Active NPI
Hunter Jordan Ellard, DO
- Emergency Medicine Physician
- Olympia Fields, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 7980
- Practice address
- 20201 Crawford Ave
Olympia Fields, IL 60461-1010 - Phone
- (708) 747-4000
- NPI assigned
- Apr 20, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 7980 | OK | Primary |
Addresses
Primary practice location
20201 Crawford Ave
Olympia Fields, IL 60461-1010
Mailing address
7628 NW 25TH Ter
Bethany, OK 73008-4926
Phone (918) 270-3912
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Kansas City University of Med & Biosciences, College of Osteo Med, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 N Lee Ave
Oklahoma City, OK 73102-1036
Phone (405) 272-7000
Hospital & facility affiliations
- SSM Health St Anthony Hospital - Oklahoma City
- SSM Health St Anthony Hospital - Midwest
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7980 | OK | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Services of Oklahoma PC | Emergency Medicine | Current | Accepting new patients |
| Emergency Physicians of Mid-America, P.C. | Emergency Medicine | Current | Accepting new patients |
| South Central Emergency Services PC | Emergency Medicine | Current | Accepting new patients |
| SSM Health Care of Oklahoma, Inc. | Past | Accepting new patients | |
| Stillwater Medical Center Authority | Past | Accepting new patients | |
| St Anthony Shawnee Hospital Inc | Past | Accepting new patients |
Locations
710 S 13th St
Blackwell, OK 74631
Phone (580) 363-2311
4801 Integris Pkwy
Edmond, OK 73034
Phone (405) 657-3000
5501 N Portland Ave
Oklahoma City, OK 73112
Phone (405) 604-6000
13401 N Western Ave
Oklahoma City, OK 73114
Phone (405) 252-3400
3400 S Douglas Blvd
Oklahoma City, OK 73150
Phone (405) 815-5000
3300 NW Expressway St
Oklahoma City, OK 73112
Phone (405) 251-2815
4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200
1000 N Lee Ave
Oklahoma City, OK 73102
Phone (405) 272-6152
501 N 14th St
Perry, OK 73077
Phone (580) 336-3541
1102 W MacArthur St
Shawnee, OK 74804
Phone (405) 273-2270
1323 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-1480
Interoperability endpoints
- hellard595073@direct.franciscanalliance.org
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Oklahoma City, OK
- NPI 1063825297
-
- Emergency Medicine Physician
- Norman, OK
- NPI 1215249891
-
- Emergency Medicine Physician
- Stillwater, OK
- NPI 1558663724
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1366545311
-
- General Acute Care Hospital
- Shawnee, OK
- NPI 1134123193
-
- General Acute Care Hospital
- Stillwater, OK
- NPI 1164494027
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Midwest City, OK
- NPI 1700471497
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1366545311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721606400000",
"number": "1801477955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7628 NW 25TH TER",
"city": "BETHANY",
"state": "OK",
"postal_code": "730084926",
"telephone_number": "918-270-3912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20201 CRAWFORD AVE",
"city": "OLYMPIA FIELDS",
"state": "IL",
"postal_code": "604611010",
"telephone_number": "708-747-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLARD",
"first_name": "HUNTER",
"middle_name": "JORDAN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-20",
"last_updated": "2024-07-22",
"certification_date": "2024-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OK",
"license": "7980",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olympia Fields, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.