Ellis Mez, MD, PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ELLIS MEZ, MD, PA

Practice address

1645 Liberty Rd
Suite 204
Eldersburg, MD 21784-6521

Phone

(410) 795-7737

Fax

(410) 795-2828

NPI assigned

Aug 10, 2006

Last updated

Sep 15, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ellis Mez, M.D,NPI 1023029956

Title

President

Phone

(410) 795-7737

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ellis Mez, M.D.

  • Internal Medicine Physician
  • Eldersburg, MD
  • NPI 1023029956
  Authorized official Same address or phone

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221436800000",
    "number": "1578574422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 LIBERTY RD",
            "address_2": "SUITE 204",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846521",
            "telephone_number": "410-795-7737",
            "fax_number": "410-795-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 LIBERTY RD",
            "address_2": "SUITE 204",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846521",
            "telephone_number": "410-795-7737",
            "fax_number": "410-795-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIS MEZ, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2008-09-15",
        "status": "A",
        "authorized_official_last_name": "MEZ",
        "authorized_official_first_name": "ELLIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-795-7737",
        "authorized_official_credential": "M.D,"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277541700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eldersburg Eye Care, LLC
• Eldersburg Family Denistry
• Eldersburg Optometry, LLC (Myeyedr)
• Eldersburg Surgery Center
• Elevate Premier Support Inc
• Mary Katherine Emadi, PHARMACIST
• Empowering Hearts & Minds, LLC
• Francoise Elisabeth Engel, DDS
• Anastasia Victoria English, FNP
• Luke W Erichsen, PHD

• Internal Medicine Physician in Eldersburg, MD
• Providers in Eldersburg, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; 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.