Individual provider · Type 1 NPI

Ellen Marie Fountain

Physician Assistant · Kansas City, MO

NPI number 1801756739 Active

Practice location

2401 Gillham Rd
Kansas City, MO 64108-4619

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X2026006490 (MO)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1801756739

Ellen Marie Fountain's National Provider Identifier is 1801756739, issued on Nov 13, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Kansas City, MO. The record was last updated on Jun 24, 2026.