Valden J Ellis (NPI# 1689627978, PAC ID# 4284655317) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1689627978 |
| PAC ID by PECOS | 4284655317 |
| Professional Enrollment ID | I20051220000698 |
| Full Name | Valden J Ellis |
| Organization Legal Name | ELLIS CHIROPRACTIC INC |
| Address |
512 W Judical St Blackfoot ID 83221-2031 |
| Phone Number | 2087829793 |
| Gender | M |
| Credential | DC |
| Medical School | WESTERN STATES COLLEGE OF CHIROPRACTIC |
| Graduation Year | 1997 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 2466473582 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130065 | MOUNTAIN VIEW HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 512 W Judical St, Blackfoot, ID 83221-2031 | 2087829793 | ELLIS CHIROPRACTIC INC |
| Organization Legal Name | ELLIS CHIROPRACTIC INC |
| Physicians | 1 |
| Street Address |
512 W JUDICAL ST |
| City | BLACKFOOT |
| State | ID |
| Zip | 83221-2031 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan T Sayre | Certified Registered Nurse Anesthetist (crna) | East Idaho Anesthesia Associates PC | 350 N Meridian St, Blackfoot, ID 83221-1625 |
| Mark L Edlefsen | Certified Registered Nurse Anesthetist (crna) | East Idaho Anesthesia Associates PC | 350 N Meridian St, Blackfoot, ID 83221-1625 |
| Brandon K Pieper | Certified Registered Nurse Anesthetist (crna) | East Idaho Anesthesia Associates PC | 350 N Meridian St, Blackfoot, ID 83221-1625 |
| Zachary D Morrow | Certified Registered Nurse Anesthetist (crna) | East Idaho Anesthesia Associates PC | 350 N Meridian St, Blackfoot, ID 83221-1625 |
| Cory J Sayre | Certified Registered Nurse Anesthetist (crna) | East Idaho Anesthesia Associates PC | 350 N Meridian St, Blackfoot, ID 83221-1625 |
| Shawn M Murray | Certified Registered Nurse Anesthetist (crna) | East Idaho Anesthesia Associates PC | 350 N Meridian St, Blackfoot, ID 83221-1625 |
| Christopher L Wehrli | Certified Registered Nurse Anesthetist (crna) | East Idaho Anesthesia Associates PC | 350 N Meridian St, Blackfoot, ID 83221-1625 |
| Shawn A Wren | Certified Registered Nurse Anesthetist (crna) | East Idaho Anesthesia Associates PC | 350 N Meridian St, Blackfoot, ID 83221-1625 |
| Dee S Stevens | Chiropractic | 725 Jensen Grove Dr, Suite 4, Blackfoot, ID 83221-1636 | |
| Anne M Preston | Clinical Social Worker | Portneuf Valley Family Center, Inc. | 1495 Pkwy Dr C, Blackfoot, ID 83221-1639 |
| Find all physicians in zip 83221 | |||
| City | BLACKFOOT |
| Zip Code | 83221 |
| Specialty | CHIROPRACTIC |
| City + Specialty | BLACKFOOT + CHIROPRACTIC |
Please comment or provide details below to improve the information on Valden 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.