Laura B. Ellis, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

200301455 Issued in NC

Practice address

30 Town Square Blvd Ste 218
Asheville, NC 28803-5080

Phone

(828) 684-1212

Fax

(828) 684-1103

NPI assigned

Jun 12, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: lauraellismd@directaddress.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Laura Ellis MD Skin Care and Vein Centre PLLC

  • Surgery Physician
  • Asheville, NC
  • NPI 1699788463
  Authorized official Same address or phone
• Marshall Medicine, P.C.

  • Plastic Surgery Physician
  • Asheville, NC
  • NPI 1598237422
  NPD (past)
• Gentle Aesthetics, Inc.

  • Family Medicine Physician
  • Laguna Beach, CA
  • NPI 1427322379
  NPD (past)
• South Carolina Em-I Medical Services PC

  • Emergency Medicine Physician
  • Manning, SC
  • NPI 1740725464
  NPD (past)

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554336000000",
    "number": "1649212523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 TOWN SQUARE BLVD",
            "address_2": "SUITE 218",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288035066",
            "telephone_number": "828-684-1212",
            "fax_number": "828-684-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 TOWN SQUARE BLVD STE 218",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288035080",
            "telephone_number": "828-684-1212",
            "fax_number": "828-684-1103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 S Coast Hwy Ste 212",
            "address_purpose": "LOCATION",
            "city": "Laguna Beach",
            "state": "CA",
            "postal_code": "926512975",
            "country_code": "US",
            "telephone_number": "949-632-8087",
            "fax_number": "949-715-5889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "LAURA",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2019-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "200301455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Ellis
• Carla Denise Ellis, LCMHC
• Elaine D Ellis, LPC
• Eva Ellis, ARRT(R)(T)(CT)
• Jacqueline Marion Ellis, P.T.
• Maycen Caroline Ellis
• Phillip Scott Ellis, PH.D.
• Sylvia Wiesmann Ellis, NP-C
• Angela Kay Ellison, M.A.
• Winston Leon Elliston, MD

• Surgery Physician in Asheville, NC
• Providers in Asheville, NC by specialty
• Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.