ETHAN R ELLIS, MD FORT COLLINS, CO

Contact Information

ETHAN R ELLIS, MD

2121 E HARMONY RD
STE 100
FORT COLLINS, CO 80528-3400

Phone: 970-221-1000
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Clinical Cardiac Electrophysiology	207RC0001X	11	Physician/Internal Medicine
Cardiovascular Disease	207RC0000X	11	Physician/Internal Medicine
Internal Medicine	207R00000X	11	Physician/Internal Medicine

Indicates primary specialty

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NPI Profile & details for ETHAN R ELLIS · (Male)

NPI #	`1316110208`
Status	Active
Credentials	MD
Entity	Individual
Enumeration date	04/11/2008
Last updated	03/28/2016 - About 10 years ago
Sole proprietor ¹	No
Identifiers	CO License # DR.0053902 MA License # 235720 NE License # 27958 CO Medicaid 87529351
Hospital affiliation(s)	BOX BUTTE GENERAL HOSPITAL - (Critical Access) P O BOX 810, 2101 BOX BUTTE AVE ALLIANCE, NE 69301 IVINSON MEMORIAL HOSPITAL - (Acute Care) 255 N 30TH LARAMIE, WY 82072 MEDICAL CENTER OF THE ROCKIES - (Acute Care) 2500 ROCKY MOUNTAIN AVENUE LOVELAND, CO 80538 POUDRE VALLEY HOSPITAL - (Acute Care) 1024 S LEMAY AVE FORT COLLINS, CO 80524 REGIONAL WEST MEDICAL CENTER - (Acute Care) 4021 AVE B SCOTTSBLUFF, NE 69361

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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ETHAN R ELLIS, MD – NPI #1316110208Clinical Cardiac Electrophysiology

Contact Information

Specialty

Clinical Cardiac Electrophysiology

Cardiovascular Disease

Internal Medicine

NPI Profile & details for ETHAN R ELLIS · (Male)

Reviews for ETHAN R ELLIS

ETHAN R ELLIS, MD – NPI #1316110208
Clinical Cardiac Electrophysiology