Individual
MARK I ELLEN
Active
Individual
MARK I ELLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME145025
FL
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
2005-01826
NC
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
25MA06361300
NJ
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
50578
GA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
G71376
CA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
MD051555L
PA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
ME145025
FL
Other
Enumeration date
09/06/2006
Last updated
05/18/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up