Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JONATHAN J ELLICHMAN, M.D.
Active Sole ProprietorDR. JONATHAN J ELLICHMAN, M.D. is a Vascular Surgery healthcare provider located in MEMPHIS, Tennessee. NPI 1073538823 is currently active in the NPPES registry. Verify at CMS.
Vascular Surgery · MEMPHIS, TN
Registration Details
- NPI Number
- 1073538823
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 13, 2006 (20.09832196018 yrs)
- Last Updated
- Mar 8, 2016
- Licenses
-
18972 (MS)39618 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6401 POPLAR AVE STE 410MEMPHIS, TN, 381194808Browse TN providers · Browse ZIP 38119
- Phone
- 9012592718
- Fax
- 9012591123
- Primary Specialty
-
Vascular Surgery
2086S0129X
- Additional Specialty
- Thoracic Surgery (Cardiothoracic Vascular)
Other Vascular Surgery Providers in MEMPHIS, TN
| Name | Credential | NPI |
|---|---|---|
| RANDALL WILLIAM FRANZ | MD | 1053300319 |
| DR. PATRICIO A ILABACA | MD | 1255381406 |
| LARRY DALE BURKE | MD | 1992813158 |
| DR. BRIDGET FLAVIN OSTROW | MD | 1225140734 |
| SHAUN MICHAEL STICKLEY | M.D. | 1528289808 |
| DR. JAMES ERIC GARDNER | MD | 1801009089 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.