Individual
ROBERT GREG ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
46 FAIRVIEW AVE STE 223, SKOWHEGAN, ME 04976-1481
(207) 474-7045
(207) 474-5173
Mailing address
PO BOX 468, SKOWHEGAN, ME 04976-0468
(207) 858-8367
(207) 474-9261
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA575
ME
363AS0400X
Surgical Physician Assistant
Primary
PA575
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912927971
—
ME
01
—
AP185001
MEDICARE PTAN
ME
Enumeration date
07/20/2006
Last updated
06/30/2023
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