Richard Luke Elloway, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME125695 Issued in FL

Practice address

7751 Kingspointe Pkwy Ste 114
Orlando, FL 32819

Phone

(407) 581-9672

Fax

(407) 581-9673

NPI assigned

May 6, 2014

Last updated

Sep 10, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1003226556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "483 N SEMORAN BLVD STE 104B",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923800",
            "telephone_number": "407-630-7330",
            "fax_number": "407-630-8283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7751 KINGSPOINTE PKWY STE 114",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32819",
            "telephone_number": "407-581-9672",
            "fax_number": "407-581-9673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "483 N Semoran Blvd Ste 104B",
            "address_purpose": "LOCATION",
            "city": "Winter Park",
            "state": "FL",
            "postal_code": "327923800",
            "country_code": "US",
            "telephone_number": "407-630-7330",
            "fax_number": "407-630-8283",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "483 N Semoran Blvd Ste 104B",
            "address_purpose": "LOCATION",
            "city": "Winter Park",
            "state": "FL",
            "postal_code": "32792",
            "country_code": "US",
            "telephone_number": "407-630-7330",
            "fax_number": "407-630-8283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLOWAY",
        "first_name": "RICHARD",
        "middle_name": "LUKE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-06",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME125695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lashanda Ellis, MSW
• Maleeka Monique Ellis, RRT
• Rachel Lynn Annette Ellis, PHYSICAL THERAPIST
• Sarah Chliyah Ellis, PA-C
• Florencio Vallejos Ello, M.D.
• Pamela I Ellsworth, M.D.
• Randy Ellsworth
• Joseph D Elluzzi Jr., PHARMD
• Jonathan Clinton Elmore, D.D.S
• Luke M Elms, M.D.

• Family Medicine Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.