Jesse Ellis (NPI# 1093063950, PAC ID# 5799934634) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1093063950 |
| PAC ID by PECOS | 5799934634 |
| Professional Enrollment ID | I20121009000371 |
| Full Name | Jesse Ellis |
| Address |
1802 S Broadway St Marlow OK 73055-8691 |
| Gender | M |
| Graduation Year | 2011 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1802 S Broadway St, Marlow, OK 73055-8691 |
| Street Address |
1802 S BROADWAY ST |
| City | MARLOW |
| State | OK |
| Zip | 73055-8691 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wesley J Walker | Optometry | 405 S Broadway, Marlow, OK 73055 | |
| Miguel R Sabedra | Family Medicine | Solutions Practice Management | 501 N 4th St, Marlow, OK 73055-1807 |
| Nathan D Murray | Physician Assistant | Solutions Practice Management | 501 N 4th St, Marlow, OK 73055-1807 |
| Christie Sullivan Heath | Physical Therapy | 231 W Main St, Marlow, OK 73055-2439 | |
| Preston H Boyles | Nurse Practitioner | 311 W Main St, Marlow, OK 73055-2441 |
| City | MARLOW |
| Zip Code | 73055 |
| Specialty | CHIROPRACTIC |
| City + Specialty | MARLOW + CHIROPRACTIC |
Please comment or provide details below to improve the information on Jesse 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.