Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EDWARD STEPHEN ELLIS, M.D
ActiveEDWARD STEPHEN ELLIS, M.D is a Occupational Medicine healthcare provider located in VONORE, Tennessee. NPI 1376511931 is currently active in the NPPES registry. Verify at CMS.
Occupational Medicine · VONORE, TN
Registration Details
- NPI Number
- 1376511931
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 9, 2006 (20.453248152609 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
MD0000012142 (TN)MD0000012142 (TN)MD0000012142 (TN)
Practice Information
- Address
-
110 DEER XINGVONORE, TN, 378852133Browse TN providers · Browse ZIP 37885
- Phone
- 4238846958
- Fax
- 4238846959
- Primary Specialty
-
Occupational Medicine
2083X0100X
- Additional Specialty
- Preventive Medicine
- Additional Specialty
- Occupational Medicine
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.