Ashley En Ellis (NPI# 1700239126, PAC ID# 5193097434) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1700239126 |
PAC ID by PECOS | 5193097434 |
Professional Enrollment ID | I20170821002374 |
Full Name | Ashley En Ellis |
Organization Legal Name | CENTRAL OKLAHOMA AMERICAN INDIAN HEALTH COUNCIL INC |
Address |
4913 W Reno Ave Oklahoma City Indian Clinic Oklahoma City OK 73127-6339 |
Phone Number | 4059484900649 |
Gender | F |
Medical School | PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY |
Graduation Year | 2016 |
Primary Specialty | OPTOMETRY |
Group Practice PAC ID | 3476617374 |
Number of Group Practice Members | 23 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
4913 W Reno Ave, Oklahoma City Indian Clinic, Oklahoma City, OK 73127-6339 | 4059484900649 | CENTRAL OKLAHOMA AMERICAN INDIAN HEALTH COUNCIL INC |
Organization Legal Name | CENTRAL OKLAHOMA AMERICAN INDIAN HEALTH COUNCIL INC |
Physicians | 25 |
Name | Specialty | Organization | Address |
---|---|---|---|
Nicole Lee | Physician Assistant | Central Oklahoma American Indian Health Council Inc | 4913 W Reno Ave, Oklahoma City Indian Clinic, Oklahoma City, OK 73127-6339 |
Mary M Fazio | Nurse Practitioner | Central Oklahoma American Indian Health Council Inc | 4913 W Reno Ave, Oklahoma City Indian Clinic, Oklahoma City, OK 73127-6339 |
Blake P Parsons | Interventional Radiology | Central Oklahoma American Indian Health Council Inc | 4913 W Reno Ave, Oklahoma City Indian Clinic, Oklahoma City, OK 73127-6339 |
Melody D Clanton | Nurse Practitioner | Central Oklahoma American Indian Health Council Inc | 4913 W Reno Ave, Oklahoma City Indian Clinic, Oklahoma City, OK 73127-6339 |
Stephanie M Rice | Optometry | Central Oklahoma American Indian Health Council Inc | 4913 W Reno Ave, Oklahoma City Indian Clinic, Oklahoma City, OK 73127-6339 |
Jin Kong | Internal Medicine | Central Oklahoma American Indian Health Council Inc | 4913 W Reno Ave, Oklahoma City Indian Clinic, Oklahoma City, OK 73127-6339 |
Tyler S Freeman | Family Medicine | Central Oklahoma American Indian Health Council Inc | 4913 W Reno Ave, Oklahoma City, OK 73127-6339 |
Natalee N Knight | Physician Assistant | Central Oklahoma American Indian Health Council Inc | 4913 W Reno Ave, Oklahoma City Indian Clinic, Oklahoma City, OK 73127-6339 |
Tamra Jean Wright | Physician Assistant | Central Oklahoma American Indian Health Council Inc | 4913 W Reno Ave, Oklahoma City Indian Clinic, Oklahoma City, OK 73127-6339 |
Venkataraman Kalyanaraman | Endocrinology | Central Oklahoma American Indian Health Council Inc | 4913 W Reno Ave, Oklahoma City Indian Clinic, Oklahoma City, OK 73127-6339 |
Street Address |
4913 W RENO AVE OKLAHOMA CITY INDIAN CLINIC |
City | OKLAHOMA CITY |
State | OK |
Zip | 73127-6339 |
Name | Specialty | Organization | Address |
---|---|---|---|
Nicole Lee | Physician Assistant | Central Oklahoma American Indian Health Council Inc | 4913 W Reno Ave, Oklahoma City Indian Clinic, Oklahoma City, OK 73127-6339 |
Mary M Fazio | Nurse Practitioner | Central Oklahoma American Indian Health Council Inc | 4913 W Reno Ave, Oklahoma City Indian Clinic, Oklahoma City, OK 73127-6339 |
Blake P Parsons | Interventional Radiology | Central Oklahoma American Indian Health Council Inc | 4913 W Reno Ave, Oklahoma City Indian Clinic, Oklahoma City, OK 73127-6339 |
Melody D Clanton | Nurse Practitioner | Central Oklahoma American Indian Health Council Inc | 4913 W Reno Ave, Oklahoma City Indian Clinic, Oklahoma City, OK 73127-6339 |
Stephanie M Rice | Optometry | Central Oklahoma American Indian Health Council Inc | 4913 W Reno Ave, Oklahoma City Indian Clinic, Oklahoma City, OK 73127-6339 |
Jin Kong | Internal Medicine | Central Oklahoma American Indian Health Council Inc | 4913 W Reno Ave, Oklahoma City Indian Clinic, Oklahoma City, OK 73127-6339 |
Tyler S Freeman | Family Medicine | Central Oklahoma American Indian Health Council Inc | 4913 W Reno Ave, Oklahoma City, OK 73127-6339 |
Natalee N Knight | Physician Assistant | Central Oklahoma American Indian Health Council Inc | 4913 W Reno Ave, Oklahoma City Indian Clinic, Oklahoma City, OK 73127-6339 |
Tamra Jean Wright | Physician Assistant | Central Oklahoma American Indian Health Council Inc | 4913 W Reno Ave, Oklahoma City Indian Clinic, Oklahoma City, OK 73127-6339 |
Venkataraman Kalyanaraman | Endocrinology | Central Oklahoma American Indian Health Council Inc | 4913 W Reno Ave, Oklahoma City Indian Clinic, Oklahoma City, OK 73127-6339 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Vidya Rege Dravid | Ophthalmology | 1503 N Rockwell Ave, Oklahoma City, OK 73127-3344 | |
Zane D Harvey | Family Medicine | Central Oklahoma American Indian Health Council Inc | 4913 W Reno Ave, Oklahoma City Indian Clinic, Oklahoma City, OK 73127-6339 |
Janice K Hixson | Pediatric Medicine | Central Oklahoma American Indian Health Council Inc | 4913 W Reno Ave, Oklahoma City Indian Clinic, Oklahoma City, OK 73127-6339 |
Rinu Mathew | Physician Assistant | Central Oklahoma American Indian Health Council Inc | 4913 W Reno Ave, Oklahoma City, OK 73127-6339 |
Kristen D Jordan | Family Medicine | Central Oklahoma American Indian Health Council Inc | 4913 W Reno Ave, Oklahoma City Indian Clinic, Oklahoma City, OK 73127-6339 |
Jeanie M Loper | Family Medicine | Central Oklahoma American Indian Health Council Inc | 4913 W Reno Ave, Oklahoma City Indian Clinic, Oklahoma City, OK 73127-6339 |
Nicasio S Gutierrez Jr. | Psychiatry | Central Oklahoma American Indian Health Council Inc | 4913 W Reno Ave, Oklahoma City Indian Clinic, Oklahoma City, OK 73127-6339 |
Kyle J Gray | Physician Assistant | Central Oklahoma American Indian Health Council Inc | 4913 W Reno Ave, Oklahoma City Indian Clinic, Oklahoma City, OK 73127-6339 |
Lauren M Liles | Physician Assistant | Central Oklahoma American Indian Health Council Inc | 4913 W Reno Ave, Oklahoma City Indian Clinic, Oklahoma City, OK 73127-6339 |
Tina Rawlings | Nurse Practitioner | Central Oklahoma American Indian Health Council Inc | 4913 W Reno Ave, Oklahoma City Indian Clinic, Oklahoma City, OK 73127-6339 |
Find all physicians in zip 73127 |
City | OKLAHOMA CITY |
Zip Code | 73127 |
Specialty | OPTOMETRY |
City + Specialty | OKLAHOMA CITY + OPTOMETRY |
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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.