Dr. Andrew James Ellis
M.D. | Pediatrics | Male
Dr. Andrew James Ellis, M.D. is a Saint Louis, Missouri based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Andrew James Ellis is
1465 S Grand Blvd, Saint Louis, Missouri - 63104-1003. He can be contacted on phone at
314-577-5643 and fax number 314-268-4019.
Dr. Andrew James Ellis is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Andrew James Ellis is
1881006435 which was assigned by NPPES on 29 May, 2014 and it was last updated on 19 Sep, 2022.
Dr. Andrew James Ellis license number is
2018012696 for Pediatrics (208000000X) in Missouri.
Dr. Andrew James Ellis is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Andrew James Ellis basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Dr. Andrew James Ellis |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. Andrew James Ellis address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1465 S Grand Blvd
Saint Louis, MO, 63104-1003
United States |
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| Phone Number : | 314-577-5643 |
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| Fax Number : | 314-268-4019 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1881006435 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 29 May, 2014 |
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| Last Updated On : | 19 Sep, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Andrew James Ellis are as mentioned. Primary taxonomy code for Dr. Andrew James Ellis, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 01078376 | IN |
| 208000000X | Pediatrics | Yes | 2018012696 | MO |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Andrew James Ellis such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 11017649A | Other (non-Medicare) | IN | State Medical License |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1465 S Grand Blvd
Saint Louis, MO, 63104-1003
United States |
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| Phone Number : | 314-577-5643 |
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| Fax Number : | 314-268-4019 |
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Business Location:
Patients can refer following map for directions to
Dr. Andrew James Ellis practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.