Leslie R Ellis in Louisville - Neonatal-perinatal Medicine

Leslie R Ellis - NPI 1679542765

Leslie R Ellis is a Neonatal-perinatal Medicine in Louisville, Kentucky. Leslie R Ellis practices all healthcare services and medical treatments related to Neonatal-perinatal Medicine. The NPI Number for Leslie R Ellis is 1679542765. The last update date is 2021-09-14.

Leslie R Ellis's current location address is 4123 Dutchmans Ln Ste 301, Louisville, Kentucky. You can contact this provider via phone number 5028962500 and fax number 5028962527. The mailing address for Leslie R Ellis is 4123 Dutchmans Ln Ste 301, Louisville, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Name Leslie R Ellis
Address 4123 Dutchmans Ln Ste 301, Louisville, Kentucky
Phone Number 5028962500
Fax Number 5028962527
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1679542765
Provider Enumeration Date 2006-03-14
Last Updated Date 2021-09-14

Provider Mailing Address Detail

Address 4123 Dutchmans Ln Ste 301
City Louisville
State Kentucky (KY)
Post Code 402074721
Phone Number 5028962500
Fax Number 5028962527

Provider's Primary Taxonomy Detail

Speciality Neonatal-perinatal Medicine
Taxonomy 2080N0001X
Licence No 35733
Definition:
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
50035433 KY PASSPORT- KCNS
64067267 KY --
744501 KY ANTHEM- KCNS
200439570 IN --

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FAQs about Leslie R Ellis

What is the unique 10-digit identification code issued to Leslie R Ellis by the Centers for Medicare & Medicaid Services?

The Leslie R Ellis has been assigned the NPI (National Provider Identifier) 1679542765 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Leslie R Ellis is physically located?

The Leslie R Ellis is situated at the following address: 4123 Dutchmans Ln Ste 301, Louisville, KY 402074721.

What is the Leslie R Ellis's specialty and taxonomy code?

The Leslie R Ellis's specialty is Neonatal-perinatal Medicine, and the corresponding taxonomy code is 2080N0001X.

On what date did the Centers for Medicare & Medicaid Services issue the 1679542765 to Leslie R Ellis?

The Leslie R Ellis received its 1679542765 assignment from the Centers for Medicare & Medicaid Services on 2006-03-14.

As of what date were the Leslie R Ellis's details last updated?

The information pertaining to the Leslie R Ellis, including its address, specialty, and other details, was most recently updated on 2021-09-14.

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