Madge Ellis is a Surgery in Salem, Virginia. Madge Ellis practices all healthcare services and medical treatments related to Surgery. The NPI Number for Madge Ellis is 1619954948. The last update date is 2020-11-12.
Madge Ellis's current location address is 1898 Braeburn Dr, Salem, Virginia. You can contact this provider via phone number 5407723008 and fax number 5407723352. The mailing address for Madge Ellis is 1898 Braeburn Dr, Salem, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Madge Ellis |
|---|---|
| Address | 1898 Braeburn Dr, Salem, Virginia |
| Phone Number | 5407723008 |
| Fax Number | 5407723352 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1619954948 |
|---|---|
| Provider Enumeration Date | 2005-12-28 |
| Last Updated Date | 2020-11-12 |
Provider Mailing Address Detail
| Address | 1898 Braeburn Dr |
|---|---|
| City | Salem |
| State | Virginia (VA) |
| Post Code | 241537301 |
| Phone Number | 5407723008 |
| Fax Number | 5407723352 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 101229254 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7311974 | VA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Madge Ellis by the Centers for Medicare & Medicaid Services (CMS)?
The Madge Ellis has been assigned the NPI (National Provider Identifier) 1619954948. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Madge Ellis is physically located?
The Madge Ellis is situated at the following address: 1898 Braeburn Dr, Salem, VA 241537301.
What is the Madge Ellis's specialty and taxonomy code?
The Madge Ellis's specialty is Surgery, and the corresponding taxonomy code is 208600000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1619954948 to Madge Ellis?
The Centers for Medicare & Medicaid Services assigned the 1619954948 to Madge Ellis on 2005-12-28.
As of what date were the details pertaining to Madge Ellis last refreshed?
The information related to the Madge Ellis, including its address, specialty, and other relevant details, was last updated on 2020-11-12.