MRS. CATHERINE ELLIS CAA
NPI 1659720829
Anesthesiologist Assistant in Myrtle Beach, SC

Q: What is Catherine Ellis's NPI number?

The NPI number for Catherine Ellis is 1659720829. It was assigned to this individual provider in the NPPES registry on June 8, 2016.

Q: What is Catherine Ellis's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Q: When was this NPI record last updated?

The NPPES record for Catherine Ellis was last updated on September 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 08, 2016Accepts Medicare Assignment

809 82ND PKWY, MYRTLE BEACH, SC 29572(843) 272-7232 Get Directions Write a Review

NPPES record last updated: September 6, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Catherine Ellis Caa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. CATHERINE ELLIS CAA (NPI 1659720829) is an individual anesthesiologist assistant in Myrtle Beach, South Carolina and active in the NPI registry since June 2016. She is affiliated with Piedmont Medical Center and is a graduate of Other (2016).

NPPES Registry Identity

NPI1659720829

Entity TypeIndividualFemale

Primary Taxonomy367H00000X

Provider Legal NameMRS. CATHERINE ELLISCredential: CAA

Location Address809 82ND PKWYMyrtle Beach, SC 29572-4607

Mailing Address820 67th Ave N #70244Myrtle Beach, SC 29572

Phone(843) 272-7232

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJune 8, 2016

Last NPPES UpdateSeptember 6, 2019

✔ NPI 1659720829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367H00000X

Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

809 82ND PKWY, Myrtle Beach, SC 29572

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Catherine Ellis Caa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688952955

PECOS Enrollment IDI20161021000543

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Piedmont Medical Center

Acute Care Hospitals · Rock Hill, SC

2/5 CMS rating

OwnershipProprietary

CMS Certification Number420002

Location1731 Frank Gaston BlvdRock Hill, SC 29732 · York County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOUTHEASTERN HOSPITALIST SERVICES PC

Hospitalist