Marcus D Ellis, | |
6701 Rockside Rd Ste 200, Independence, OH 44131-2316 | |
(216) 674-5230 | |
(216) 674-5231 |
Full Name | Marcus D Ellis |
---|---|
Gender | Male |
Speciality | Anesthesiologist Assistant |
Location | 6701 Rockside Rd Ste 200, Independence, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538682893 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | 67.000304 (Ohio) | Primary |
Entity Name | Cleveland Anesthesia Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154407955 PECOS PAC ID: 7113830050 Enrollment ID: O20031107000151 |
Entity Name | University Primary Care Practices Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003935339 PECOS PAC ID: 3072417534 Enrollment ID: O20031125000767 |
Entity Name | University Hospitals Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301 |
Entity Name | Ohio Anesthesia Group, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639348113 PECOS PAC ID: 9537222138 Enrollment ID: O20090108000069 |
Mailing Address | Practice Location Address |
---|---|
Marcus D Ellis, 6701 Rockside Rd Ste 200, Independence, OH 44131-2316 Ph: (216) 674-5230 | Marcus D Ellis, 6701 Rockside Rd Ste 200, Independence, OH 44131-2316 Ph: (216) 674-5230 |
Emanuela Pratt, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 6701 Rockside Rd, Suite 200, Independence, OH 44131 Phone: 216-674-5230 Fax: 216-674-5231 | |
Jaime Marie Cook, A.A. Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 6701 Rockside Rd Ste 200, Independence, OH 44131 Phone: 216-674-5230 Fax: 216-674-5231 | |
Nicholas Joseph Bryan, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 6701 Rockside Rd Ste 200, Independence, OH 44131 Phone: 216-674-5230 Fax: 216-674-5231 | |
Domenica Zuccaro, A.A. Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 6701 Rockside Rd, Suite 200, Independence, OH 44131 Phone: 216-674-5230 Fax: 216-674-5231 | |
Kristen Porvasnik, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 6701 Rockside Rd Ste 200, Independence, OH 44131 Phone: 216-674-5230 Fax: 216-674-5231 | |
Joshua Berkowitz, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 6701 Rockside Rd Ste 200, Independence, OH 44131 Phone: 216-674-5230 Fax: 216-674-5231 |