John D Ellis (NPI# 1003221037, PAC ID# 7012244882) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1003221037 |
| PAC ID by PECOS | 7012244882 |
| Professional Enrollment ID | I20190816001429 |
| Full Name | John D Ellis |
| Organization Legal Name | PARAGON CONTRACTING SERVICES LLC |
| Address |
200 Ave F Ne Winter Haven FL 33881-4131 |
| Phone Number | 8632971800 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 3971417825 |
| Number of Group Practice Members | 199 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100052 | WINTER HAVEN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 200 Ave F Ne, Winter Haven, FL 33881-4131 | 8632971800 | PARAGON CONTRACTING SERVICES LLC |
| 200 Ave F Ne, Winter Haven, FL 33881-4131 | 8632931121 | PARAGON EMERGENCY SERVICES LLC |
| Organization Legal Name | PARAGON CONTRACTING SERVICES LLC |
| Physicians | 200 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Simona Silvestri | Nurse Practitioner | Paragon Contracting Services LLC | 200 Sehospital Ave, Stuart, FL 34994 |
| Monica Bardwell | Nurse Practitioner | Paragon Contracting Services LLC | 301 N Alexander St, Plant City, FL 33563-4303 |
| Mark Kenneth Ellis | Emergency Medicine | Paragon Contracting Services LLC | 10230 W State Rd, 84 A, Davie, FL 33324-4202 |
| Luis E Gutierrez | Internal Medicine | Paragon Contracting Services LLC | 3100 S Douglas Rd, Coral Gables, FL 33134-6914 |
| Theodoros Hailu | Emergency Medicine | Paragon Contracting Services LLC | 5000 W Oakland Park Blvd, Lauderdale Lake, FL 33313-1503 |
| Doran R Heist | Emergency Medicine | Paragon Contracting Services LLC | 301 N Alexander St, Plant City, FL 33563-4303 |
| Kyle Alexandra Gerakopoulos | Emergency Medicine | Paragon Contracting Services LLC | 21644 State Rd, Suite 7, Boca Raton, FL 33428-1899 |
| Jeffrey E Ingeman | Emergency Medicine | Paragon Contracting Services LLC | 651 E 25 St, Hialeah, FL 33013-3814 |
| Michael L Ferraro | Emergency Medicine | Paragon Contracting Services LLC | 901 45th St, Mangonia Park, FL 33407-2413 |
| Rachel Kleinerman Gober | Emergency Medicine | Paragon Contracting Services LLC | 1400 Nw 10th Ave, Miami, FL 33136-1003 |
| Street Address |
200 AVE F NE |
| City | WINTER HAVEN |
| State | FL |
| Zip | 33881-4131 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donald R Nettlow | Anesthesiology | Anesthesia Consultants of Central Florida LLC | 200 Ave F Ne, Winter Haven, FL 33881-4131 |
| Amanda H Dillingham | Certified Registered Nurse Anesthetist (crna) | Anesthesia Consultants of Central Florida LLC | 200 Ave F Ne, Winter Haven, FL 33881-4131 |
| Mahesh Kumar | Family Medicine | Hospital Physician Services of Florida Pa | 200 Ave F Ne, Winter Haven, FL 33881-4131 |
| Jim O Omatseye | Emergency Medicine | Paragon Emergency Services LLC | 200 Ave F Ne, Winter Haven, FL 33881-4131 |
| Jorge R Villarreal | Anesthesiology | Anesthesia Consultants of Central Florida LLC | 200 Ave F Ne, Winter Haven, FL 33881-4131 |
| Janet G Ergle | Certified Registered Nurse Anesthetist (crna) | Anesthesia Consultants of Central Florida LLC | 200 Ave F Ne, Winter Haven, FL 33881-4131 |
| Jody Gerard | Emergency Medicine | Paragon Emergency Services LLC | 200 Ave F Ne, Winter Haven, FL 33881-4131 |
| Manuel Francisco Betancourt-ramirez | Pulmonary Disease | Hospital Physician Services of Florida Pa | 200 Ave F Ne, Winter Haven, FL 33881-4131 |
| Ramiro Rodriguez | Anesthesiology Assistant | Anesthesia Consultants of Central Florida LLC | 200 Ave F Ne, Winter Haven, FL 33881-4131 |
| Inder Bhutiani | Radiation Oncology | 200 Ave F Ne, Radiation Oncology Dept., Winter Haven, FL 33881-4131 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cory B Lord | Nurse Practitioner | Mobile Physicians Team, LLC | 1225 Havendale Blvd Nw, Winter Haven, FL 33881-1349 |
| Ellen Louise Lockwood | Nurse Practitioner | Physicians Housecall Team, LLC | 1225 Havendale Nwblvd, Winter Haven, FL 33881-1393 |
| Rodolfo S Fernandez | Internal Medicine | Central Florida Health Care Inc | 1514 1st St N, Winter Haven Clinic, Winter Haven, FL 33881-2476 |
| Huey Metts | Nurse Practitioner | Central Florida Health Care Inc | 1514 1st St N, Winter Haven Clinic, Winter Haven, FL 33881-2476 |
| Suzanne M Victorine | Nurse Practitioner | Central Florida Health Care Inc | 1514 1st St N, Winter Haven Clinic, Winter Haven, FL 33881-2476 |
| Kelly Leigh Love | Nurse Practitioner | Central Florida Health Care Inc | 1514 1st St N, Winter Haven, FL 33881-2476 |
| Robert M Merritt | Otolaryngology | The Barranco Clinic, P.a. | 160 E Lake Howard Dr, Winter Haven, FL 33881-3155 |
| Elizabeth P Sundean | Otolaryngology | The Barranco Clinic, P.a. | 160 E Lake Howard Dr, Winter Haven, FL 33881-3155 |
| George D Lyle | Otolaryngology | The Barranco Clinic, P.a. | 160 E Lake Howard Dr, Winter Haven, FL 33881-3155 |
| Joseph J Bradfield | Otolaryngology | The Barranco Clinic, P.a. | 160 E Lake Howard Dr, Winter Haven, FL 33881-3155 |
| Find all physicians in zip 33881 | |||
| City | WINTER HAVEN |
| Zip Code | 33881 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | WINTER HAVEN + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on John D 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.