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JAMES ELLIS D.O. FACEP NPI 1063439503


NPI Information

NPI: 1063439503
Provider Name: JAMES ELLIS, D.O., FACEP
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
503 N MAPLE ST
EFFINGHAM, IL
ZIP 62401
Phone: (217) 337-2000
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James Ellis, D.O., FACEP is an emergency medicine in Effingham, IL with 36 years of experience. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. James Ellis, D.O., FACEP NPI is 1063439503. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduation Year:1988

The provider's business location address is:

503 N MAPLE ST
EFFINGHAM, IL
ZIP 62401-006
Phone: (217) 337-2000

The NPI 1063439503 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 enumeration date for this NPI number is 7/17/2006 and was last updated on 4/4/2011.


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
1207P00000XEmergency Medicine4011IOWANo
2207P00000XEmergency Medicine0533706KANSASNo
3207P00000XEmergency Medicine34.009604OHIONo
4207P00000XEmergency MedicineH46397MARYLANDNo
5207P00000XEmergency MedicineH6194TEXASNo
6207P00000XEmergency MedicineDO20976DISTRICT OF COLUMBIANo
7207P00000XEmergency MedicineDO25267DISTRICT OF COLUMBIANo
8207P00000XEmergency Medicine5101018060MICHIGANNo
9207P00000XEmergency Medicine036-099455ILLINOISYes

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
11063439503MEDICAIDIOWA
2036099455-9MEDICAIDILLINOIS
3036099455-5MEDICAIDILLINOIS
4NA1613003MEDICARE PINNEBRASKA
5KA1398002MEDICARE PINKANSAS
6EL4268422MEDICARE PINOHIO
7207236007MEDICARE PINILLINOIS
81063439503MEDICAIDMONTANA
90036099455MEDICAIDILLINOIS
10MI1609018MEDICARE PINMICHIGAN
11M57650048MEDICARE PINMICHIGAN
12K02725MEDICARE PINILLINOIS
13150050015MEDICARE PINMISSOURI
14147480019MEDICARE PINMISSOURI
15F20901MEDICARE UPIN
161063439503MEDICAIDIDAHO
17036099455-7MEDICAIDILLINOIS
182966778MEDICAIDOHIO
19036099455MEDICAIDILLINOIS
20P00743562MEDICARE PINOHIO
21MI1609051MEDICARE PINMICHIGAN
22IB1436044MEDICARE PINIOWA
23IB1436003MEDICARE PINIOWA
24036099455-8MEDICAIDILLINOIS
25IL1943007MEDICARE PINILLINOIS
26G8890942MEDICARE PINWASHINGTON
27P29950025MEDICARE PINMICHIGAN
285261624OTHERMICHIGANBCBS
291063439503MEDICAIDNEBRASKA
30036099455-4MEDICAIDILLINOIS
31M57650044MEDICARE PINMICHIGAN
321063439503OTHERIOWABLUE SHIELD
331063439503MEDICAIDMICHIGAN
341063439503MEDICAIDMISSOURI
35EL4268421MEDICAIDOHIO
36200604190BMEDICAIDKANSAS
37K02717MEDICARE PINILLINOIS
381063439503OTHERKANSASBLUE SHIELD
391063439503MEDICAIDWASHINGTON
40KA1000022MEDICARE PINKANSAS
41IL1682005MEDICARE PINILLINOIS
42207612MEDICARE PINILLINOIS

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

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.