Corey James Ellis in Dayton - Sports Medicine
Corey James Ellis - NPI 1376509323
Corey James Ellis is a Sports Medicine in Dayton, Ohio. Corey James Ellis practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Corey James Ellis is 1376509323. The last update date is 2023-10-10.
Corey James Ellis's current location address is 725 University Blvd, Dayton, Ohio. You can contact this provider via phone number 9372457100 and fax number 9372457999. The mailing address for Corey James Ellis is 725 University Blvd, Dayton, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Corey James Ellis |
|---|---|
| Address | 725 University Blvd, Dayton, Ohio |
| Phone Number | 9372457100 |
| Fax Number | 9372457999 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1376509323 |
|---|---|
| Provider Enumeration Date | 2006-04-26 |
| Last Updated Date | 2023-10-10 |
Provider Mailing Address Detail
| Address | 725 University Blvd |
|---|---|
| City | Dayton |
| State | Ohio (OH) |
| Post Code | 454350001 |
| Phone Number | 9372457100 |
| Fax Number | 9372457999 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | 35084741 |
|
Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2511446 | OH | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Corey James Ellis by the Centers for Medicare & Medicaid Services (CMS)?
The Corey James Ellis has been assigned the NPI (National Provider Identifier) 1376509323. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Corey James Ellis is located?
The Corey James Ellis is situated at the following address: 725 University Blvd, Dayton, OH, 454350001.
What is the area of specialization for Corey James Ellis, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Corey James Ellis is Sports Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Qs0010X.
On what date did the Corey James Ellis receive its 1376509323 assignment from the Centers for Medicare & Medicaid Services?
The Corey James Ellis was assigned its 1376509323 by the Centers for Medicare & Medicaid Services on 2006-04-26.
When was the Corey James Ellis's information last updated?
The Corey James Ellis's information was last updated on 2023-10-10.