Individual provider · Type 1 NPI

Adam W. Ellis, DO

Family Medicine Physician · Philadelphia, PA

NPI number 1760548879 Active

Practice location

1641 Jackson St
Philadelphia, PA 19145-3843

Fax (215) 334-3920

Mailing address

2601 S. 12th St
Philadelphia, PA 19148

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XOSOO7563L (PA)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1760548879

Adam W. Ellis, DO's National Provider Identifier is 1760548879, issued on Jan 1, 2007. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Philadelphia, PA. The record was last updated on Sep 23, 2026.