DR. STEVEN PHILLIP ELLIS JR. (NPI# 1821431123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821431123 |
Entity Type | Individual |
Full Name | DR. STEVEN PHILLIP ELLIS JR. |
Credential | M.D. |
Practice Address |
3801 S National Ave Ste 900 Springfield MO 65807 |
Mailing Address |
Po Box 9007 Springfield MO 65808-9007 |
Practice Telephone | 4178753087 |
Mailing Telephone | 4178753000 |
Enumeration Date | 2013-04-17 |
Last Update Date | 2018-07-02 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
R1743 | TX | Allopathic & Osteopathic Physicians |
N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
2018014545 | MO | Allopathic & Osteopathic Physicians |
N | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
R1743 | TX | Allopathic & Osteopathic Physicians |
Y | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
2018014545 | MO | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 1821431123 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699008011 | Steven Lee Ellis | Optometrist | 142 State Route 35, Eatontown, NJ 07724-1876 | 2009-09-16 |
1255565065 | Steven L. Ellis | Denturist | 155 Saco Ave, Old Orchard Beach, ME 04064-1600 | 2009-05-07 |
1588645691 | Steven Edward Ellis | Chiropractor | 57594 Tygh Valley Rd, Suite 2, Tygh Valley, OR 97063-8715 | 2005-11-07 |
1982694246 | Steven Edward Ellis | Dentist | 215 Oak St, Livingston, TN 38570-1726 | 2005-10-26 |
1225031453 | Steven Paul Ellis | Ophthalmology | 123 Franklin Corner Rd, Ste 207, Lawrenceville, NJ 08648-2526 | 2005-05-23 |
1841325024 | Steven Ellis | Family Medicine | 7539 Soquel Drive, Aptos, CA 95003-4926 | 2007-02-21 |
1043354269 | Steven Lee Ellis | Emergency Medicine | 4801 Alberta Ave, El Paso, TX 79905-2707 | 2007-02-19 |
1124164504 | Steven A Ellis | Anesthesiology | 1235 E Cherokee St, Springfield, MO 65804-2203 | 2007-01-30 |
1942354246 | Steven Frank Ellis | Otolaryngology | 5370 College Blvd, Suite 100, Overland Park, KS 66211-1891 | 2007-01-23 |
Street Address |
3801 S NATIONAL AVE STE 900 |
City | SPRINGFIELD |
State | MO |
Zip Code | 65807 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861735300 | Emily Kay Crouse | Registered Nurse | 3801 S National Ave Ste 900, Springfield, MO 65807-5210 | 2013-04-03 |
1669997151 | Sara Kristen Hill | Nurse Practitioner | 3801 S National Ave Ste 900, Springfield, MO 65807-5210 | 2017-08-07 |
1295256485 | Patricia Lewien | Nurse Practitioner | 3801 S National Ave Ste 900, Springfield, MO 65807-5210 | 2017-06-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396390241 | Karley Kassandra Murphy | Counselor | 3734 South Ave #c, Springfield, MO 65807 | 2019-08-07 |
1396203626 | Auvia L Logan | Dietitian, Registered | 3322 S. Campbell Ave. Suite Cc, Springfield, MO 65807 | 2019-03-05 |
1598250961 | Kathryn Barber | Nurse Practitioner | 3800 S National Ave Ste 700, Springfield, MO 65807 | 2018-06-27 |
1447764899 | Missouri Midwifery Service | Clinic/Center | 3840 South Avenue, Springfield, MO 65807 | 2017-11-21 |
1124530290 | Senior Living Management Group, LLC | Skilled Nursing Facility | 3705 S Jefferson Ave, Springfield, MO 65807 | 2017-10-30 |
1740663335 | Sarah E Kirk | Physical Therapist | 3545 S. National Ave, Springfield, MO 65807 | 2015-07-01 |
1750713335 | Amanda Ward | Nurse Practitioner | 2150 W Republic Rd Ste 112, Springfield, MO 65807 | 2013-08-06 |
1932531126 | Eugenia R Cortez | Counselor | 2124 Chesterfield Blvd., Springfield, MO 65807 | 2013-07-30 |
1962742866 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3045 W Republic St, Springfield, MO 65807 | 2013-03-01 |
1033462387 | Miguel Angel Medina | Physician Assistant | 1900 South Sunshine Ave., Springfield, MO 65807 | 2012-10-24 |
Find all providers in zip 65807 |
Taxonomy Code | 2084N0600X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Clinical Neurophysiology |
Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427504497 | Neuro-status, LLC | Psychiatry & Neurology | 40 Burroughs Ln, Saint Louis, MO 63124-1857 | 2016-08-30 |
1598948085 | Jeanne E Reiss Md Pa | Psychiatry & Neurology | 373 W 101st Terr, Kansas City, MO 64114-4408 | 2007-12-07 |
1508320367 | Todd B. Silverman Md, LLC | Psychiatry & Neurology | 14825 North Outer 40 Rd Ste 330-b, Chesterfield, MO 63017-2119 | 2019-01-25 |
1740242247 | Jeanne E Reiss | Psychiatry & Neurology | 373 W 101st Ter, Kansas City, MO 64114-4408 | 2006-04-03 |
City | SPRINGFIELD |
Zip Code | 65807 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.