MICHAEL R ELLEN MD PS
NPI 1174637599
Urology in Olympia, WA

Q: What is Michael R Ellen MD Ps's NPI number?

The NPI number for Michael R Ellen MD Ps is 1174637599. It was assigned to this organization in the NPPES registry on August 19, 2006.

Q: What is Michael R Ellen MD Ps's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Active since August 19, 2006

128 LILLY RD NE, SUITE 205, OLYMPIA, WA 98506(360) 754-3380 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Michael R Ellen Md Ps NPPES

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

MICHAEL R ELLEN MD PS (NPI 1174637599) is a healthcare organization registered as an urology in Olympia, Washington and active in the NPI registry since August 2006. The organization lists Michael R Ellen, Owner, as its authorized official.

NPPES Registry Identity

NPI1174637599

Entity TypeOrganization

Primary Taxonomy208800000X

Legal Business NameMICHAEL R ELLEN MD PS

Location Address128 LILLY RD NE, SUITE 205Olympia, WA 98506-5029

Mailing Address128 Lilly Rd Ne, Suite 205Olympia, WA 98506-5029 · (360) 754-3380

Phone(360) 754-3380

Organization SubpartNo

Authorized OfficialMichael R EllenOwner · (360) 754-3380

Enumeration DateAugust 19, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1174637599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in WA · MD00026526

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

128 LILLY RD NE, Olympia, WA 98506

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Other Identifiers 1

Medicaid1105360WA

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

Other Providers at the Same Location NPPES 13

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

PNW ANESTHESIA SERVICES PLLC

Anesthesiology

128 LILLY RD NE
OLYMPIA, WA 98506

Thurston County (253) 588-7911

CHRISTY HUYNH AUD

Audiologist

128 LILLY RD NE, SUITE 202
OLYMPIA, WA 98506

Thurston County (360) 357-6314

MRS. KELLEY ANN POWERS AUD

Audiologist-Hearing Aid Fitter

128 LILLY RD NE, SUITE #202
OLYMPIA, WA 98506

Thurston County (360) 357-6314

DR. PATRICIA A GILMER M.D.

Specialist

128 LILLY RD NE, SUITE 202
OLYMPIA, WA 98506

Thurston County (360) 357-6314

LAURENCE E PERRIN MD FACOG

Surgery

128 LILLY RD NE, SUITE 205
OLYMPIA, WA 98506

Thurston County (360) 754-3380

JACLYN ANN KNUTSON M.A.

Audiologist-Hearing Aid Fitter

128 LILLY RD NE, SUITE 202
LACEY, WA 98506

Thurston County (360) 357-6314

DR. SUNG-WON KIM M.D.

Otolaryngology

128 LILLY RD NE, 202
OLYMPIA, WA 98506

Thurston County (360) 357-6314

DR. BARTON WRIGHT COPPIN DMD, MSD, MS ED

Dentist (Periodontics)

128 LILLY RD NE, SUITE 105
OLYMPIA, WA 98506

Thurston County (360) 357-9880

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 Michael R Ellen MD Ps's NPI number?

The NPI number for Michael R Ellen MD Ps is 1174637599. It was assigned to this organization in the NPPES registry on August 19, 2006.

Where is Michael R Ellen MD Ps located?

Michael R Ellen MD Ps is located at 128 Lilly Rd NE Suite 205, Olympia, WA 98506. The listed phone number is (360) 754-3380.

What is Michael R Ellen MD Ps's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

When was this NPI record last updated?

The NPPES record for Michael R Ellen MD Ps was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.