Martin G Ellis (NPI# 1871664391, PAC ID# 7517034408) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1871664391 |
| PAC ID by PECOS | 7517034408 |
| Professional Enrollment ID | I20080918000172 |
| Full Name | Martin G Ellis |
| Address |
20 Federal Plaza W Suite T4 Youngstown OH 44503-1445 |
| Gender | M |
| Medical School | OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY |
| Graduation Year | 1978 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 20 Federal Plaza W, Suite T4, Youngstown, OH 44503-1445 |
| Street Address |
20 FEDERAL PLAZA W SUITE T4 |
| City | YOUNGSTOWN |
| State | OH |
| Zip | 44503-1445 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lindsey M Mellott | Family Medicine | Mercy Health Physicians Youngstown, LLC | 330 Wick Ave, Youngstown, OH 44503-1002 |
| City | YOUNGSTOWN |
| Zip Code | 44503 |
| Specialty | OPTOMETRY |
| City + Specialty | YOUNGSTOWN + 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.