Mark H. Ellis

M.D. | Pediatric Allergy-Immunology | Male

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Complete Profile:

Mark H. Ellis basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Allergy/Immunology
Provider Name :	Mark H. Ellis
Credential :	M.D.
Gender :	Male

Business Address:

Mark H. 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 :	455 S Main St Orange, CA, 92868-3835 United States
Phone Number :	714-289-4511
Fax Number :	714-289-4788

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 :	1568569424
NPI Entity Type :	Individual
First Enrolment Date :	20 Sep, 2006
Last Updated On :	08 Jul, 2007

Medicare Participation:

Mark H. Ellis participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	0941493118
Medicare Enrollment ID :	I20101020000475
Primary Specialty :	Allergy/immunology
Medical School :	Tulane University School Of Medicine
Graduation Year :	1981
Accepts Medicare?	Yes. Mark H. Ellis accepts medicare insurance.

Group Practice Association:

Mark H. Ellis is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Mark H. Ellis is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Children's Hospital Of Orange County	6406944883	74	1201 W La Veta Ave Orange, CA - 928684203 Ph: 8887702462	Yes

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 Mark H. Ellis are as mentioned. Primary taxonomy code for Mark H. Ellis, M.D. is 2080P0201X (Pediatrics Pediatric Allergy/Immunology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0201X	Pediatrics Pediatric Allergy/Immunology	Yes	C41445	CA

Legacy Identifiers:

Other legacy medical identifiers of Mark H. Ellis such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
00C414450	MEDICAID	CA

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 :	455 S Main St Orange, CA, 92868-3835 United States
Phone Number :	714-289-4511
Fax Number :	714-289-4788

Business Location:

Patients can refer following map for directions to Mark H. 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.