DR. DIANE ELIZABETH ELLIS (NPI# 1447448865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447448865 |
| Entity Type | Individual |
| Full Name | DR. DIANE ELIZABETH ELLIS |
| Credential | M.D. |
| Practice Address |
461 S 400 E Salt Lake City UT 84111-3302 |
| Mailing Address |
1798 S West Temple A-100 Salt Lake City UT 84115-1869 |
| Practice Telephone | 8015398617 |
| Practice Fax Number | 8015377238 |
| Mailing Telephone | 8014126920 |
| Mailing Fax Number | 8014126950 |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2007-10-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 365485-1205 | UT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982091690 | Diane Carol Ellis | Social Worker | 5527 W Marconi Ave, Glendale, AZ 85306-2402 | 2015-04-20 |
| 1982756078 | Diane Lynn Ellis | Pharmacist | 8415 Bayshore Blvd, Tampa, FL 33621-1607 | 2007-01-17 |
| 1033147533 | Diane H. Ellis | Physical Therapist | 30 Peck Rd, Torrington, CT 06790-6123 | 2006-06-30 |
| 1770527426 | Diane Marlene Ellis | Psychologist | 323 E Grand St, Springfield, MO 65807-1447 | 2006-06-15 |
| 1609856277 | Diane S Ellis | Anesthesiology | 8000 E Maplewood Ave Ste 200, Greenwood Village, CO 80111-4727 | 2006-01-19 |
| Street Address |
461 S 400 E |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84111-3302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144620691 | Jessica Nicole Christensen | Physician Assistant | 461 S 400 E, Salt Lake City, UT 84111-3302 | 2014-09-02 |
| 1720341837 | Jose Luis Esparza | Nurse Practitioner | 461 S 400 E, Salt Lake City, UT 84111-3302 | 2012-06-22 |
| 1912215476 | Kyle Brandt Daley | Physician Assistant | 461 S 400 E, Salt Lake City, UT 84111-3302 | 2010-09-18 |
| 1164672549 | Christian Paul Hyer | Physician Assistant | 461 S 400 E, Salt Lake City, UT 84111-3302 | 2008-09-23 |
| 1578784047 | Jennifer Lynn Malone | Physician Assistant | 461 S 400 E, Salt Lake City, UT 84111-3302 | 2007-05-01 |
| 1821219379 | Andrew William Garrison | Family Medicine | 461 S 400 E, Salt Lake City, UT 84111-3302 | 2007-05-01 |
| 1144326208 | Community Health Centers Inc. | Dentist | 461 S 400 E, Salt Lake City, UT 84111-3302 | 2006-09-16 |
| 1851496616 | Carole Hannah Stipelman | Pediatrics | 461 S 400 E, Salt Lake City, UT 84111-3302 | 2006-09-14 |
| 1548247307 | Peter J. Hasby | Family Medicine | 461 S 400 E, Salt Lake City, UT 84111-3302 | 2005-12-22 |
| 1568449379 | David Keith Turok | Obstetrics & Gynecology | 461 S 400 E, Salt Lake City, UT 84111-3302 | 2005-12-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316551336 | Mary Ann Rush | Case Manager/Care Coordinator | 334 E. 100 S., Slc, UT 84111 | 2020-09-08 |
| 1790396554 | Stephanie G Mishenko | Military Health Care Provider | 344e 100s, Slc, UT 84111 | 2020-08-13 |
| 1386264802 | Mckensee M Carter | Case Manager/Care Coordinator | 334 E 100 S, Salt Lake City, UT 84111 | 2020-04-24 |
| 1316421761 | Community Health Centers, Inc. | Social Worker | 610 S 200 E Ste #b, Salt Lake City, UT 84111 | 2018-09-21 |
| 1528545506 | Lauren Brittney Harman | Case Manager/Care Coordinator | 344 E. 100 S., Salt Lake City, UT 84111 | 2018-07-23 |
| 1851896484 | Shivani Chowdhary | Dentist | 370 E South Temple Ste 350, Salt Lake City, UT 84111 | 2018-03-26 |
| 1801390661 | Jaylee Marie Watman | Case Manager/Care Coordinator | 344 E. 100 S. Ste 301, Salt Lake City, UT 84111 | 2018-03-19 |
| 1467963918 | Victoira Julia Graham | Case Management | 344 East 100 South Ste 301, Salt Lake City, UT 84111 | 2017-10-23 |
| 1750805404 | Kayla Hymas | Behavioral Analyst | 243 E. 400 S., Slc, UT 84111 | 2017-08-02 |
| 1134643224 | Julie Peaslee | Counselor | 275 E South Temple Ste 110, Salt Lake City, UT 84111 | 2017-07-31 |
| Find all providers in zip 84111 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144753013 | Jessica Kaplan | Obstetrics & Gynecology | University of Utah University Hospital, 50 N Medical Drive, Salt Lake City, UT 84132-0001 | 2017-04-07 |
| 1326571621 | Kylie Measom Soffe | Obstetrics & Gynecology | Ob Gyn Administration 30 N 1900 E Rm 2b200, Salt Lake City, UT 84132-2101 | 2017-04-04 |
| 1639564016 | Kristen Hansord Lilja | Obstetrics & Gynecology | 82 S 1100 E Ste 305, Salt Lake City, UT 84102-4703 | 2015-04-01 |
| 1194119172 | Irina Cassimatis | Obstetrics & Gynecology | University of Utah Obgyn Dept, 30 N 1900 East. Room 2b200, Salt Lake City, UT 84132-0001 | 2015-03-26 |
| 1033509740 | Kathryn Fay | Obstetrics & Gynecology | 30 N 1900 E Rm 2a200, Salt Lake City, UT 84132-2209 | 2015-02-02 |
| 1932528676 | Aliye Runyan | Obstetrics & Gynecology | 30 North 1900 East 2a200, Dept of Obgyn, Salt Lake City, UT 84132 | 2014-04-09 |
| 1467870295 | Ashley Elizabeth Benson | Obstetrics & Gynecology | 30 N 9100 E, Room 2b200, Salt Lake City, UT 84132-0001 | 2014-03-29 |
| 1386088706 | Michelle Lynne Precourt Debbink | Obstetrics & Gynecology | 30 N 1900 E # 2a200, Salt Lake City, UT 84132-5000 | 2013-04-29 |
| 1427300938 | Nathan R Blue | Obstetrics & Gynecology | 30 N 1900 E # 2b200, Salt Lake City, UT 84132 | 2012-10-08 |
| 1417216516 | Robert Lee Dood | Obstetrics & Gynecology | University of Utah Health, Dept of Obgyn, 30 N 1900 E, Rm 2b200, Salt Lake City, UT 84132 | 2012-05-09 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84111 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.