ELLEN MICHELLE PROVOST DO
NPI 1053344572
Internal Medicine in Anchorage, AK

Q: What is Ellen Provost's NPI number?

The NPI number for Ellen Provost is 1053344572. It was assigned to this individual provider in the NPPES registry on July 8, 2006.

Q: What is Ellen Provost's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Ellen Provost was last updated on October 17, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 08, 2006

4315 DIPLOMACY DR, ANCHORAGE, AK 99508(907) 729-1500(907) 729-2082 Get Directions Write a Review

NPPES record last updated: October 17, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Ellen Michelle Provost Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELLEN MICHELLE PROVOST DO (NPI 1053344572) is an individual internal medicine provider in Anchorage, Alaska, licensed in Alaska (2717) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1053344572

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameELLEN MICHELLE PROVOSTCredential: DO

Location Address4315 DIPLOMACY DRAnchorage, AK 99508-5926

Mailing Address4315 Diplomacy DrAnchorage, AK 99508-5926 · (907) 729-1500 · Fax (907) 729-2082

Phone(907) 729-1500

Fax(907) 729-2082

Sole ProprietorNo

Enumeration DateJuly 8, 2006

Last NPPES UpdateOctober 17, 2008

✔ NPI 1053344572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in AK · 2717

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

4315 DIPLOMACY DR, Anchorage, AK 99508

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