Provider Type Icon

TREVOR JAMES ELLICO D.O. NPI 1730716713


NPI Information

NPI: 1730716713
Provider Name: TREVOR JAMES ELLICO, D.O.
Classification: Anesthesiology - 207LP2900X
Entity Type: Individual

Specialization: Pain Medicine

PECOS Registration: Yes

Address:
HELIX: 30 N MARIO CAPECHHI DR RM 5N200
SALT LAKE CITY, UT
ZIP 84112
Phone: (801) 581-2121
Get Directions

Trevor James Ellico, D.O. is a pain medicine anesthesiology in Salt Lake City, UT. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. Trevor James Ellico, D.O. NPI is 1730716713. 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:

HELIX: 30 N MARIO CAPECHHI DR RM 5N200
SALT LAKE CITY, UT
ZIP 84112
Phone: (801) 581-2121

The NPI 1730716713 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 3/27/2020 and was last updated on 4/9/2024.


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
1207LP2900XAnesthesiologyPain Medicine13891972-1204UTAHYes

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.