicine | 1223 Oak Harbor Rd, Fremont, OH 43420-1020 | |
| Babar Sanaullah | Internal Medicine | 600 N Brush St, Fremont, OH 43420-1402 | |
| Ty N Tracy | Chiropractic | 444 N Stone St, Fremont, OH 43420-1530 | |
| Kelleen Porter | Physical Therapy | Pt Link LLC | 1823 W State St, Fremont, OH 43420-1635 |
| Michael Coulter | Physical Therapy | Pt Link LLC | 1823 W State St, Fremont, OH 43420-1635 |
| Thomas J Hallett Ii | Physical Therapy | Pt Link LLC | 1823 W State St, Fremont, OH 43420-1635 |
| Samuel Rakyta | Physical Therapy | Pt Link LLC | 1823 W State St, Fremont, OH 43420-1635 |
| Randal Scott Richardson | Physical Therapy | Pt Link LLC | 1823 W State St, Fremont, OH 43420-1635 |
| Sarah M Tippie | Physical Therapy | Pt Link LLC | 1823 W State St, Fremont, OH 43420-1635 |
| William Bauer | Neurology | Advanced Neurologic Associates, Inc | 1303 W State St, Fremont, OH 43420-2016 |
| Find all physicians in zip 43420 | |||
| City | FREMONT |
| Zip Code | 43420 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | FREMONT + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Marlene S 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.