JOHN WILLIAM ELLIS D.O. NPI 1285631242

NPI Information

NPI: 1285631242
Provider Name: JOHN WILLIAM ELLIS, D.O.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
6320 W UNION HILLS DR STE 2800B
GLENDALE, AZ
ZIP 85308
Phone: (623) 322-4991
Get Directions

John William Ellis, D.O. is a family medicine in Glendale, AZ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. John William Ellis, D.O. NPI is 1285631242. 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:

6320 W UNION HILLS DR STE 2800B
GLENDALE, AZ
ZIP 85308-380
Phone: (623) 322-4991
Fax: (623) 322-9568

The NPI 1285631242 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 7/6/2005 and was last updated on 7/30/2019.

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	207Q00000X	Family Medicine		3881	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	2Z0278	OTHER	ARIZONA	HEALTH NET
2	922345	OTHER	ARIZONA	USA
3	5469474	OTHER	ARIZONA	CCN
4	783789	MEDICAID	ARIZONA
5	56VMVZ	OTHER	ARIZONA	UHC
6	PROV000061230	OTHER	ARIZONA	SCHALLER ANDERSON
7	7448458	OTHER	ARIZONA	AETNA
8	2103583	OTHER	ARIZONA	FIRST HEALTH
9	81060639601	OTHER	ARIZONA	PACIFICARE
10	AZ0733980	OTHER	ARIZONA	BC/BS
11	2024711	OTHER	ARIZONA	CIGNA
12	81060639685308A002	OTHER	ARIZONA	CHAMPUS

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: 4/28/2024

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 »