ELAINE M ELLIS M.D. NPI 1952364150

NPI Information

NPI: 1952364150
Provider Name: ELAINE M ELLIS, M.D.
Classification: Pediatrics - 2080P0008X
Entity Type: Individual

Specialization: Neurodevelopmental Disabilities

Address:
10210 N 92ND ST
SUITE 207
SCOTTSDALE, AZ
ZIP 85258
Phone: (480) 661-1332
Get Directions

Elaine M Ellis, M.D. is a neurodevelopmental disabilities pediatrics in Scottsdale, AZ. The provider is 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. Elaine M Ellis, M.D. NPI is 1952364150. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10210 N 92ND ST
SUITE 207
SCOTTSDALE, AZ
ZIP 85258-509
Phone: (480) 661-1332
Fax: (480) 661-1364

The enumeration date for this NPI number is 4/10/2006 and was last updated on 8/25/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080P0008X	Pediatrics	Neurodevelopmental Disabilities	33938	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	953142	MEDICAID	ARIZONA
2	D63888	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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