NPI 1003221037
John Ellis, DO
Practice location
- Address
- 4422 Third Ave, Bronx, NY 10457
- Phone
- (718) 960-9000
- Mailing address
- 6751 Eagle Ridge Blvd, Lakeland, FL 33813-5636
Registered specialties (4)
Emergency Medicine Physician
Primary
Emergency Medicine Physician
Student in an Organized Health Care Education/Training Program
Emergency Medicine Physician
Registry record
- NPI
- 1003221037
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 28 Jun 2014
- Record last updated
- 24 Nov 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.