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

SHAWN MICHAEL ELLIS, DO

Active

SHAWN MICHAEL ELLIS, DO is a Interventional Vascular Surgery healthcare provider located in OKLAHOMA CITY, Oklahoma. NPI 1851551790 is currently active in the NPPES registry. Verify at CMS.

Interventional Vascular Surgery · OKLAHOMA CITY, OK

Registration Details

NPI Number
1851551790
Provider Type
Individual
Gender
Male
NPI Issued
Jun 13, 2008 (18.18031276334 yrs)
Last Updated
May 9, 2014
Licenses
04757 (OK)
04757 (OK)

Practice Information

Address
4345 W MEMORIAL RD STE 110
OKLAHOMA CITY, OK, 731341717
Browse OK providers · Browse ZIP 73134
Phone
4054187000
Primary Specialty
Interventional Vascular Surgery
208VP0014X

Other Interventional Vascular Surgery Providers in OKLAHOMA CITY, OK

Name Credential NPI
DR. JACK E MARSHALL MD 1982608873
DR. SCOTT A MITCHELL DO 1952305849
DR. RANDALL WAYNE HENTHORN MD 1508858804
DR. MARTIN J LOPEZ MD 1013905942
DR. AHMED A AMAYEM M.D. 1992718381
DR. JUSTIN ROSS PORTER M.D. 1104098961
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.