Thomas Kevin Ellis, CRNA | |
640 Jackson St, Mail Stop 11503p, Saint Paul, MN 55101-2502 | |
(651) 254-3456 | |
(651) 254-3048 |
Full Name | Thomas Kevin Ellis |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 640 Jackson St, Saint Paul, Minnesota |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356317580 | NPI | - | NPPES |
437842300 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | R0628291 (Minnesota) | Primary |
Mailing Address | Practice Location Address |
---|---|
Thomas Kevin Ellis, CRNA 8100 34th Ave S, 21110q, Bloomington, MN 55425-1672 Ph: (952) 883-7961 | Thomas Kevin Ellis, CRNA 640 Jackson St, Mail Stop 11503p, Saint Paul, MN 55101-2502 Ph: (651) 254-3456 |
Melanie A Ferguson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 69 Exchange St W, Saint Paul, MN 55102 Phone: 651-735-0501 Fax: 651-735-1870 | |
Molly Cubinski, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-3456 | |
Caitlyn Sarah Lapres, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-265-1254 | |
Dale H Mchugh, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 333 Smith Ave N, Saint Paul, MN 55102 Phone: 651-735-0501 Fax: 651-735-1870 | |
Robert P Johnson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 640 Jackson St, Mail Stop 11503p, Saint Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-3048 | |
Diane K Voelker-huhn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Mail Stop 11503p, Saint Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-3048 | |
Nicole R Thompson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 333 Smith Ave N, Saint Paul, MN 55102 Phone: 651-735-0501 Fax: 651-735-1870 |