Leslie R Ellis
M.D. | Pediatric Neonatal-Perinatal Medicine | Male
Leslie R Ellis, M.D. is a Louisville, Kentucky based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
Current practice location of Leslie R Ellis is
4123 Dutchmans Ln Ste 301, Louisville, Kentucky - 40207-4721. He can be contacted on phone at
502-896-2500 and fax number 502-896-2527.
Leslie R Ellis is a sole proprietor of his business.
NPI number (Unique professional ID) for Leslie R Ellis is
1679542765 which was assigned by NPPES on 14 Mar, 2006 and it was last updated on 14 Sep, 2021.
Leslie R Ellis license number is
35733 for Pediatrics Neonatal-Perinatal Medicine (2080N0001X) in Kentucky.
Leslie R Ellis is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Leslie R Ellis basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neonatal-Perinatal Medicine |
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| Provider Name : | Leslie R Ellis |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Leslie R 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 : | 4123 Dutchmans Ln Ste 301
Louisville, KY, 40207-4721
United States |
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| Phone Number : | 502-896-2500 |
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| Fax Number : | 502-896-2527 |
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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 : | 1679542765 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 14 Mar, 2006 |
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| Last Updated On : | 14 Sep, 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 Leslie R Ellis are as mentioned. Primary taxonomy code for Leslie R Ellis, M.D. is
2080N0001X (Pediatrics Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | Yes | 35733 | KY |
Legacy Identifiers:
Other legacy medical identifiers of Leslie R Ellis such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 000000744501 | Other | KY | ANTHEM- KCNS |
| 200439570 | MEDICAID | IN | |
| 50035433 | Other | KY | PASSPORT- KCNS |
| 64067267 | MEDICAID | KY | |
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) | jelfarra131514@direct.nortonhealthcare.org
| No affiliation |
|
| 4123 DUTCHMANS LN, SUITE 301
LOUISVILLE, KY, 40207-4707
United States |
FHIR
(FHIR URL) | https://epicsoap.nortonhealthcare.org/
| No affiliation |
|
| 4123 DUTCHMANS LN, SUITE 301
LOUISVILLE, KY, 40207-4707
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 : | Po Box 776879
Chicago, IL, 60677-6879
United States |
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| Phone Number : | 502-272-5395 |
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| Fax Number : | 502-272-5339 |
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Business Location:
Patients can refer following map for directions to
Leslie R 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.