Clarence Ellis (NPI# 1982647475, PAC ID# 4688704141) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1982647475 |
| PAC ID by PECOS | 4688704141 |
| Professional Enrollment ID | I20100609000515 |
| Full Name | Clarence Ellis |
| Organization Legal Name | SCL HEALTH MEDICAL GROUP DENVER LLC |
| Address |
12790 W Alameda Pkwy A Green Mountain Lakewood CO 80228-2850 |
| Phone Number | 3034036350 |
| Gender | M |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 1977 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0840513552 |
| Number of Group Practice Members | 224 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060009 | LUTHERAN MEDICAL CENTER |
| 060015 | CENTURA HEALTH-ST ANTHONY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 12790 W Alameda Pkwy A, Green Mountain, Lakewood, CO 80228-2850 | 3034036350 | SCL HEALTH MEDICAL GROUP DENVER LLC |
| Organization Legal Name | SCL HEALTH MEDICAL GROUP DENVER LLC |
| Physicians | 248 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allyson M Westling | Family Medicine | Scl Health Medical Group Denver LLC | 2803 Roslyn St, Denver, CO 80238-2624 |
| Meghan L Taylor | Family Medicine | Scl Health Medical Group Denver LLC | 400 S Colorado Blvd, Suite 900, Denver, CO 80246-1241 |
| Eric Dwayne Nolen | Family Medicine | Scl Health Medical Group Denver LLC | 8350 Colorado Blvd, Unit 160, Firestone, CO 80504-6803 |
| Emily Johnson | Physical Therapy | Scl Health Medical Group Denver LLC | 2807 Roslyn St, Denver, CO 80238-2624 |
| Erin M Pilger | Nurse Practitioner | Scl Health Medical Group Denver LLC | 8758 Wolff Ct, 200 Westminster, Westminster, CO 80031-6904 |
| Lianne Marks | Family Practice | Scl Health Medical Group Denver LLC | 7777 W 38th Ave, Scl Physicians Wellmore, Wheat Ridge, CO 80033-6168 |
| Sufyan Siddiqui | Family Practice | Scl Health Medical Group Denver LLC | 360 S Garfield St, 500 Cherry Creek, Denver, CO 80209-3136 |
| Erik Berger | Internal Medicine | Scl Health Medical Group Denver LLC | 2600 Campus Dr, Suite A, Lafayette, CO 80026-3358 |
| Kathleen Rustici | Obstetrics/gynecology | Scl Health Medical Group Denver LLC | 2823 Roslyn St, Denver, CO 80238-2624 |
| Allan W Carlin | Internal Medicine | Scl Health Medical Group Denver LLC | 3655 Lutheran Pkwy, Suite 201, Wheat Ridge, CO 80033-6010 |
| Street Address |
12790 W ALAMEDA PKWY A GREEN MOUNTAIN |
| City | LAKEWOOD |
| State | CO |
| Zip | 80228-2850 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathleen A Swaim | Physical Therapy | Scl Health Medical Group Denver LLC | 12790 W Alameda Pkwy A, Green Mountain, Lakewood, CO 80228-2850 |
| Mai Lee | Internal Medicine | Scl Health Medical Group Denver LLC | 12790 W Alameda Pkwy A, Green Mountain, Lakewood, CO 80228-2850 |
| Hiep Ritzer | Preventative Medicine | Scl Health Medical Group Denver LLC | 12790 W Alameda Pkwy A, Scl Physicians Green Mountain, Lakewood, CO 80228-2850 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Burton E Rosenblum | Psychologist, Clinical | 445 Union Blvd, Suite 200a, Lakewood, CO 80228-1209 | |
| Mark Neil Faraco-hadlock | Psychologist, Clinical | 445 Union Blvd, Suite 238, Lakewood, CO 80228-1241 | |
| Carolyn R Stoloff | Psychologist, Clinical | 445 Union Blvd, Suite 238, Lakewood, CO 80228-1241 | |
| Julie R Rudiger | Clinical Social Worker | 445 Union Blvd, Suite 203, Lakewood, CO 80228-1241 | |
| Sara Elizabeth Gilloth | Psychologist, Clinical | 445 Union Blvd, Suite 221, Lakewood, CO 80228-1241 | |
| James B Stubbs | Clinical Social Worker | 445 Union Blvd, Suite 221, Lakewood, CO 80228-1241 | |
| Anne Murphy | Nurse Practitioner | Rocky Mountain Gastroenterology Associates, Pllc | 355 Union Blvd, Suite 200, Lakewood, CO 80228-1500 |
| Russell C Miller | Certified Registered Nurse Anesthetist (crna) | Summit Comfort Anesthesia | 355 Union Blvd, Suite 10, Lakewood, CO 80228-1500 |
| Lynn M Hightower | Nurse Practitioner | Rocky Mountain Gastroenterology Associates, Pllc | 355 Union Blvd, Suite 200, Lakewood, CO 80228-1500 |
| Rajesh Jain | Gastroenterology | Rocky Mountain Gastroenterology Associates, Pllc | 355 Union Blvd, Suite 200, Lakewood, CO 80228-1500 |
| Find all physicians in zip 80228 | |||
| City | LAKEWOOD |
| Zip Code | 80228 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LAKEWOOD + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Clarence 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.