Carmen Jay Ellie Jr., MD

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

License

191341-1 Issued in NY

Practice address

191 N Main St
Wellsville, NY 14895-1150

Phone

(585) 235-1514

Fax

(585) 426-4997

NPI assigned

Jun 16, 2006

Last updated

Jan 11, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Claxton-Hepburn Medical CenterGroup PAC ID 8426966508, 78 clinicians

Carthage Area Hospital IncGroup PAC ID 9931010485, 119 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Carthage Area Hospital Inc

  • Critical Access Hospital
  • Carthage, NY
  • NPI 1053497388
  Medicare reassignment Care Compare group NPD
• Delphi Healthcare PLLC

  • Emergency Medicine Physician
  • Rochester, NY
  • NPI 1003075029
  Medicare reassignment NPD
• Delphi Hospitalist Services LLC

  • Hospitalist Physician
  • Rochester, NY
  • NPI 1922270420
  Medicare reassignment NPD
• The Memorial Hospital of William F. and Gertrude F. Jones, Inc.

  dba Jones Memorial Hospital

  • General Acute Care Hospital
  • Wellsville, NY
  • NPI 1720030703
  Medicare reassignment NPD
• Claxton-Hepburn Medical Center

  dba Practice Resources LLC

  • Psychiatric Hospital
  • Ogdensburg, NY
  • NPI 1891753034
  Care Compare group
• Carthage Area Hospital Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Ogdensburg, NY
  • NPI 1013759166
  NPD
• Carthage Area Hospital Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Carthage, NY
  • NPI 1801007364
  NPD
• The Memorial Hospital of William F. and Gertrude F. Jones, Inc.

  dba Jones Memorial Hospital

  • Rural Health Clinic/Center
  • Hornell, NY
  • NPI 1457974644
  NPD
• Delphi Emergency Physician Services

  • Emergency Medical Services (Emergency Medicine) Physician
  • Wellsville, NY
  • NPI 1700829074
  NPD (past)
• Delphi Physicians Group, PLLC

  • Anesthesiology Physician
  • Rochester, NY
  • NPI 1548865843
  NPD (past)
• Orleans Community Health

  dba Medina Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Medina, NY
  • NPI 1023149549
  NPD (past)

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294704000000",
    "number": "1922042225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 COUNTRY WOODS LN",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264701",
            "telephone_number": "585-225-9230",
            "fax_number": "585-225-9739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 N MAIN ST",
            "city": "WELLSVILLE",
            "state": "NY",
            "postal_code": "148951150",
            "telephone_number": "585-235-1514",
            "fax_number": "585-426-4997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIE",
        "first_name": "CARMEN",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2011-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "NY",
            "license": "191341-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000523980003",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRM LEGACY#",
            "identifier": "110179566",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00392597",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01487365",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracy Ann Dubois, LMHC
• Rachel Durbin
• Gladys Easley, LPN
• Kathryn Ella Eddinger, PA
• James H Edmonston, D.O.
• Mark R Elliott, CRNA
• Belinda A. Emerson, LCSW
• Karen Ann Emerson, LMSW
• Harriet Elizabeth Emmons, LCSW
• Melissa Kay Estep

• Emergency Medical Services (Emergency Medicine) Physician in Wellsville, NY
• Providers in Wellsville, NY by specialty
• Emergency Medical Services (Emergency Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.