Robert E Ellis Md in Louisville - Internal Medicine

Robert E Ellis Md - NPI 1154465276

Robert E Ellis Md is a Internal Medicine in Louisville, Kentucky. Robert E Ellis Md practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Robert E Ellis Md is 1154465276. The last update date is 2009-08-13.

Robert E Ellis Md's current location address is 9115 Leesgate Rd, Louisville, Kentucky. You can contact this provider via phone number 5027190782 and fax number 5027190787. The mailing address for Robert E Ellis Md is 9115 Leesgate Rd, Louisville, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Organization Robert E Ellis Md
Address 9115 Leesgate Rd, Louisville, Kentucky
Phone Number 5027190782
Fax Number 5027190787
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Ellis E Robert
Credentials M.D.
Telephone Number 5027190782

NPI Number Detail

NPI Number 1154465276
Provider Enumeration Date 2007-02-20
Last Updated Date 2009-08-13

Provider Mailing Address Detail

Address 9115 Leesgate Rd
City Louisville
State Kentucky (KY)
Post Code 402225003
Phone Number 5027190782
Fax Number 5027190787

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 19194
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1172028 KY PASSPORT HEALTH PLAN
2441036000 KY PASSPORT ADVANTAGE
CH0800 KY MEDICARE RR

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FAQs about Robert E Ellis Md

What is the unique identifier code issued to Robert E Ellis Md by the Centers for Medicare & Medicaid Services (CMS)?

The Robert E Ellis Md has been assigned the NPI (National Provider Identifier) 1154465276. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete physical location address of Robert E Ellis Md?

The Robert E Ellis Md is physically situated at 9115 Leesgate Rd, in the city of Louisville, state of KY, with the postal code 402225003.

What is Robert E Ellis Md's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Robert E Ellis Md's specialized field of practice is Internal Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207R00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1154465276 to Robert E Ellis Md?

The Centers for Medicare & Medicaid Services originally issued the 1154465276 to Robert E Ellis Md on 2007-02-20.

When was the Robert E Ellis Md's information last updated?

The Robert E Ellis Md's information was last updated on 2009-08-13.

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