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GREGORY LEE ELLISON M.D.
NPI 1669567434
Family Medicine in Tempe, AZ

Active since October 04, 2006
2127 E BASELINE RD STE 104, TEMPE, AZ 85283(480) 897-7070(480) 897-2597 Get Directions Write a Review

NPPES record last updated: May 21, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gregory Lee Ellison M.d. NPPES

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

GREGORY LEE ELLISON M.D. (NPI 1669567434) is an individual family medicine provider in Tempe, Arizona, licensed in Arizona (MD12426) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1669567434
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameGREGORY LEE ELLISONCredential: M.D.
Location Address2127 E BASELINE RD STE 104Tempe, AZ 85283-1537
Mailing Address2127 E Baseline Rd Ste 104Tempe, AZ 85283-1537 · (480) 897-7070 · Fax (480) 897-2597
Phone(480) 897-7070
Fax(480) 897-2597
Sole ProprietorYes
Enumeration DateOctober 4, 2006
Last NPPES UpdateMay 21, 2008
✔ NPI 1669567434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AZ · MD12426
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2127 E BASELINE RD STE 104, Tempe, AZ 85283
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Other Identifiers 5

Other080055004AZ · Railroad Medicare
OtherAZ0006680Blue Cross Blue Shield
Medicaid214510AZ
Medicare ID-Type UnspecifiedZWDBMV
Medicare UPINC99429

Other Providers at the Same Location NPPES 4

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

ELIZABETH MARIE PATTERSON P.A.
Physician Assistant
2127 E BASELINE RD STE 104
TEMPE, AZ 85283
Maricopa County (480) 897-7070
MS. SAVANNA HOWE PA-C
Physician Assistant
2127 E BASELINE RD STE 104
TEMPE, AZ 85283
Maricopa County (480) 556-0446
JONATHAN LAVIAN MD
Dermatology
2127 E BASELINE RD STE 104
TEMPE, AZ 85283
Maricopa County (804) 556-0446
HANNAH ELIZABETH BEACH FNP
Nurse Practitioner (Family)
2127 E BASELINE RD STE 104
TEMPE, AZ 85283
Maricopa County (480) 556-0446

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 Gregory Ellison's NPI number?

The NPI number for Gregory Ellison is 1669567434. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Gregory Ellison located?

Gregory Ellison practices at 2127 E Baseline Rd Ste 104, Tempe, AZ 85283. The listed phone number is (480) 897-7070.

What is Gregory Ellison's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Gregory Ellison was last updated on May 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.