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 |
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Provider Name : | Elyse A Shaw Ellis |
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Credential : | MD |
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Gender : | Female |
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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 |
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Phone Number : | 314-577-5643 |
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Fax Number : | 314-268-4112 |
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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 : | 1255744785 |
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NPI Entity Type : | Individual |
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First Enrolment Date : | 02 Jun, 2014 |
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Last Updated On : | 25 Mar, 2021 |
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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 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 |
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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 |
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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 |
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Phone Number : | 314-577-5643 |
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Fax Number : | 314-268-4112 |
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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. Last updated on 08 January, 2024.