Elyse A Shaw Ellis
MD | Pediatrics | Female
Elyse A Shaw Ellis, MD is a Saint Louis, Missouri based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Elyse A Shaw Ellis is
1465 S Grand Blvd, Saint Louis, Missouri - 63104-1003. She can be contacted on phone at
314-577-5643 and fax number 314-268-4112.
Elyse A Shaw Ellis is a sole proprietor of her business.
NPI number (Unique professional ID) for Elyse A Shaw Ellis is
1255744785 which was assigned by NPPES on 02 Jun, 2014 and it was last updated on 25 Mar, 2021.
Elyse A Shaw Ellis license number is
2018006628 for Pediatrics (208000000X) in Missouri.
Elyse A Shaw 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:
Elyse A Shaw Ellis basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Elyse A Shaw Ellis |
|---|
| Credential : | MD |
|---|
| Gender : | Female |
|---|
Business Address:
Elyse A Shaw 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 |
|---|
| Phone Number : | 314-577-5643 |
|---|
| Fax Number : | 314-268-4112 |
|---|
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 : | 1255744785 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 02 Jun, 2014 |
|---|
| Last Updated On : | 25 Mar, 2021 |
|---|
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 Elyse A Shaw Ellis are as mentioned. Primary taxonomy code for Elyse A Shaw Ellis, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 2018006628 | MO |
| 208000000X | Pediatrics | No | 01078371 | IN |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | eshawellis62823@direct-ehr-ssmhc.com
| No affiliation | DIRECT
Direct
| OTHER
Other
eshawellis62823@direct-ehr-ssmhc.com | 1465 S GRAND BLVD,
SAINT LOUIS, MO, 63104-1003
United States |
FHIR
(FHIR URL) | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/
| No affiliation | OTHER
Other
FHIR API | OTHER
Other
CCD | 1465 S GRAND BLVD,
SAINT LOUIS, MO, 63104-1003
United States |
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 |
|---|
| Phone Number : | 314-577-5643 |
|---|
| Fax Number : | 314-268-4112 |
|---|
Business Location:
Patients can refer following map for directions to
Elyse A Shaw 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.