Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CLAYTON TYLER ELLIS, M.D.
Active Sole ProprietorCLAYTON TYLER ELLIS, M.D. is a Colon & Rectal Surgery healthcare provider located in LOUISVILLE, Kentucky. NPI 1881988582 is currently active in the NPPES registry. Verify at CMS.
Colon & Rectal Surgery · LOUISVILLE, KY
Registration Details
- NPI Number
- 1881988582
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 31, 2011 (15.215120846973 yrs)
- Last Updated
- May 22, 2019
- Licenses
-
173420 (NC)TP364 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
ULP COLORECTAL SURGERY401 EAST CHESTNUT STREET, #710LOUISVILLE, KY, 402025707Browse KY providers · Browse ZIP 40202
- Phone
- 5025838303
- Fax
- 5025889506
- Primary Specialty
-
Colon & Rectal Surgery
208C00000X
- Additional Specialty
- Colon & Rectal Surgery
Other Colon & Rectal Surgery Providers in LOUISVILLE, KY
| Name | Credential | NPI |
|---|---|---|
| LOWELL D KATZ | MD | 1942291091 |
| KELLI M. BULLARD DUNN | MD | 1003892472 |
| SUSAN GALANDIUK | MD | 1447220447 |
| JEFFREY R JORDEN | MD | 1902876782 |
| WAYNE TUCKSON | MD | 1922039023 |
| MS. SANDRA L. KAVALUKAS | M.D. | 1164570867 |
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.