John W Ellis (NPI# 1275531436, PAC ID# 6901806694) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1275531436 |
| PAC ID by PECOS | 6901806694 |
| Professional Enrollment ID | I20171006002504 |
| Full Name | John W Ellis |
| Organization Legal Name | BEACH URGENT CARE |
| Address |
9820 N Kings Hwy Myrtle Beach SC 29572-4013 |
| Phone Number | 8434492273 |
| Gender | M |
| Medical School | GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1985 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 7416003389 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420098 | TIDELANDS WACCAMAW COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 9820 N Kings Hwy, Myrtle Beach, SC 29572-4013 | 8434492273 | BEACH URGENT CARE |
| Organization Legal Name | BEACH URGENT CARE |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barbie Suggs Anderson | Nurse Practitioner | Beach Urgent Care | 9820 N Kings Hwy, Myrtle Beach, SC 29572-4013 |
| Ronald K Reynolds | Emergency Medicine | Beach Urgent Care | 2510 N Kings Hwy, Myrtle Beach, SC 29577 |
| Emily Pond Wright | Nurse Practitioner | Beach Urgent Care | 9820 N Kings Hwy, Myrtle Beach, SC 29572-4013 |
| Stephen Gordon Remine | General Surgery | Beach Urgent Care | 9820 N Kings Hwy, Myrtle Beach, SC 29572-4013 |
| Richard G Snyder | General Practice | Beach Urgent Care | 9820 N Kings Hwy, Myrtle Beach, SC 29572-4013 |
| Bleselda G Paragas | Physician Assistant | Beach Urgent Care | 9820 N Kings Hwy, Myrtle Beach, SC 29572-4013 |
| Darryl K Valentine | Physician Assistant | Beach Urgent Care | 9820 N Kings Hwy, Myrtle Beach, SC 29572-4013 |
| Salvatore A Zieno | Allergy/immunology | Beach Urgent Care | 9820 N Kings Hwy, Myrtle Beach, SC 29572-4013 |
| Morgan K Mattingly | Nurse Practitioner | Beach Urgent Care | 9820 N Kings Hwy, Myrtle Beach, SC 29572-4013 |
| Maria I Floresca | Nurse Practitioner | Beach Urgent Care | 9820 N Kings Hwy, Myrtle Beach, SC 29572-4013 |
| Street Address |
9820 N KINGS HWY |
| City | MYRTLE BEACH |
| State | SC |
| Zip | 29572-4013 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barbie Suggs Anderson | Nurse Practitioner | Beach Urgent Care | 9820 N Kings Hwy, Myrtle Beach, SC 29572-4013 |
| Emily Pond Wright | Nurse Practitioner | Beach Urgent Care | 9820 N Kings Hwy, Myrtle Beach, SC 29572-4013 |
| Stephen Gordon Remine | General Surgery | Beach Urgent Care | 9820 N Kings Hwy, Myrtle Beach, SC 29572-4013 |
| Richard G Snyder | General Practice | Beach Urgent Care | 9820 N Kings Hwy, Myrtle Beach, SC 29572-4013 |
| Bleselda G Paragas | Physician Assistant | Beach Urgent Care | 9820 N Kings Hwy, Myrtle Beach, SC 29572-4013 |
| Darryl K Valentine | Physician Assistant | Beach Urgent Care | 9820 N Kings Hwy, Myrtle Beach, SC 29572-4013 |
| Salvatore A Zieno | Allergy/immunology | Beach Urgent Care | 9820 N Kings Hwy, Myrtle Beach, SC 29572-4013 |
| Morgan K Mattingly | Nurse Practitioner | Beach Urgent Care | 9820 N Kings Hwy, Myrtle Beach, SC 29572-4013 |
| Maria I Floresca | Nurse Practitioner | Beach Urgent Care | 9820 N Kings Hwy, Myrtle Beach, SC 29572-4013 |
| Sandra C Graham | Nurse Practitioner | Beach Urgent Care | 9820 N Kings Hwy, Myrtle Beach, SC 29572-4013 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Staples | Physical Therapy | Benchmark Healthcare Services LLC | 7955 N Kings Hwy, Suite 330, Myrtle Beach, SC 29572-3056 |
| Paul Vojtek | Physical Therapy | Benchmark Healthcare Services LLC | 7955 N Kings Hwy, Suite 330, Myrtle Beach, SC 29572-3056 |
| Stephen Swygert Ford | Physical Therapy | Benchmark Healthcare Services LLC | 7955 N Kings Hwy, Suite 330, Myrtle Beach, SC 29572-3056 |
| Kara Houston | Physical Medicine and Rehabilitation | Benchmark Healthcare Services LLC | 7955 N Kings Hwy, Suite 330, Myrtle Beach, SC 29572-3056 |
| Steven Goodman | Chiropractic | 9612n Kings Hwy, Myrtle Beach, SC 29572-4006 | |
| Ashley Shaw | Nurse Practitioner | Beach Urgent Care | 9820 N Kings Hwy, Myrtle Beach, SC 29572-4013 |
| Zaundra E Jones | Family Medicine | Beach Urgent Care | 9820 N Kings Hwy, Myrtle Beach, SC 29572-4013 |
| Ruta Rimkiene | Family Medicine | Beach Urgent Care | 9820 N Kings Hwy, Myrtle Beach, SC 29572-4013 |
| Emily A Misja | Physician Assistant | Beach Urgent Care | 9820 N Kings Hwy, Myrtle Beach, SC 29572-4013 |
| Gregory Lee Becker | Pulmonary Disease | Strand Physician Specialists Pa | 906 Medical Cir, Myrtle Beach, SC 29572-4114 |
| Find all physicians in zip 29572 | |||
| City | MYRTLE BEACH |
| Zip Code | 29572 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | MYRTLE BEACH + FAMILY PRACTICE |
Please comment or provide details below to improve the information on John W 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.