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Contact Information

ADAM M ELLIS, MD
550 UNIVERSITY BLVD RM 2180
INDIANAPOLIS, IN46202-5149
 Phone: 317-944-2891
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Hospitalist

208M00000X
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for ADAM M ELLIS · (Male)

NPI Number 1164836458
Status Active
Credentials MD
Entity Individual
Enumeration date 06/16/2014
Last updated 12/03/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IL License # 036149586
  • IN License # 01080411A
  • MI License # 4301106054
  • IN Medicaid 201369900
Hospital affiliation(s)
  • WILLIAM N WISHARD MEMORIAL HOSPITAL - (Acute Care)
    720 ESKENAZI AVENUE
    INDIANAPOLIS, IN 46254
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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