Elaine M Ellis in Phoenix - Neurodevelopmental Disabilities
Elaine M Ellis - NPI 1952364150
Elaine M Ellis is a Neurodevelopmental Disabilities in Phoenix, Arizona. Elaine M Ellis practices all healthcare services and medical treatments related to Neurodevelopmental Disabilities. The NPI Number for Elaine M Ellis is 1952364150. The last update date is 2010-08-25.
Elaine M Ellis's current location address is 4722 N 24th St, Phoenix, Arizona. You can contact this provider via phone number 6022564628 and fax number 6029579438. The mailing address for Elaine M Ellis is 4722 N 24th St, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elaine M Ellis |
|---|---|
| Address | 4722 N 24th St, Phoenix, Arizona |
| Phone Number | 6022564628 |
| Fax Number | 6029579438 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1952364150 |
|---|---|
| Provider Enumeration Date | 2006-04-10 |
| Last Updated Date | 2010-08-25 |
Provider Mailing Address Detail
| Address | 4722 N 24th St |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850164800 |
| Phone Number | 6022564628 |
| Fax Number | 6029579438 |
Provider's Primary Taxonomy Detail
| Speciality | Neurodevelopmental Disabilities |
|---|---|
| Taxonomy | 2080P0008X |
| Licence No | 33938 |
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Definition: A pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 953142 | AZ | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Elaine M Ellis by the Centers for Medicare & Medicaid Services?
The Elaine M Ellis has been assigned the NPI (National Provider Identifier) 1952364150. 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 provide the complete physical location address of Elaine M Ellis?
The Elaine M Ellis is physically situated at 4722 N 24Th St, in the city of Phoenix, state of AZ, with the postal code 850164800.
What is the area of specialization for Elaine M Ellis, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Elaine M Ellis is Neurodevelopmental Disabilities, and the corresponding taxonomy code that categorizes this area of expertise is 2080P0008X.
On what date did the Elaine M Ellis receive its 1952364150 assignment from the Centers for Medicare & Medicaid Services?
The Elaine M Ellis was assigned its 1952364150 by the Centers for Medicare & Medicaid Services on 2006-04-10.
When was the information pertaining to Elaine M Ellis most recently updated or revised?
The details related to Elaine M Ellis, including its address, specialty, and other relevant information, were last updated or revised on 2010-08-25.