CLAYTON TYLER ELLIS (NPI# 1881988582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881988582 |
Entity Type | Individual |
Full Name | CLAYTON TYLER ELLIS |
Credential | M.D. |
Practice Address |
Ulp Colorectal Surgery 401 East Chestnut Street, #710 Louisville KY 40202-5707 |
Mailing Address |
Po Box 909 Louisville KY 40201-0909 |
Practice Telephone | 5025838303 |
Practice Fax Number | 5025889506 |
Mailing Telephone | 5025880328 |
Mailing Fax Number | 5025880326 |
Enumeration Date | 2011-05-31 |
Last Update Date | 2019-05-22 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208C00000X | Colon & Rectal Surgery | TP364 | KY | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | 173420 | NC | Student, Health Care |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093062317 | Clayton Kyle Ellis | Physical Therapy Assistant | 6 E Oak St, Mc Rae, GA 31055-4337 | 2012-08-06 |
Street Address |
ULP COLORECTAL SURGERY 401 EAST CHESTNUT STREET, #710 |
City | LOUISVILLE |
State | KY |
Zip Code | 40202-5707 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972129682 | Garvit Chhabra | Student in an Organized Health Care Education/Training Program | 550, South Jackson Street, Acb, Third Floor, Louisville, KY 40202 | 2020-06-18 |
1396367009 | Richele Williams | Student in an Organized Health Care Education/Training Program | 201 Abraham Flexner Way Department of Family and Pediac, Suite 690, Louisville, KY 40202 | 2020-05-15 |
1942822028 | Ahmed Khaled Saleh | Student in an Organized Health Care Education/Training Program | 500 S Jackson St, Room 305, Louisville, KY 40202 | 2020-05-12 |
1457972952 | Mir Ali Raza Talpur | Student in an Organized Health Care Education/Training Program | 401 E Chestnut Street, Suite 600 University of Louisvi, Louisville, KY 40202 | 2020-05-06 |
1316575533 | Abigail Hatfield | Student in an Organized Health Care Education/Training Program | Internal Medicine Training Program, 550 South Jackson Street, Acb 3rd Floor, Louisville, KY 40202 | 2020-04-01 |
1851929210 | Madison Harmon | Student in an Organized Health Care Education/Training Program | Uofl Department of Emergency Medicine, 530 S. Jackson Street Room C1h17, Louisville, KY 40202 | 2020-03-31 |
1184252041 | Marianna Weaver | Student in an Organized Health Care Education/Training Program | 550 South Jackson Street, Acb 3rd Floor, University of Louisville, Louisville, KY 40202 | 2020-03-27 |
1700347341 | Charles Jake Sadle | Student in an Organized Health Care Education/Training Program | Office of Medical Education C/o Brittney Luckett, 571 S. Floyd St., Ste. 412, Louisville, KY 40202 | 2019-03-27 |
1437616794 | Paladina Health, LLC | Family Medicine | Paladina Health Humana East, 123 E Main Street, Louisville, KY 40202 | 2019-02-22 |
1205393568 | Paladina Health, LLC | Family Medicine | Paladina Health Humana West, 500 W Main Street, Louisville, KY 40202 | 2019-02-22 |
Find all providers in zip 40202 |
Taxonomy Code | 208C00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Colon & Rectal Surgery |
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720387079 | Michelle C Julien | Colon & Rectal Surgery | 1000 Dupont Rd Ste A, Louisville, KY 40207-4611 | 2011-03-24 |
1164570867 | Sandra L. Kavalukas | Colon & Rectal Surgery | 401 E Chestnut St Unit 710, Louisville, KY 40202-5707 | 2007-01-08 |
1649366196 | Louisville Colorectal Associates LLC | Colon & Rectal Surgery | 250 East Liberty Street, Suite 610, Louisville, KY 40202-1536 | 2006-10-04 |
1922039023 | Wayne Tuckson | Colon & Rectal Surgery | 3920 Dutchmans Ln Ste 315, Louisville, KY 40207-4702 | 2006-07-06 |
1568732097 | University of Louisville Physicians, Inc. | Colon & Rectal Surgery | 401 E Chestnut St Unit 710, Louisville, KY 40202-5707 | 2011-12-30 |
1205034154 | Raymond E. Pierce,jr.,m.d.,p.s.c. | Colon & Rectal Surgery | 3950 Kresge Way, Suite 201, Louisville, KY 40207-4637 | 2007-07-03 |
1003892472 | Kelli M. Bullard Dunn | Colon & Rectal Surgery | 401 E Chestnut St, Suite 710, Louisville, KY 40202-5700 | 2005-12-19 |
1942291091 | Lowell D Katz | Colon & Rectal Surgery | 250 E Liberty St, Suite 610, Louisville, KY 40202-1530 | 2005-10-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750382677 | Colorectal Surgical & Gastroenterology Associates Psc | Colon & Rectal Surgery | 2620 Wilhite Drive, Lexington, KY 40503-3385 | 2005-08-02 |
1891790697 | Bruce M Belin | Colon & Rectal Surgery | 2620 Wilhite Dr, Lexington, KY 40503-3385 | 2005-06-17 |
1922001833 | Colorectal Care of Northern Ky, Pllc | Colon & Rectal Surgery | 2865 Chancellor Dr, Ste 215, Crestview Hills, KY 41017-3912 | 2005-05-24 |
1225470479 | Gabie K Ong | Colon & Rectal Surgery | 613 23rd St Ste 320, Ashland, KY 41101-2877 | 2013-07-29 |
1386853190 | Jennifer D Rea | Colon & Rectal Surgery | 2620 Wilhite Dr, Lexington, KY 40503-3385 | 2007-05-21 |
1821047549 | Alfred Cohen | Colon & Rectal Surgery | 740 South Limestone, Lexington, KY 40536-0001 | 2006-05-09 |
1316948664 | Charles L Papp | Colon & Rectal Surgery | 2620 Wilhite Dr, Lexington, KY 40503-3385 | 2005-08-09 |
1902807985 | John T Dvorak | Colon & Rectal Surgery | 2620 Wilhite Dr, Lexington, KY 40503-3385 | 2005-08-02 |
1053312041 | John M Fox | Colon & Rectal Surgery | 2620 Wilhite Dr, Lexington, KY 40503-3385 | 2005-08-02 |
1669472593 | David J Svetich | Colon & Rectal Surgery | 2620 Wilhite Dr, Lexington, KY 40503-3385 | 2005-07-21 |
Find all providers with the same taxonomy |
City | LOUISVILLE |
Zip Code | 40202 |
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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.