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MATTHEW S ELLIS MD PA NPI 1780703561


NPI Information

NPI: 1780703561
Provider Name: MATTHEW S ELLIS MD PA
Classification: Preventive Medicine - 2083P0011X
Entity Type: Organization

Specialization: Undersea and Hyperbaric Medicine

Address:
6400 W NEWBERRY RD
SUITE 104
GAINESVILLE, FL
ZIP 32605
Phone: (352) 333-5911
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MATTHEW S ELLIS MD PA is an undersea and hyperbaric medicine preventive medicine in Gainesville, FL. The provider is a specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions. MATTHEW S ELLIS MD PA NPI is 1780703561. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6400 W NEWBERRY RD
SUITE 104
GAINESVILLE, FL
ZIP 32605
Phone: (352) 333-5911
Fax: (353) 333-4684

The provider's authorized official is Matthew Stewart Ellis .
The authorized official title is President and has the following contact phone number (352) 333-5911.

The enumeration date for this NPI number is 3/29/2007 and was last updated on 8/5/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12083P0011XPreventive MedicineUndersea and Hyperbaric MedicineME96520FLORIDAYes

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: 11/14/2023

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