Charles Ellis (NPI# 1215017009, PAC ID# 8325341860) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1215017009 |
| PAC ID by PECOS | 8325341860 |
| Professional Enrollment ID | I20160118000247 |
| Full Name | Charles Ellis |
| Organization Legal Name | TRAILWAYS INC |
| Address |
5120 S Pecos Rd Las Vegas NV 89120-1299 |
| Phone Number | 7025605973 |
| Gender | M |
| Medical School | UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 9830492370 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5120 S Pecos Rd, Las Vegas, NV 89120-1299 | 7025605973 | TRAILWAYS INC |
| Organization Legal Name | TRAILWAYS INC |
| Physicians | 1 |
| Street Address |
5120 S PECOS RD |
| City | LAS VEGAS |
| State | NV |
| Zip | 89120-1299 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tracy Y Kwan | Clinical Social Worker | Aspiring To Justice and Fairness LLC | 5631 S Pecos Rd, Bldg B, Las Vegas, NV 89120-1961 |
| Jennifer A Yanez | Clinical Social Worker | Aspiring To Justice and Fairness LLC | 5631 S Pecos Rd, Bldg B, Las Vegas, NV 89120-1961 |
| Alexandra M Leduc | Clinical Social Worker | Aspiring To Justice and Fairness LLC | 5631 S Pecos Rd, Bldg B, Las Vegas, NV 89120-1961 |
| Christina Sanford | Clinical Social Worker | Aspiring To Justice and Fairness LLC | 5631 S Pecos Rd, Las Vegas, NV 89120-1961 |
| Mukwel E Aiyuk | Nurse Practitioner | Pasteur Medical Consultants | 4915 E Russell Rd, Apt 128, Las Vegas, NV 89120-2387 |
| Rhonda Jordan | Clinical Social Worker | 6550 S Pecos Rd, Suite 126, Las Vegas, NV 89120-2830 | |
| Clark K Choi | Anesthesiology | 3153 E Warm Springs, Suite 300, Las Vegas, NV 89120-3142 | |
| Jennifer Jo Rhoads | Anesthesiology | 3153 E Warm Springs Rd, Suite 300, Las Vegas, NV 89120-3142 | |
| Richard A Byrd | Anesthesiology | 3153 E Warm Springs, Suite 300, Las Vegas, NV 89120-3142 | |
| Bill Subin | Anesthesiology | 3153 E Warm Springs, Suite 300, Las Vegas, NV 89120-3142 | |
| Find all physicians in zip 89120 | |||
| City | LAS VEGAS |
| Zip Code | 89120 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | LAS VEGAS + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Charles 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.