Margaret P Ellis, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

20200 Issued in OK

Practice address

10 E 13TH St
Grove, OK 74344-5300

Phone

(918) 787-1909

Fax

(918) 787-3866

NPI assigned

Mar 15, 2007

Last updated

Jun 6, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AR, OK2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/932b43fb-c766-413c-a343-640549d20cb3/
• Direct secure messaging: mellis218563@directa.mercy.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.

• Northeastern Health System

  • Emergency Medicine Physician
  • Tahlequah, OK
  • NPI 1457574170
  Medicare reassignment NPD
• Emergency Staffing Solutions Region III

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1689967895

  AR

  Medicare reassignment NPD
• HCC of Magnolia LLC

  • Hospitalist Physician
  • Magnolia, AR
  • NPI 1831865872
  Medicare reassignment NPD
• Integris Miami Hospital

  dba INTEGRIS Miami Physicians Clinic

  • Rural Health Clinic/Center
  • Miami, OK
  • NPI 1912508375
  NPD
• Northeastern Health System

  dba Tahlequah Medical Group Primary Care

  • Rural Health Clinic/Center
  • Tahlequah, OK
  • NPI 1306387949
  NPD
• Northeastern Health System

  • Psychiatric Hospital Unit
  • Tahlequah, OK
  • NPI 1619031465
  NPD
• Northwest Physicians LLC

  • Obstetrics Physician
  • Springdale, AR
  • NPI 1194768721
  NPD
• Integris Ambulatory Care Corporation

  dba INTEGRIS Medical Group

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1750333936

  Internal Medicine

  NPD (past)
• Northeastern Health System

  dba Tahlequah City Hospital

  • General Acute Care Hospital
  • Tahlequah, OK
  • NPI 1003865999
  NPD (past)

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1649304114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 QUAIL SPRINGS PKWY FL 5",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731342640",
            "telephone_number": "918-787-1909",
            "fax_number": "918-787-3866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 E 13TH ST",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743445300",
            "telephone_number": "918-787-1909",
            "fax_number": "918-787-3866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 W Central Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "OK",
            "postal_code": "743546815",
            "country_code": "US",
            "telephone_number": "918-542-3900",
            "fax_number": "918-542-3928",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "216 S 7th St",
            "address_purpose": "LOCATION",
            "city": "Vinita",
            "state": "OK",
            "postal_code": "743013742",
            "country_code": "US",
            "telephone_number": "918-256-1500",
            "fax_number": "918-323-0460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "MARGARET",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E-1953",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "20200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Malinda Earp, MASTERS OF EDUCATION
• Todd Allen East, DC
• Elite Physical Therapy and Wellness
• Shawna S Ellick, BS
• Toni Lucas Elliott, LCSW
• Merrick Ellis, RBT
• Eyecare of Grand Lake PLLC
• Melissa Lynne Falley, BACHELOR OF SCIENCE
• Family Care Spec, Inc., P.C.
• Joseph Michael Ferguson, D.C.

• Internal Medicine Physician in Grove, OK
• Providers in Grove, OK by specialty
• Internal Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.