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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124036645 NPPES
Ohio MEDICAID 2748067
Ohio MEDICAID 134348

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