Jonathan David Ellen (NPI# 1477658094, PAC ID# 9032395959) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.
Nation Provider ID (NPI) | 1477658094 |
PAC ID by PECOS | 9032395959 |
Professional Enrollment ID | I20161107000145 |
Full Name | Jonathan David Ellen |
Organization Legal Name | JONATHAN ELLEN MD PC |
Address |
4441 E Lohman Ave Las Cruces NM 88011-8267 |
Phone Number | 9014842052 |
Gender | M |
Medical School | NEW YORK UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1986 |
Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
Group Practice PAC ID | 2961780317 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
4441 E Lohman Ave, Las Cruces, NM 88011-8267 | 9014842052 | JONATHAN ELLEN MD PC |
Organization Legal Name | JONATHAN ELLEN MD PC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Eileen S Shult | Nurse Practitioner | Jonathan Ellen Md PC | 4441 E Lohman Ave, Las Cruces, NM 88011-8267 |
Street Address |
4441 E LOHMAN AVE |
City | LAS CRUCES |
State | NM |
Zip | 88011-8267 |
Name | Specialty | Organization | Address |
---|---|---|---|
Eileen S Shult | Nurse Practitioner | Jonathan Ellen Md PC | 4441 E Lohman Ave, Las Cruces, NM 88011-8267 |
Kimberly Encapera | Physical Medicine and Rehabilitation | 4441 E Lohman Ave, Las Cruces, NM 88011-8267 |
Name | Specialty | Organization | Address |
---|---|---|---|
Francis K Attiogbe | Internal Medicine | Fesss Family Healthcare LLC | 3039 Memorial Court, Las Cruces, NM 88011 |
Elaine Enyonam Attiogbe | Nurse Practitioner | Fesss Family Healthcare LLC | 3039 Memorial Court, Las Cruces, NM 88011 |
Kanaka L Chelliah | Family Medicine | 4500 Sonoma Ranch Blvd, Las Cruces, NM 88011-0000 | |
Troy W Shepherd | Podiatry | New Mexico Bone and Joint Institute PC | 2951 N Roadrunner Pkwy, Las Cruces, NM 88011-0814 |
John V Watkins | Anesthesiology | New Mexico Bone and Joint Institute PC | 2951 N Roadrunner Pkwy, Las Cruces, NM 88011-0814 |
Douglas R Dodson | Orthopedic Surgery | New Mexico Bone and Joint Institute PC | 2951 N Roadrunner Pkwy, Las Cruces, NM 88011-0814 |
Ramakrishna Devasthali | Diagnostic Radiology | Imaging Associates of New Mexico LLC | 2735 Northrise Dr, Memorial Healthplex, Las Cruces, NM 88011-0897 |
Andrew Bruner | Diagnostic Radiology | Imaging Associates of New Mexico LLC | 2735 Northrise Dr, Memorial Healthplex, Las Cruces, NM 88011-0897 |
Melissa J Cometti | Nurse Practitioner | Phc-las Cruces Inc | 2735 Northrise Dr, Las Cruces, NM 88011-0897 |
Carrie Alissa Dieker | General Surgery | Las Cruces Physician Practices, LLC | 2735 Northrise Dr, Las Cruces, NM 88011-0897 |
Find all physicians in zip 88011 |
City | LAS CRUCES |
Zip Code | 88011 |
Specialty | PHYSICAL MEDICINE AND REHABILITATION |
City + Specialty | LAS CRUCES + PHYSICAL MEDICINE AND REHABILITATION |
Please comment or provide details below to improve the information on Jonathan David Ellen.
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.