Ellis, Thomas James
Ellis, Thomas James is an individual health care provider with primary practice located at 4605 Sawmill Rd , Upper Arlington OH 43220-2246. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Ellis, Thomas James can be contacted via phone (614) 827-8700.Contact Information
Primary practice address
4605 Sawmill Rd
Upper Arlington OH 43220-2246
Phone: (614) 827-8700
Fax: (614) 827-8701
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | MD22134 | Oregon |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 35.089720 | Ohio |
Profile Details
| NPI number | 1124036645 |
|---|---|
| LBN Legal business name | Ellis, Thomas James |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2006 |
| Last updated | May 29th, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124036645 | NPPES |
| Ohio | MEDICAID | 2748067 | |
| Ohio | MEDICAID | 134348 |
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Watson, Larry W
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