ELLISON MARLAR DO
NPI 1972266856
Student in an Organized Health Care Education/Training Program in Hialeah, FL

Q: What is Ellison Marlar's NPI number?

The NPI number for Ellison Marlar is 1972266856. It was assigned to this individual provider in the NPPES registry on October 18, 2021. The provider is also known as Ellison Henley Do.

Q: What is Ellison Marlar's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ellison Marlar was last updated on June 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since October 18, 2021PECOS Enrolled

2001 W 68TH ST, HIALEAH, FL 33016(305) 823-5000 Get Directions Write a Review

NPPES record last updated: June 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 4, 2024, Oct 18, 2021 (2 updates tracked since 2021).

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About Ellison Marlar Do NPPES

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

ELLISON MARLAR DO (NPI 1972266856) is an individual student in an organized health care education/training program in Hialeah, Florida and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1972266856

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameELLISON MARLARCredential: DO

Location Address2001 W 68TH STHialeah, FL 33016-1801

Mailing Address2001 W 68th StHialeah, FL 33016-1801

Phone(305) 823-5000

Sole ProprietorYes

Enumeration DateOctober 18, 2021

Last NPPES UpdateJune 4, 20242 updates tracked since enumeration

NPPES CertifiedJune 4, 2024

✔ NPI 1972266856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

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.

2001 W 68TH ST, Hialeah, FL 33016

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Other Names 1

Former Name (1)Ellison Henley Do

Secondary Practice Locations 2

Location 11111 W 17th StTulsa, OK 74107-1886 · Phone (405) 471-9170

Location 214601 Detroit AveLakewood, OH 44107-4205 · Phone (216) 237-5500

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ellison Marlar Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

STEWARD PGH, INC.

Psychiatric Hospital