Dr. John Ellis
Emergency Physician
4422 Third Ave
Bronx
, New York 10457
Dr. John Ellis
Emergency Physician
4422 Third Ave
Bronx
, New York 10457
(954) 377-3042
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About
Features
Specialties
- Emergency Physician
Languages spoken
- English
Location
First Address
- Dr. John Ellis
- 6751 Eagle Ridge Blvd
- Lakeland, FL
- Zip : 33813-5636
- Fax : (954) 377-3042
- Phone : (727) 417-6369
Second Address
- Dr. John Ellis
- 4422 Third Ave
- Bronx, NY
- Zip : 10457
- Phone : (718) 960-9000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | OS15644 | FL |
National Provider Identifier
| NPI | 1003221037 |
|---|---|
| Provider Name | Dr. John Ellis |
| First Address | Lakeland, FL 33813-5636 |
| Second Address | Bronx, NY 10457 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/06/2014 |
| Last Update Date | 19/01/2022 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.