Organization Active NPI

Andrew R Ellias DO PC

  • Internal Medicine Physician
  • Colorado Springs, CO
National Provider Identifier
1336343557
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
28329 Issued in CO
Legal business name
ANDREW R ELLIAS DO PC
Practice address
675 Southpointe CT
Ste 101
Colorado Springs, CO 80906-3887
Phone
(719) 540-5700
Fax
(719) 540-5702
NPI assigned
Jun 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

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

Authorized official

Name
Dr. Andrew Robert Ellias, D.O.
Title
President
Phone
(719) 540-5700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 28329 CO Primary

Addresses

Primary practice location

675 Southpointe CT
Ste 101
Colorado Springs, CO 80906-3887

Mailing address

675 Southpointe CT
Ste 101
Colorado Springs, CO 80906-3887
Phone (719) 540-5700

Other identifiers 1

IdentifierTypeStateIssuer
1740386861OtherCOPERSONAL NPI NUMBER

National Provider Directory

National Provider Directory

Locations

675 Southpointe Ct
Ste 101
Colorado Springs, CO 80906
Phone (719) 540-5700

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1336343557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 SOUTHPOINTE CT",
            "address_2": "STE 101",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063887",
            "telephone_number": "719-540-5700",
            "fax_number": "719-540-5702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 SOUTHPOINTE CT",
            "address_2": "STE 101",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063887",
            "telephone_number": "719-540-5700",
            "fax_number": "719-540-5702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW R ELLIAS DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "ELLIAS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-540-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "28329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI NUMBER",
            "identifier": "1740386861",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.