MR. MICHAEL C ELLIS M.D. NPI 1033158191

NPI Information

NPI: 1033158191
Provider Name: MR. MICHAEL C ELLIS, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
3024 BUSINESS PARK CIR
GOODLETTSVILLE, TN
ZIP 37072
Phone: (615) 851-6033
Get Directions

MR. Michael C Ellis, M.D. is a diagnostic radiology radiology in Goodlettsville, TN. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MR. Michael C Ellis, M.D. NPI is 1033158191. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3024 BUSINESS PARK CIR
GOODLETTSVILLE, TN
ZIP 37072-132
Phone: (615) 851-6033
Fax: (615) 851-2018

The enumeration date for this NPI number is 6/5/2006 and was last updated on 11/30/2011.

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	2085R0202X	Radiology	Diagnostic Radiology	MD11612	TENNESSEE	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	A99932	MEDICARE UPIN	TENNESSEE
2	3135920	OTHER	TENNESSEE	BCBS
3	3031462	OTHER	TENNESSEE	BCBS
4	3035618	MEDICARE PIN	TENNESSEE
5	3035613	MEDICARE PIN	TENNESSEE
6	300108651	OTHER	TENNESSEE	RAILROAD MEDICARE
7	64918170	MEDICAID	KENTUCKY
8	30356181	MEDICARE PIN	TENNESSEE
9	103I306927	MEDICARE PIN	TENNESSEE
10	64918170	OTHER	TENNESSEE	TRICARE
11	4291338	OTHER	TENNESSEE	BCBS - MTI
12	3035616	MEDICAID	TENNESSEE
13	1509264	MEDICAID	TENNESSEE
14	4200345	OTHER	TENNESSEE	BCBS TN
15	1509264	OTHER	TENNESSEE	MEDICAID - MTI

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »