Louis Davis Ellwood

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

542 K St
Idaho Falls, ID 83402-2749

Phone

(208) 991-4296

NPI assigned

Aug 11, 2026

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)

Not enrolled

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

{
    "created_epoch": "1786406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1609791490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 K ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834022749",
            "telephone_number": "208-991-4296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542 K ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834022749",
            "telephone_number": "208-991-4296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLWOOD",
        "first_name": "LOUIS",
        "middle_name": "DAVIS",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-08-11",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jay T Ellis, PT, DPT, CSCS
• Josie Ellis
• Shelby Lyn Ellis
• Brent Angel Ellsworth, PA-C
• Gary Earl Ellwein, MD
• Michele Marie Elsbree, LMSW
• Marie L Elser, LMSW
• Emergency Orthopedic Services of Idaho PLLC
• Brenda Emery, CPRP
• Taylor Emery, AGACNP-BC

• Case Manager/Care Coordinator in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Case Manager/Care Coordinator in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.