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Contact Information

COREY J ELLIS, MD
30 E APPLE ST
SUITE 2200
DAYTON, OH45409-2939
 Phone: 937-208-2091
 Fax: 937-208-6141
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
 

Sports Medicine

2080S0010X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for COREY J ELLIS · (Male)

NPI # 1376509323
Status Active
Credentials MD
Entity Individual
Enumeration date 04/26/2006
Last updated 11/20/2025 - About 7 months ago
Sole proprietor 1 No
Identifiers
  • OH License # 35.084741
  • OH License # 35084741
  • OH Medicaid 2511446
Hospital affiliation(s)
  • GRANDVIEW HOSPITAL & MEDICAL CENTER - (Acute Care)
    405 GRAND AVENUE
    DAYTON, OH 45405
  • MIAMI VALLEY HOSPITAL - (Acute Care)
    ONE WYOMING STREET
    DAYTON, OH 45409
  • SOIN MEDICAL CENTER,INDU & RAJ SOIN MEDICAL CENTER - (Acute Care)
    3535 PENTAGON PARK BLVD
    BEAVER CREEK, OH 45431
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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