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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ETHAN R ELLIS, M.D.

Active

ETHAN R ELLIS, M.D. is a Clinical Cardiac Electrophysiology healthcare provider located in FORT COLLINS, Colorado. NPI 1316110208 is currently active in the NPPES registry. Verify at CMS.

Clinical Cardiac Electrophysiology · FORT COLLINS, CO

Registration Details

NPI Number
1316110208
Provider Type
Individual
Gender
Male
NPI Issued
Apr 11, 2008 (18.332292153284 yrs)
Last Updated
Mar 28, 2016
Licenses
DR.0053902 (CO)
27958 (NE)
235720 (MA)
DR.0053902 (CO)
DR.0053902 (CO)

Practice Information

Address
2121 E HARMONY RD
STE 100
FORT COLLINS, CO, 805283400
Browse CO providers · Browse ZIP 80528
Phone
9702211000
Primary Specialty
Clinical Cardiac Electrophysiology
207RC0001X
Additional Specialty
Internal Medicine
Additional Specialty
Cardiovascular Disease
Additional Specialty
Internal Medicine

Other Clinical Cardiac Electrophysiology Providers in FORT COLLINS, CO

Name Credential NPI
DR. CHARLES TIMOTHY JOHNSON M.D. 1053317198
DAVID FOA KATZ MD 1073677308
RUSSELL R HEATH MD 1649326265
ROBERT HOWARD KISER M.D. 1407976111
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.