Jack Ellis I, PA-C
Jack Ellis I, PA-C is a Physician Assistant in Powell, Ohio. Qualified in 2022, 4 years ago. Practices with Ohiohealth Corporation, a 2,289-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio.
- Years since qualifying
- 4
- Licensed in
- OH
- In the registry since
- 2022
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
4141 N Hampton Dr Ste 200Powell, OH 43065-7062
Phone: (614) 764-0200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 50.007768RX (OH) |
|---|
Record details
| NPI number | 1346962982 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | September 12, 2022 |
| Last updated in NPPES | November 21, 2022 |
| Certification date | November 21, 2022 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Ohiohealth Corporation — 2289 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 2 on file with Medicare |
Other providers in Powell
-
Madison Mackenzie Rapier, PA-C
507 Vogt Ct S, Powell, OH 43065-7416 · (614) 800-2721