Ellis Clinic, P.C.

Primary specialty

Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X

Legal business name

ELLIS CLINIC, P.C.

Practice address

5100 N Brookline Ave Ste 465
Oklahoma City, OK 73112-3625

Phone

(405) 917-5336

Fax

(405) 917-2250

NPI assigned

Sep 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John W. Ellis, M.D.NPI 1548288830

Title

President

Phone

(405) 917-5336

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Wesley Ellis, M.D.

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1548288830
  NPD (past) Authorized official
• Nichole V Moser, PA

  • Medical Physician Assistant
  • Oklahoma City, OK
  • NPI 1396415675
  NPD (past)

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190678400000",
    "number": "1316134141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 N BROOKLINE AVE STE 465",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731123625",
            "telephone_number": "405-917-5336",
            "fax_number": "405-917-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 N BROOKLINE AVE STE 465",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731123625",
            "telephone_number": "405-917-5336",
            "fax_number": "405-917-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIS CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2007-09-25",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-917-5336",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roger A Elliott, PA-C
• Ryan Nicole Elliott, DDS
• Sterling Lee Elliott
• Tamara Elliott, LPCC
• Tiffany Lee Elliott, D.O.
• Anna Helena Ellis, M.S. LPC, LBP
• Ashley Elizabeth Norum Ellis, O.D.
• Ayodolle Ellis
• Bailey Marie Ellis
• Christian Ellis, D.O.

• Occupational Medicine Clinic/Center in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Occupational Medicine Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; 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.