David a. Ellis, MD, PA

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

31499 Issued in NC

Legal business name

DAVID A. ELLIS, MD, PA

Practice address

727 Oakland St
Hendersonville, NC 28791-3647

Phone

(828) 698-5500

Fax

(828) 698-5503

NPI assigned

Sep 16, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Deanna Shasteen Ellis, M.ED.

Title

Secretary, Office Manager

Phone

(828) 698-5500

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264032000000",
    "number": "1093811945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 OAKLAND ST",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287913647",
            "telephone_number": "828-698-5500",
            "fax_number": "828-698-5503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 OAKLAND ST",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287913647",
            "telephone_number": "828-698-5500",
            "fax_number": "828-698-5503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID A. ELLIS, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2010-01-21",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_middle_name": "SHASTEEN",
        "authorized_official_title_or_position": "SECRETARY, OFFICE MANAGER",
        "authorized_official_telephone_number": "828-698-5500",
        "authorized_official_credential": "M.ED."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "31499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0101G",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "790101G",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DH 2191",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marlee Colligan Dalton, P.A.
• Douglas James Danner, RN CNIM
• Amal Kumar Das Jr., MD
• Anita Krishna Das, MD
• David a Wilson DDS PLLC
• Ramona A. Davidson-Dagostine, M.D.
• Bethany Davidson
• Hannah Davidson, DPT
• Linda F Davidson, F.N.P.; PMHNP
• Alisha E Davis, LCMHC

• Obstetrics & Gynecology Physician in Hendersonville, NC
• Providers in Hendersonville, NC by specialty
• Obstetrics & Gynecology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.