Lavelle A Ellis, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

21899 Issued in KS

Practice address

737 E Crawford St
Salina, KS 67401-5103

Phone

(785) 827-7261

Fax

(785) 833-5708

NPI assigned

Apr 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1265497002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 E CRAWFORD ST",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674015103",
            "telephone_number": "785-827-7261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 E CRAWFORD ST",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674015103",
            "telephone_number": "785-827-7261",
            "fax_number": "785-833-5708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "LAVELLE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-17",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "KS",
            "license": "21899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lavelle.ellis.p1@direct.moweryclinic.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "737 E Crawford St",
            "city": "Salina",
            "state": "KS",
            "country_code": "US",
            "postal_code": "674015103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amy Eicher, LMSW
• Terry A Eisenhauer, D.C.
• Michelle M Ellenz, LMSW
• Ronald Eller III, PA-C
• Nathaniel Elliott, PA-C
• Elmhurst Operations, LLC
• Kyle D. Elmore, MD
• Madison R Elskamp
• Emergency Physicians of Salina, LLC
• Emma Ward Therapy Services LLC

• Gastroenterology Physician in Salina, KS
• Providers in Salina, KS by specialty
• Gastroenterology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; 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.