| Dr George Ellis Jr, MD | |
|
910 Boardman-canfield Road, Boardman, OH 44512 | |
| (330) 965-0832 | |
| (330) 965-0155 |
| Full Name | Dr George Ellis Jr |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 40 Years |
| Location | 910 Boardman-canfield Road, Boardman, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366428484 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 35060641 (Ohio) | Secondary |
| 207R00000X | Internal Medicine | 35060641E (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Patriot Homecare, Inc | Girard, OH | Home health agency |
| St Elizabeth Youngstown Hospital | Youngstown, OH | Hospital |
| Surgical Hospital At Southwoods | Youngstown, OH | Hospital |
| Hmhp St Elizabeth Boardman Health Center | Boardman, OH | Hospital |
| Salem Regional Medical Center | Salem, OH | Hospital |
| Mh St Joseph Warren Hospital | Warren, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sch Professional Corporation | 0941291868 | 52 |
| Entity Name | Sch Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619959822 PECOS PAC ID: 0941291868 Enrollment ID: O20040520000126 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr George Ellis Jr, MD 910 Boardman-canfield Road, Boardman, OH 44512 Ph: (330) 965-0832 | Dr George Ellis Jr, MD 910 Boardman-canfield Road, Boardman, OH 44512 Ph: (330) 965-0832 |
Mrs. Jessica Harriman Austin, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8401 Market St, Boardman, OH 44512 Phone: 330-729-4298 Fax: 330-480-2926 | |
Dr. Thomas Nicholas Detesco, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 7341 Eisenhower Dr, Boardman, OH 44512 Phone: 330-726-1138 Fax: 330-726-6128 | |
Dr. Thomas E Hunt, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 7206 Market St Ste 100a, Boardman, OH 44512 Phone: 330-726-3379 Fax: 330-726-8683 | |
Dr. Keith Layne Henson, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 8401 Market Street, C/o Medical Staff Office, Boardman, OH 44512 Phone: 330-533-5699 Fax: 330-702-1144 | |
Amer Aldamouk, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8401 Market St, Boardman, OH 44512 Phone: 330-729-4298 Fax: 330-729-1897 | |
Manuel M Bautista, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 960 Windham Ct, Suite 1, Boardman, OH 44512 Phone: 330-726-3357 Fax: 330-726-1465 | |
Dr. Abhay Sharma, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8401 Market St, Boardman, OH 44512 Phone: 330-729-4298 Fax: 330-729-1591 |