GARY D ELLIS
NPI 1497189203
Student in an Organized Health Care Education/Training Program in Dayton, OH

Active since August 28, 2013
4881 SUGAR MAPLE DR, 88MDG/MDOS/SGOW WRIGHT PATTERSON AFB, DAYTON, OH 45433(937) 257-6876 Get Directions Write a Review

NPPES record last updated: August 28, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gary D Ellis NPPES

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

GARY D ELLIS (NPI 1497189203) is an individual student in an organized health care education/training program in Dayton, Ohio and active in the NPI registry since August 2013.

NPPES Registry Identity

NPI1497189203
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameGARY D ELLIS
Location Address4881 SUGAR MAPLE DR, 88MDG/MDOS/SGOW WRIGHT PATTERSON AFBDayton, OH 45433-5529
Mailing Address2489 Edgewater Dr, Unit 2Beavercreek, OH 45431-5644 · (740) 274-1826
Sole ProprietorNo
Enumeration DateAugust 28, 2013
NPI 1497189203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4881 SUGAR MAPLE DR, Dayton, OH 45433

Other Providers at the Same Location NPPES 20

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

Pharmacist
4881 SUGAR MAPLE DR
FAIRBORN, OH 45433
Pharmacist
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
Internal Medicine
4881 SUGAR MAPLE DR
WPAFB, OH 45433
Military Health Care Provider (Independent Duty Medical Technicians)
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
Radiology (Nuclear Radiology)
4881 SUGAR MAPLE DR, 88 DTS/SGQX
WRIGHT PATTERSON AFB, OH 45433
Dietitian, Registered
4881 SUGAR MAPLE DR
WPAFB, OH 45433
Military Health Care Provider (Independent Duty Medical Technicians)
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
Radiologic Technologist (Radiation Therapy)
4881 SUGAR MAPLE DR, 88TH MDOS/SGOMR
WRIGHT PATTERSON AFB, OH 45433

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 Gary Ellis's NPI number?

The NPI number for Gary Ellis is 1497189203. It was assigned to this individual provider in the NPPES registry on August 28, 2013.

Where is Gary Ellis located?

Gary Ellis practices at 4881 Sugar Maple Dr 88mdg/Mdos/Sgow Wright Patterson Afb, Dayton, OH 45433. The listed phone number is (937) 257-6876.

What is Gary Ellis's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Gary Ellis was last updated on August 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.