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GEORGE G ELLIS JR MD INC
NPI 1073708251
Internal Medicine in Boardman, OH

Active since September 11, 2007CLIA 36D0965795 · Waiver
910 BOARDMAN CANFIELD RD, BOARDMAN, OH 44512(330) 965-0832(330) 965-0155 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About George G Ellis Jr Md Inc NPPES

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

GEORGE G ELLIS JR MD INC (NPI 1073708251) is a healthcare organization registered as an internal medicine in Boardman, Ohio and active in the NPI registry since September 2007. The organization holds a CLIA Waiver certificate valid through September 28, 2027 and lists Lorraine Ellis, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1073708251
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameGEORGE G ELLIS JR MD INC
Location Address910 BOARDMAN CANFIELD RDBoardman, OH 44512-4240
Mailing Address910 Boardman Canfield RdBoardman, OH 44512-4240 · (330) 965-0832 · Fax (330) 965-0155
Phone(330) 965-0832
Fax(330) 965-0155
Organization SubpartNo
Authorized OfficialLorraine EllisOffice Manager · (330) 965-0832
Enumeration DateSeptember 11, 2007
Last NPPES UpdateSeptember 19, 2024
NPPES CertifiedSeptember 19, 2024
✔ NPI 1073708251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 35060641E
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.
910 BOARDMAN CANFIELD RD, Boardman, OH 44512
Open in Google Maps ↗

Other Identifiers 2

Medicaid0894500OH
Medicaid2316989OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D0965795

George G Ellis Jr, MD · Youngstown, OH
Active · expires Sep 28, 2027
CLIA Number36D0965795
Laboratory TypePhysician Office
Certificate Effective DateSeptember 29, 2025
Certificate Expiration DateSeptember 28, 2027
Laboratory DirectorGeorge G. Ellis Jr
Laboratory Phone(330) 965-0832
Laboratory LocationGeorge G Ellis Jr, MD910 Boardman-Canfield Rd, Suite A, Youngstown, OH 44512
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JESSICA LYNN BECK APRN FNP-C
Nurse Practitioner
910 BOARDMAN CANFIELD RD
BOARDMAN, OH 44512
Mahoning County (330) 965-0075
910 RAPID CARE, LLC
Clinic/Center (Urgent Care)
910 BOARDMAN CANFIELD RD
BOARDMAN, OH 44512
Mahoning County (330) 965-0075
BASSEL MICHEL CHOUFANI M.D
Internal Medicine
910 BOARDMAN CANFIELD RD
BOARDMAN, OH 44512
Mahoning County (330) 965-0075
MR. DEVON PARSONS CNP
Nurse Practitioner (Family)
910 BOARDMAN CANFIELD RD
BOARDMAN, OH 44512
Mahoning County (330) 965-0075
KEYSTONE REHABILITATION SYSTEMS INC
Clinic/Center (Physical Therapy)
910 BOARDMAN CANFIELD RD
BOARDMAN, OH 44512
Mahoning County (330) 758-4455

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is George G Ellis Jr MD Inc's NPI number?

The NPI number for George G Ellis Jr MD Inc is 1073708251. It was assigned to this organization in the NPPES registry on September 11, 2007.

Where is George G Ellis Jr MD Inc located?

George G Ellis Jr MD Inc is located at 910 Boardman Canfield Rd, Boardman, OH 44512. The listed phone number is (330) 965-0832.

What is George G Ellis Jr MD Inc's specialty?

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

Does George G Ellis Jr MD Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D0965795) is associated with this NPI, valid through September 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does George G Ellis Jr MD Inc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list George G Ellis Jr MD Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for George G Ellis Jr MD Inc was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.