John Ellie Sr. (NPI# 1023026069, PAC ID# 9234021239) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1023026069 |
| PAC ID by PECOS | 9234021239 |
| Professional Enrollment ID | I20050304000685 |
| Full Name | John Ellie Sr. |
| Address |
4302 Medical Ctr Dr Suite 302 Fayetteville NY 13066-6625 |
| Gender | M |
| Credential | MD |
| Medical School | MOUNT SINAI SCHOOL OF MEDICINE OF CITY UNIVERSITY OF NEW YORK |
| Graduation Year | 1980 |
| Primary Specialty | ANESTHESIOLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 331309 | RIVER HOSPITAL, INC |
| Address | Phone | Organization |
|---|---|---|
| 4 Fuller St, Alex Bay, NY 13607-1316 | 3154822511 | RIVER HOSPITAL INC |
| 4 Fuller St, Alex Bay, NY 13607-1316 | DELPHI HEALTHCARE PLLC | |
| 4302 Medical Ctr Dr, Suite 302, Fayetteville, NY 13066-6625 |
| Street Address |
4302 MEDICAL CTR DR SUITE 302 |
| City | FAYETTEVILLE |
| State | NY |
| Zip | 13066-6625 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bartholemew Natoli | Anesthesiology | 4302 Medical Ctr Dr, Suite 302, Fayetteville, NY 13066-6625 | |
| Cheryl A Luttinger | Nurse Practitioner | Associates for Women's Medicine Pllc | 4302 Medical Ctr Dr, Suite 302, Fayetteville, NY 13066-6625 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert M Kellman | Otolaryngology | St Josephs Medical PC | 4100 Medical Ctr Dr, Suite 117, Fayetteville, NY 13066 |
| Francis J Durgin | Psychiatry | 6836 E Genesee St, Fayetteville, NY 13066-1024 | |
| Patricia G Barletta | Physician Assistant | Wellnow Urgent Care PC | 6870 E Genesee St, Fayetteville, NY 13066-1031 |
| Alyssa Bovalino | Physician Assistant | Wellnow Urgent Care PC | 6870 E Genesee St, Fayetteville, NY 13066-1031 |
| Jason E Falcone | Physician Assistant | Wellnow Urgent Care PC | 6870 E Genesee St, Fayetteville, NY 13066-1031 |
| Glenn J Gilberg | Physician Assistant | Wellnow Urgent Care PC | 6870 E Genesee St, Fayetteville, NY 13066-1031 |
| Joseph Novek | Podiatry | 6950 E Genesee St, Fayetteville, NY 13066-1036 | |
| Michael A Giordano | Chiropractic | 6858 E Genesee St, The Family Chiro Ctr, Fayetteville, NY 13066-1051 | |
| Stanton Tepfer | Optometry | Empire Vision Center Inc | 6859 E Genesee St, Fayetteville, NY 13066-1086 |
| Taryn A Bader | Physical Therapy | Onondaga Physical Therapy, LLC | 6800 E Genesee St, Fayetteville, NY 13066-1089 |
| Find all physicians in zip 13066 | |||
| City | FAYETTEVILLE |
| Zip Code | 13066 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | FAYETTEVILLE + ANESTHESIOLOGY |
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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.