John Ellis (NPI# 1043384795, PAC ID# 9931299716) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1043384795 |
| PAC ID by PECOS | 9931299716 |
| Professional Enrollment ID | I20071217000600 |
| Full Name | John Ellis |
| Address |
21992 Lorain Rd Fairview Park OH 44126-3333 |
| Gender | M |
| Medical School | OHIO COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | PODIATRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 21992 Lorain Rd, Fairview Park, OH 44126-3333 | ||
| 730 Som Ctr Rd, Suite 350, Mayfield Hts, OH 44143-2362 |
| Street Address |
21992 LORAIN RD |
| City | FAIRVIEW PARK |
| State | OH |
| Zip | 44126-3333 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael B Leach | Psychologist, Clinical | Center for Effective Living | 20800 Westgate Professional Bldg, Suite 200, Fairview Park, OH 44126 |
| Deborah A Koricke | Psychologist, Clinical | Center for Effective Living | 20800 Westgate Professional Bldg, Suite 200, Fairview Park, OH 44126 |
| Ami Patel | Optometry | Westgate Optometry LLC | 3580 Westgate, Fairview Park, OH 44126-1300 |
| Richard E Hults | Optometry | Westgate Optometry LLC | 3580 Westgate, Fairview Park, OH 44126-1300 |
| Paige A Knapp | Optometry | Westgate Optometry LLC | 3580 Westgate, Fairview Park, OH 44126-1300 |
| Bernadette Sipple | Optometry | Westgate Optometry LLC | 3580 Westgate, Fairview Park, OH 44126-1300 |
| Michael D Joyce | Clinical Social Worker | Integrative Psychological Health, LLC | 20800 Westgate Mall, Suite 103, Fairview Park, OH 44126-1318 |
| Adriana Faur | Psychologist, Clinical | Integrative Psychological Health, LLC | 20800 Westgate Mall, Suite 103, Fairview Park, OH 44126-1318 |
| Thomas J Mraz | Clinical Psychologist | Integrative Psychological Health, LLC | 20800 Westgate Mall, Suite 103, Fairview Park, OH 44126-1318 |
| Jack R Grady | Podiatry | Grady Podiatry LLC | 20800 Westgate Mall, Fairview Park, OH 44126-1318 |
| Find all physicians in zip 44126 | |||
| City | FAIRVIEW PARK |
| Zip Code | 44126 |
| Specialty | PODIATRY |
| City + Specialty | FAIRVIEW PARK + PODIATRY |
Please comment or provide details below to improve the information on John 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.