Individual
DR. PAUL D ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
130 W RAVINE RD, KINGSPORT, TN 37660
(423) 968-1144
Mailing address
3053 W STATE ST, BRISTOL, TN 37620-1720
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
39706
KY
2085R0202X
Diagnostic Radiology Physician
Primary
40098
TN
2085R0202X
Diagnostic Radiology Physician
ME103342
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3336612
—
TN
01
—
P00278836
RAILROAD MEDICARE
TN
Enumeration date
05/01/2006
Last updated
11/14/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us