Individual provider · Type 1 NPI

Richard Alan Ellis, MD

Surgery Physician · Germantown, TN

NPI number 1174581623 Active

Practice location

7705 Poplar Ave, Suite 310
Germantown, TN 38138-3930

Fax (901) 516-6350

Mailing address

965 Ridge Lake Blvd
Memphis, TN 38120-9401

Other practice locations

  • 81 Ed Perry Blvd Ste 105, Oxford, MS 38655-3465 · (622) 636-5550

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000X16474 (TN)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

9 other providers at this address

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About NPI 1174581623

Richard Alan Ellis, MD's National Provider Identifier is 1174581623, issued on May 3, 2006. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Germantown, TN. The record was last updated on Jan 5, 2024.