Scott Jacob Ellis Md Pllc
Orthopaedic Surgery (Foot and Ankle Surgery)

Address: 523 E 72nd St Fl 5, New York, NY 10021-4099
Phone: 6467978305

Scott Jacob Ellis Md Pllc (NPI# 1104424621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1104424621
Entity Type Organization
Practice Address 523 E 72nd St Fl 5
New York
NY 10021-4099
Practice Telephone 6467978305
Practice Fax Number 6467978515
Mailing Address Po Box 12184
NY 11788-0854
Authorized Official Name Scott Jacob Ellis (PRESIDENT)
Authorized Official Telephone 6467978305
Authorized Official Credential MD
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-10-16
Last Update Date 2020-10-16

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207XX0004X Orthopaedic Surgery · Foot and Ankle Surgery Allopathic & Osteopathic Physicians

Taxonomy Information

Taxonomy Code 207XX0004X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Foot and Ankle Surgery

Taxonomy Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.
Notes: Source: American Board of Medical Specialties, 2007. [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881119303 Ashraf Maher Fansa Orthopaedic Surgery Hospital for Special Surgery Academic Training, 535 E 70th St, New York, NY 10021 2017-08-05
1245330885 Jessica B Gallina Orthopaedic Surgery 240 Central Park So, Ste 2-0, New York, NY 10019 2006-09-24
1902913791 John G. Kennedy Orthopaedic Surgery 171 Delancey St Ste 210, New York, NY 10002-3411 2006-08-25
1730132432 Steven C. Sheskier Orthopaedic Surgery 95 University Pl, 8th Floor, New York, NY 10003-4515 2006-05-17
1740727841 Lauren Elizabeth Roberts Orthopaedic Surgery 535 East 70th Street, Hospital for Special Surgery, New York, NY 10021 2017-01-26
1508238320 Haydee C Brown Md Pllc Orthopaedic Surgery 40 Park Ave Ste 1, New York, NY 10016-3467 2015-10-21
1295120756 Javier Z. Guzman Orthopaedic Surgery 50 E 98th St, 9th Floor Box 1188, New York, NY 10029-6552 2015-04-01
1801949649 Anne Holland Johnson Orthopaedic Surgery 535 E 70th St, New York, NY 10021 2007-01-18
1104902972 Foot and Ankle Orthopaedic Surgery, PC Orthopaedic Surgery 523 E 72nd St, Room 509, New York, NY 10021-4099 2006-10-27
1407963200 Walther H.o. Bohne Orthopaedic Surgery 535 E 70th St, New York, NY 10021-4872 2006-08-25
Find all providers in NEW YORK

Office Location

Street Address 523 E 72ND ST FL 5
State NY
Zip Code 10021-4099

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720609175 Haneen Qadourah Student in an Organized Health Care Education/Training Program Weillcornellinternalmedicineassociates, 505east70thstreet, Newyorkcity, NY 10021 2020-04-27
1114547080 Mohd Omair Jamil Pharmacist 530 East 74th Street, 10281, New York, NY 10021 2020-04-21
1750915062 Radoslav Jovanovic, Md and Kevin Jovanovic, Md Obstetrics & Gynecology 930 Fifth Avenue, Suite 3, New York, NY 10021 2020-02-25
1750915344 Stacyann S Foster Nurse Practitioner 1305 York Avenue 2nd Floor, New York, NY 10021 2020-02-24
1477184547 John Schipano Pharmacist Zitomer, 969 Madison Ave, New York, NY 10021 2020-01-28
1932741253 Memorial Sloan Kettering Cancer Center Pharmacy 530 East 74 Street, Room 1101, New York, NY 10021 2019-10-09
1922656875 Kouros Emami Clinical Neuropsychologist 525 East 71st St., 5th Floor, New York, NY 10021 2019-09-03
1083262539 Uptown Surgical Services P.c Clinic/Center 111 East 71st Street, New York, NY 10021 2019-08-28
1316591209 Siddiqi Medical P.C. Internal Medicine Archcare At Mary Manning Walsh Home, 1339 York Avenue, New York, NY 10021 2019-07-29
1942763602 Alisha Bouzaher Student in an Organized Health Care Education/Training Program 439 East 71st, 1st Floor, New York, NY 10021 2019-04-10
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Zip Code 10021

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.