Laurie Ann Ellis (NPI# 1962508754, PAC ID# 4688850373) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1962508754 |
| PAC ID by PECOS | 4688850373 |
| Professional Enrollment ID | I20171206001623 |
| Full Name | Laurie Ann Ellis |
| Organization Legal Name | SOUTH BROWARD HOSPITAL DISTRICT |
| Address |
1750 E Hallandale Beach Blvd Hallandale FL 33009-4611 |
| Phone Number | 9542769714 |
| Gender | F |
| Graduation Year | 1986 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8123927373 |
| Number of Group Practice Members | 340 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100038 | MEMORIAL REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1750 E Hallandale Beach Blvd, Hallandale, FL 33009-4611 | 9542769714 | SOUTH BROWARD HOSPITAL DISTRICT |
| 3501 Johnson St, Hollywood, FL 33021-5421 | SOUTH BROWARD HOSPITAL DISTRICT | |
| 3501 Johnson St, Intensive Care, Hollywood, FL 33021-5421 | 95498720209976 | SOUTH BROWARD HOSPITAL DISTRICT |
| Organization Legal Name | SOUTH BROWARD HOSPITAL DISTRICT |
| Physicians | 394 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Fiorella Jahaira Saka | Nurse Practitioner | South Broward Hospital District | 1150 N 35 Ave, Hollywood, FL 33021-5424 |
| Tanya Ann M Rausch | Nurse Practitioner | South Broward Hospital District | 4700 Sheridan St A, Hollywood, FL 33021-3420 |
| Jose David Sandoval-sus | Hematology/oncology | South Broward Hospital District | 801 N Flamingo Rd, Suite 11, Pembroke Pines, FL 33028-1046 |
| Tjasa Hranjec | General Surgery | South Broward Hospital District | 1150 N 35th St, Suite 600, Hollywood, FL 33021-5431 |
| Amir Goldenberg | Internal Medicine | South Broward Hospital District | 2217 N University Dr, Pembroke Pines, FL 33024-3611 |
| Matthew Waldron | Family Medicine | South Broward Hospital District | 6730 Miramar Pkwy, Miramar, FL 33023-4838 |
| Carmen Herrera | Nurse Practitioner | South Broward Hospital District | 3400 N 29th Ave, Hollywood, FL 33021-1002 |
| Heather S Spader | Neurosurgery | South Broward Hospital District | 3501 Johnson St, Hollywood, FL 33021-5421 |
| Alicia Sanchez | Family Medicine | South Broward Hospital District | 16620 Sheridan St, Fort Lauderdale, FL 33331-4128 |
| Marian Rosado | Psychologist, Clinical | South Broward Hospital District | 3600 Washington St, Hollywood, FL 33021-8216 |
| Street Address |
1750 E HALLANDALE BEACH BLVD |
| City | HALLANDALE |
| State | FL |
| Zip | 33009-4611 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leyaini Cabezas | Internal Medicine | South Broward Hospital District | 1750 E Hallandale Beach Blvd, Hallandale, FL 33009-4611 |
| Anita Sikha | Internal Medicine | South Broward Hospital District | 1750 E Hallandale Beach Blvd, Hallandale, FL 33009-4611 |
| Kathleen L Jeannot | Family Medicine | South Broward Hospital District | 1750 E Hallandale Beach Blvd, Hallandale, FL 33009-4611 |
| Leon S Gedeon | Family Medicine | South Broward Hospital District | 1750 E Hallandale Beach Blvd, Hallandale, FL 33009-4611 |
| William M Wagner | Family Practice | South Broward Hospital District | 1750 E Hallandale Beach Blvd, Hallandale, FL 33009-4611 |
| Frederick S Herold | Internal Medicine | South Broward Hospital District | 1750 E Hallandale Beach Blvd, Hallandale, FL 33009-4611 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniela Marinau Farkas | Podiatry | 1001 N Federal Hwy 101, Foot and Ankle Sport, Hallandale, FL 33009-2412 | |
| Ellis L Jacobs | Podiatry | Block and Jacobs Pa | 1001 N Federal Hwy, Suite 200, Hallandale, FL 33009-2416 |
| Barry Dpm Block | Podiatry | Block and Jacobs Pa | 1001 N Federal Hwy, Suite 200, Hallandale, FL 33009-2416 |
| Jean Bienaime | Clinical Social Worker | 1001 N Federal Hwy, Suite 317, Hallandale Beach, FL 33009-2425 | |
| Maureen Davis | Chiropractic | Furshman and Davis Chiropractic Centers Inc | 801 N Federal Hwy, Unit 217, Hallandale, FL 33009-2445 |
| Adriana P Strimbu | Podiatry | 404 N Federal Hwy, Hallandale Beach, FL 33009-3437 | |
| Daniel Rivlin | Dermatology | Skin and Cancer Associates | 2100 E Hallandale Beach Blvd, Hallandale, FL 33009-3765 |
| Sergey P Litvinov | Psychiatry | 2100 E Hallandale Beach Blvd, Suite 306a, Hallandale, FL 33009-3765 | |
| David Glickman | Osteopathic Manipulative Medicine | L and M Medical Clinic LLC | 2100 E Hallandale Beach Blvd, Suite 202, Hallandale, FL 33009-3770 |
| Emilio E Castaneda | Endocrinology | 2100 E Hallandale Beach Blvd, Suite 202, Hallandale Beach, FL 33009-3770 | |
| Find all physicians in zip 33009 | |||
| City | HALLANDALE |
| Zip Code | 33009 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | HALLANDALE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Laurie Ann 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.