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

MR. JACOB ELLIS, PA-C

Active Sole Proprietor

MR. JACOB ELLIS, PA-C is a Vascular Surgery healthcare provider located in COLORADO SPRINGS, Colorado. NPI 1407730765 is currently active in the NPPES registry. Verify at CMS.

Vascular Surgery · COLORADO SPRINGS, CO

Registration Details

NPI Number
1407730765
Provider Type
Individual
Gender
Male
NPI Issued
Jul 31, 2025 (1.0669530753191 yrs)
Last Updated
Jul 31, 2025
License
1234 (CO)
Sole Proprietor
Yes

Practice Information

Address
7808 ULTRA DR
COLORADO SPRINGS, CO, 809208058
Browse CO providers · Browse ZIP 80920
Phone
7192095569
Primary Specialty
Vascular Surgery
2086S0129X

Other Vascular Surgery Providers in COLORADO SPRINGS, CO

Name Credential NPI
DR. DAVID S FEUER M.D. 1447251897
GREGORY CARLSON M.D. 1073590972
DAVID C CORRY M.D. 1245217108
DR. KARL PAUL DITTRICH M.D. 1295715225
DR. JOSEPH THOMAS CREPPS JR. M.D. 1124008032
DR. SCOTT NEWTON HURLBERT M.D. 1427038330
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.