Colette Mark Ellis, MD is a general practice in Fairborn, OH. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Source: National Uniform Claim Committee Colette Mark Ellis, MD NPI is 1629530225. 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:
1059 BAYWOOD DR
FAIRBORN, OH
ZIP 45324-647
Phone: (713) 339-0341
The NPI 1629530225 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Removal of skin and tissue first 20 sq cm or less (HCPCS:11042)
The enumeration date for this NPI number is 4/2/2019 and was last updated on 7/27/2022.