Harry P Ellison (NPI# 1780639039, PAC ID# 9537120159) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1780639039 |
| PAC ID by PECOS | 9537120159 |
| Professional Enrollment ID | I20050504000342 |
| Full Name | Harry P Ellison |
| Organization Legal Name | X-RAY MEDICAL GROUP INC |
| Address |
5555 Grossmont Ctr Dr La Mesa CA 91942-3019 |
| Phone Number | 6197404000 |
| Gender | M |
| Credential | MD |
| Medical School | ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY |
| Graduation Year | 1974 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 5294796801 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050026 | GROSSMONT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5555 Grossmont Ctr Dr, La Mesa, CA 91942-3019 | 6197404000 | X-RAY MEDICAL GROUP INC |
| 8860 Ctr Dr, Suite 100, La Mesa, CA 91942-7000 | 6197404000 | X-RAY MEDICAL GROUP INC |
| 8881 Fletcher Pkwy, Suite 102, La Mesa, CA 91942-3129 | 6194611830 | X-RAY MEDICAL GROUP INC |
| Organization Legal Name | X-RAY MEDICAL GROUP INC |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alan R Mortezaie | Diagnostic Radiology | X-ray Medical Group Inc | 5555 Grossmont Ctr Dr, La Mesa, CA 91942-3019 |
| Tuan X Ha | Diagnostic Radiology | X-ray Medical Group Inc | 5555 Grossmont Ctr Dr, La Mesa, CA 91942-3019 |
| Scott Carey Honowitz | Diagnostic Radiology | X-ray Medical Group Inc | 5555 Grossmont Ctr Dr, La Mesa, CA 91942-3019 |
| James C Jacobsen | Diagnostic Radiology | X-ray Medical Group Inc | 5555 Grossmont Ctr Dr, La Mesa, CA 91942-3019 |
| Michael T Naumann | Diagnostic Radiology | X-ray Medical Group Inc | 5555 Grossmont Ctr Dr, La Mesa, CA 91942-3019 |
| Alexander S Urioste | Diagnostic Radiology | X-ray Medical Group Inc | 5555 Grossmont Ctr Dr, La Mesa, CA 91942-3019 |
| Alex W Sun | Diagnostic Radiology | X-ray Medical Group Inc | 5555 Grossmont Ctr Dr, La Mesa, CA 91942-3019 |
| Thomas J Brannigan | Diagnostic Radiology | X-ray Medical Group Inc | 5555 Grossmont Ctr Dr, La Mesa, CA 91942-3019 |
| Tere E Trout | Diagnostic Radiology | X-ray Medical Group Inc | 5555 Grossmont Ctr Dr, La Mesa, CA 91942-3019 |
| Weiling Chang | Diagnostic Radiology | X-ray Medical Group Inc | 5555 Grossmont Ctr Dr, La Mesa, CA 91942-3019 |
| Street Address |
5555 GROSSMONT CTR DR |
| City | LA MESA |
| State | CA |
| Zip | 91942-3019 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alan R Mortezaie | Diagnostic Radiology | X-ray Medical Group Inc | 5555 Grossmont Ctr Dr, La Mesa, CA 91942-3019 |
| Mary Samantha Jones | Emergency Medicine | Team Physicians of Northern California Medical Group Inc | 5555 Grossmont Ctr Dr, La Mesa, CA 91942-3019 |
| Paul Y Abou | Internal Medicine | 5555 Grossmont Ctr Dr, La Mesa, CA 91942-3019 | |
| Krauz K Ganadjian | Psychiatry | 5555 Grossmont Ctr Dr, La Mesa, CA 91942-3019 | |
| Ahmad Kabakibi | Internal Medicine | 5555 Grossmont Ctr Dr, La Mesa, CA 91942-3077 | |
| Lori A Coleman | Radiation Oncology | X-ray Medical Group Radiation Oncology Inc | 5555 Grossmont Ctr Dr, La Mesa, CA 91942-3019 |
| Todd A Baumbacher | Emergency Medicine | Team Physicians of Northern California Medical Group Inc | 5555 Grossmont Ctr Dr, La Mesa, CA 91942-3019 |
| Michael H Hight | Emergency Medicine | Team Physicians of Northern California Medical Group Inc | 5555 Grossmont Ctr Dr, La Mesa, CA 91942-3019 |
| Leila S Bolandgray | Internal Medicine | 5555 Grossmont Ctr Dr, La Mesa, CA 91942-3019 | |
| Jeffrey S Overcash | Emergency Medicine | Team Physicians of Northern California Medical Group Inc | 5555 Grossmont Ctr Dr, La Mesa, CA 91942-3019 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yu Cheng | Neurology | Er-kai Gao Md Inc. | 8851 Ctr Dr, Suite 603, La Mesa, CA 91942 |
| Ali Banaie | Gastroenterology | 8860 Ctr Dr, Suite 420, La Mesa, CA 91942 | |
| Alison P Anthony | Nurse Practitioner | Banaie Medical Corporation | 8860 Ctr Dr, Suite 420, La Mesa, CA 91942 |
| Carter C Gardner | Psychologist, Clinical | 4700 Spring St, La Mesa, CA 91942-0263 | |
| Martina Ann Clarke | Psychologist, Clinical | 4700 Spring St, Suite 204, La Mesa, CA 91942-0273 | |
| Shirley J Lanyi | Psychologist, Clinical | 4700 Spring St, Suite 204, La Mesa, CA 91942-0273 | |
| Cynthia A Thayer | Clinical Social Worker | 4700 Spring St, Suite 204, La Mesa, CA 91942-0273 | |
| Loralisa Marie Rocca | Clinical Social Worker | 4700 Spring St, Suite 204, La Mesa, CA 91942-0273 | |
| Judi Logan Winegar | Clinical Social Worker | 4700 Spring St, Suite 204, La Mesa, CA 91942-0273 | |
| Lisa M. Wyneken | Clinical Social Worker | 4700 Spring St, Suite 204, La Mesa, CA 91942-0273 | |
| Find all physicians in zip 91942 | |||
| City | LA MESA |
| Zip Code | 91942 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | LA MESA + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Harry P Ellison.
| 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.