Mark Ellis, MD

ActiveIndividual ProviderPediatrics
NPI issued: June 27, 2005

Quick Facts

NPI Number
1003812744
TypeIndividual
StatusActive
SpecialtyPediatrics
Taxonomy208000000X — Pediatrics
Phone
(707) 269-7051
StateCA

NPI Validation Status: Verified

Valid 10-digit NPI number (1003812744)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (June 27, 2005)
Data source: CMS NPPES

Provider Overview

MARK ELLIS, MD is a Pediatrics provider based in Eureka, CA who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1003812744
Provider TypeIndividual Provider
GenderMale
CredentialMD
StatusActive
Enumeration DateJune 27, 2005

Practice Location

CityEureka
StateCA
ZIP Code95501-1284
Phone(707) 269-7051

Specialties & Licenses

★ Primary
SpecialtyPediatrics
Taxonomy Code208000000X
License StateCA

Mailing Address

CityEureka
StateCA
ZIP Code95501-1284
Phone(707) 269-7051
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1003812744 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1003812744for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1003812744 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Pediatrics

Pediatricians specialize in the physical, emotional, and social health of infants, children, adolescents, and young adults, providing preventative care and treating childhood illnesses.

📊
94,303
Pediatrics Providers in the US

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Suzanne Dietz, PNP

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People Also Ask

What is Mark Ellis's NPI number?
Mark Ellis's NPI number is 1003812744, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Mark Ellis's NPI currently active?
Yes, Mark Ellis's NPI status is Active as of the latest CMS NPPES database updates.
What does Mark Ellis specialize in?
Mark Ellis specializes in Pediatrics. The healthcare taxonomy code associated with this specialty is 208000000X.
Where does Mark Ellis practice?
Mark Ellis practices in Eureka, CA 95501-1284.
When was Mark Ellis's NPI issued?
Mark Ellis's NPI was issued on June 27, 2005.
What is Mark Ellis's provider type?
Mark Ellis is registered as an Individual Provider under CMS NPI Type 1.