George F. Ellis, MD, Incorporated

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

ME49437 Issued in FL

Legal business name

GEORGE F. ELLIS, MD, INCORPORATED

Practice address

1400 S Orlando Ave
Suite 202
Winter Park, FL 32789-5543

Phone

(407) 580-3940

Fax

(866) 508-1691

NPI assigned

May 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. George Frederick Ellis, MDNPI 1033144597

Title

President

Phone

(407) 580-3940

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• George Frederick Ellis, MD

  • Urology Physician
  • Orlando, FL
  • NPI 1033144597
  NPD (past) Authorized official
• Hugo Vincent Hart, MD

  • Surgery Physician
  • Orlando, FL
  • NPI 1730150509
  NPD (past)

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

{
    "created_epoch": "1148169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760436844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 WISTERIA DR",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327794956",
            "telephone_number": "407-928-8866",
            "fax_number": "866-508-1691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S ORLANDO AVE",
            "address_2": "SUITE 202",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327895543",
            "telephone_number": "407-580-3940",
            "fax_number": "866-508-1691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE F. ELLIS, MD, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-580-3940",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "FL",
            "license": "ME49437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Gazzola, A.P.
• Mackenzie Geier
• Joseph Michael Gemma, PT
• Kelly R Gentry, RBT
• Marisa Leigh Genz, M.A., R.M.H.C.I.
• Delitta George, B.A.
• Jolly George, APRN
• Annette Georges
• Melissa Susan Gerdes, MD
• Eugene Gernier, P.A.

• Urology Physician in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Urology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.