DR. ALYSA GAIL ELLIS


Address: 1 Childrens Pl Ste C, Ste C, Saint Louis, MO 63110-1002
Phone: 3144542694

DR. ALYSA GAIL ELLIS (NPI# 1528237633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528237633
Entity Type Individual
Full Name DR. ALYSA GAIL ELLIS
Credential MD
Practice Address 1 Childrens Pl Ste C
Ste C
Saint Louis
MO 63110-1002
Mailing Address 1 Childrens Pl
Nwt 8328 Cb 8116
Saint Louis
MO 63110-1002
Practice Telephone 3144542694
Practice Fax Number 3144542515
Mailing Telephone 3144542694
Mailing Fax Number 3144542515
Enumeration Date 2008-02-22
Last Update Date 2018-01-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208000000X Pediatrics 2009009427 MO Allopathic & Osteopathic Physicians
Y 2080P0201X Pediatrics
Specialization: Pediatric Allergy/Immunology
2009009427 MO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL ENROLLED 05

Office Location

Street Address 1 CHILDRENS PL STE C
STE C
City SAINT LOUIS
State MO
Zip Code 63110-1002

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164428389 Tasnim A Najaf Pediatrics 1 Childrens Pl Ste C, Ste C, Saint Louis, MO 63110-1002 2005-06-22
1942712278 Claire Elizabeth Seper Nurse Practitioner 1 Childrens Pl Ste C, Ste C, Saint Louis, MO 63110-1002 2017-10-26
1801333018 Elizabeth Rose Toolan Dietitian, Registered 1 Childrens Pl Ste C, Ste C, Saint Louis, MO 63110-1002 2017-01-25
1184161820 Linda Piersall Manwaring Genetic Counselor, MS 1 Childrens Pl Ste C, Ste C, Saint Louis, MO 63110-1002 2017-01-19
1891231544 Marisa Vineyard Andrews Genetic Counselor, MS 1 Childrens Pl Ste C, Ste C, Saint Louis, MO 63110-1002 2017-01-18
1467998112 Elise Marguerite Fiala Genetic Counselor, MS 1 Childrens Pl Ste C, Ste C, Saint Louis, MO 63110-1002 2017-01-18
1487019394 Ericka Lauren Louer Nurse Practitioner 1 Childrens Pl Ste C, Ste C, Saint Louis, MO 63110-1002 2015-12-18
1588043632 Diana Lynn Culbertson Pediatrics 1 Childrens Pl Ste C, Ste C, Saint Louis, MO 63110-1002 2015-05-21
1790106391 Andrea Nicole Herkenhoff Nurse Practitioner 1 Childrens Pl Ste C, Ste C, Saint Louis, MO 63110-1002 2013-12-27
1235490400 Brooke I Polk Pediatrics 1 Childrens Pl Ste C, Ste C, Saint Louis, MO 63110-1002 2012-06-05
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659971992 Carrie Ellen Smith Nurse Practitioner Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 2020-10-27
1881210466 Michelle Amanda Freilich Internal Medicine Barnes-jewish Plaza, St. Louis, MO 63110 2020-06-19
1245856046 Jeevin Shahi Radiology 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 2020-06-18
1497371314 Wilson Eduardo Rodriguez Student in an Organized Health Care Education/Training Program 1008 S. Spring, St Louis, MO 63110 2020-06-17
1578184065 Kathryn Kay Lindsay Registered Nurse Saint Louis University Dept of Surgery, 3635 Vista Ave 3dt, St Louis, MO 63110 2020-05-06
1881232700 Ashley Diane Pace Nurse Practitioner 1 Parkview Place, Shoenberg 6900, St. Louis, MO 63110 2019-12-11
1619520418 Krithika Damodar Shenoy Pathology 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 2019-07-20
1467912550 Ian Ferguson Dermatology 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 2019-03-23
1760978688 Ihab Hassanieh Student in an Organized Health Care Education/Training Program 33660 Vista Ave, St. Louis, MO 63110 2018-07-03
1336634500 Martin K Mwangi Pediatrics 1 Childrens Place, 3s34, St. Louis, M, MO 63110 2018-06-28
Find all providers in zip 63110

Taxonomy Information

Taxonomy Code 2080P0201X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Allergy/Immunology

Taxonomy Definition

A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: title modified, definition added, source added] Additional Resources: A Certification of Special Qualifications (CSQ) is issued by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649499401 St Louis University Pediatrics 1465 S Grand Blvd, Saint Louis, MO 63104-1003 2007-04-24
1619993920 Gordon R Bloomberg Pediatrics 1 Childrens Pl, Ste 5s30, Saint Louis, MO 63110-1002 2006-07-14
1821037334 Ray S Davis Pediatrics 1 Childrens Pl, Saint Louis, MO 63110-1002 2006-06-06
1578510509 Lisa V Suffian Pediatrics 1 Childrens Pl, Saint Louis, MO 63110-1002 2006-05-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1275828717 Michael Ian Derrick Pediatrics 2401 Gillham Rd, Kansas City, MO 64108-4619 2011-06-13
1073561742 Paul Joseph Dowling Jr. Pediatrics 2401 Gillham Rd, Kansas City, MO 64108-4619 2006-05-05

Competitor

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City SAINT LOUIS
Zip Code 63110

Improve Information

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Dataset Information

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.

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