ELLIS FAMILY PRACTICE
NPI 1538672001
Clinic/Center - Primary Care in Shawnee, OK

Q: What is Jeri L Ellis MD, Mph, PC's NPI number?

The NPI number for Jeri L Ellis MD, Mph, PC is 1538672001. It was assigned to this organization in the NPPES registry on November 7, 2017. The provider is doing business as Ellis Family Practice.

Q: What is Jeri L Ellis MD, Mph, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since November 07, 2017

420 N KICKAPOO AVE, SHAWNEE, OK 74801(400) 581-6331 Get Directions Write a Review

NPPES record last updated: November 7, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ellis Family Practice NPPES

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

ELLIS FAMILY PRACTICE (NPI 1538672001) is a healthcare organization registered as a primary care in Shawnee, Oklahoma and active in the NPI registry since November 2017. The organization lists Denise Cato, Contracting Manager, as its authorized official.

NPPES Registry Identity

NPI1538672001

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameJERI L ELLIS MD, MPH, PC

Location Address420 N KICKAPOO AVEShawnee, OK 74801-6643

Mailing Address5909 Nw Expressway Ste 360Oklahoma City, OK 73132-5149 · (405) 470-1884

Phone(400) 581-6331

Organization SubpartNo

Authorized OfficialDenise CatoContracting Manager · (405) 470-1884

Enumeration DateNovember 7, 2017

✔ NPI 1538672001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

Also ListedFamily Medicine · Adult MedicineTaxonomy 207QA0505X

420 N KICKAPOO AVE, Shawnee, OK 74801

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Other Names 1

Doing Business AsEllis Family Practice

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

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

WOODSON LEE COPLEN M.ED., LMFT,LADC/MH

Counselor (Mental Health)

420 N KICKAPOO AVE
SHAWNEE, OK 74801

Pottawatomie County (405) 623-9017

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 Jeri L Ellis MD, Mph, PC's NPI number?

The NPI number for Jeri L Ellis MD, Mph, PC is 1538672001. It was assigned to this organization in the NPPES registry on November 7, 2017. The provider is doing business as Ellis Family Practice.

Where is Jeri L Ellis MD, Mph, PC located?

Jeri L Ellis MD, Mph, PC is located at 420 N Kickapoo Ave, Shawnee, OK 74801. The listed phone number is (400) 581-6331.

What is Jeri L Ellis MD, Mph, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Jeri L Ellis MD, Mph, PC was last updated on November 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.