Blake Michael Ellis, DO

Orthopaedic Surgery Physician · Youngstown, OH

Individual Active NPI

NPI number 1104685346

Practice location

1044 Belmont Ave
Youngstown, OH 44504-1006
Phone
(330) 480-7142

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NPI record

NPI
1104685346
Entity type
Individual (Type 1)
Enumeration date
March 18, 2024
Last updated
June 25, 2024
Certified
June 25, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Orthopaedic Surgery Physician Primary 207X00000X 58.034231 OH

About Dr. Ellis

Blake Michael Ellis, DO is a healthcare provider registered in the NPI registry with the primary taxonomy Orthopaedic Surgery Physician (code 207X00000X). The practice location is 1044 Belmont Ave, Youngstown, OH 44504-1006. The NPI number 1104685346 was assigned on March 18, 2024 and the record was last updated on June 25, 2024.

Dr. Ellis lists a license in the registry: #58.034231 (OH) for Orthopaedic Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Blake Michael Ellis, DO?

The NPI number is 1104685346.

What is the phone number of Dr. Ellis?

The phone number listed for the practice location is (330) 480-7142.

Where is Dr. Ellis located?

1044 Belmont Ave, Youngstown, OH 44504-1006.

What is the taxonomy code for Dr. Ellis?

The primary taxonomy code is 207X00000X – Orthopaedic Surgery Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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