DR. M.D. Reuben Kristian Ellis, NPI 1114969110
Nephrology Physician in Macon, GA, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1114969110 |
| NPI Entity Type | Individual |
| Provider Name | DR. M.D. Reuben Kristian Ellis |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 1425 Georgia Ave Ste 201a, Macon, GA, US |
| Provider Mailing Address | Po Box 6612, Macon, GA, US, 312086612 |
| Gender | Male |
| Is Sole Proprietor? | Yes |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Nephrology Physician |
| Classification | |
| Group | |
| License No. | 055819 |
| License State | GA |
| Description | An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 730346684AC | GA | MEDICAID | 05 |
| 730346684AD | GA | MEDICAID | 05 |
| 730346684K | GA | MEDICAID | 05 |
| 730346684T | GA | MEDICAID | 05 |
| 730346684U | GA | MEDICAID | 05 |
| 730346684X | GA | MEDICAID | 05 |
| 730346684P | GA | MEDICAID | 05 |
| 730346684S | GA | MEDICAID | 05 |
| 730346684AB | GA | MEDICAID | 05 |
| 730346684M | GA | MEDICAID | 05 |
| 730346684R | GA | MEDICAID | 05 |
| 730346684J | GA | MEDICAID | 05 |
| 730346684O | GA | MEDICAID | 05 |
| 730346684Z | GA | MEDICAID | 05 |
| 730346684AA | GA | MEDICAID | 05 |
| 730346684G | GA | MEDICAID | 05 |
| 730346684N | GA | MEDICAID | 05 |
| 730346684Q | GA | MEDICAID | 05 |
| 730346684V | GA | MEDICAID | 05 |
| 730346684W | GA | MEDICAID | 05 |
| 730346684Y | GA | MEDICAID | 05 |
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