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ELLIS WILLIAM LEROY MD NPI 1356432009


NPI Information

NPI: 1356432009
Provider Name: ELLIS WILLIAM LEROY, MD
Classification: Internal Medicine - 207R00000X
Entity Type: Individual
Address:
1120 E 100 N
# 1
PAYSON, UT
ZIP 84651
Phone: (801) 465-4813
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Ellis William Leroy, MD is an internal medicine in Payson, UT. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. Ellis William Leroy, MD NPI is 1356432009. 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:

1120 E 100 N
# 1
PAYSON, UT
ZIP 84651
Phone: (801) 465-4813
Fax: (801) 465-7207

The enumeration date for this NPI number is 9/27/2006 and was last updated on 1/11/2010.


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
1207R00000XInternal Medicine159570-1205UTAHYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1005502567MEDICARE PINUTAH
2870281028EWJOTHERUTAHEMIA
3D07849MEDICARE UPINUTAH
422811OTHERUTAHPEHP
5110090648OTHERUTAHPALMETTO
604-00323OTHERUTAHUTAH HEALTHCARE
7QMXAF0342OTHERUTAHALTIUS
810700660401OTHERUTAHIHC
9005502567MEDICARE ID-TYPE UNSPECIFIEDUTAHMEDICARE
1087028108000MEDICAIDUTAH
1136374OTHERUTAHDMBA

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

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.