Mark R. Ellis in Springfield - Family Medicine
Mark R. Ellis - NPI 1982714804
Mark R. Ellis is a Family Medicine in Springfield, Missouri. Mark R. Ellis practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Mark R. Ellis is 1982714804. The last update date is 2018-03-26.
Mark R. Ellis's current location address is Po Box 4046, Springfield, Missouri. You can contact this provider via phone number 4172695712 and fax number 4172697567. The mailing address for Mark R. Ellis is Po Box 4046, Springfield, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark R. Ellis |
|---|---|
| Address | Po Box 4046, Springfield, Missouri |
| Phone Number | 4172695712 |
| Fax Number | 4172697567 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1982714804 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2018-03-26 |
Provider Mailing Address Detail
| Address | Po Box 4046 |
|---|---|
| City | Springfield |
| State | Missouri (MO) |
| Post Code | 658084046 |
| Phone Number | 4172695712 |
| Fax Number | 4172697567 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 103675 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 121334 | BLUE CROSS | ||
| 208184820 | MO | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mark R. Ellis by the Centers for Medicare & Medicaid Services?
The Mark R. Ellis has been assigned the NPI (National Provider Identifier) 1982714804. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Mark R. Ellis's facilities are situated?
The facilities of Mark R. Ellis are physically located at the following address: Po Box 4046, Springfield, MO, 658084046.
What is Mark R. Ellis's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mark R. Ellis is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1982714804 to Mark R. Ellis?
The Mark R. Ellis received its 1982714804 assignment from the Centers for Medicare & Medicaid Services on 2006-08-30.
When was the Mark R. Ellis's information last updated?
The Mark R. Ellis's information was last updated on 2018-03-26.