Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELLIE MARIE FAXON, PA
ActiveELLIE MARIE FAXON, PA is a Physician Assistant healthcare provider located in SPRINGFIELD, Missouri. NPI 1740078179 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · SPRINGFIELD, MO
Registration Details
- NPI Number
- 1740078179
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 26, 2025 (1.3324901687255 yrs)
- Last Updated
- Aug 5, 2025
Practice Information
- Address
-
1499 N ROBBERSON AVE STE K500SPRINGFIELD, MO, 658021979Browse MO providers · Browse ZIP 65802
- Phone
- 4172692667
- Fax
- 4172692668
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in SPRINGFIELD, MO
| Name | Credential | NPI |
|---|---|---|
| MS. JODY L STANTON | PAC, ATC | 1780684753 |
| MRS. KATHLEEN DAWN SMITH | PA | 1306833702 |
| MRS. LAURA CATHERINE ROSS | PA | 1689665218 |
| AMBER D HERRING | P.A.-C. | 1679555346 |
| MS. STEPHANIE LEA FOX | PA | 1487617742 |
| JODIE A. TUCKER | P.A. | 1972555712 |
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.