Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Adam W Ellis DO

Organization Family Medicine Physician · NPI 1831002658

Adam W Ellis DO provides Family Medicine Physician services in Philadelphia, Pennsylvania. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

2601 S 12th St
Philadelphia, PA 19148-4303
Phone: (215) 334-2550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1831002658
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationAdam W Ellis DO
Authorized official Adam Ellis, D.O. — President · (215) 617-3308
NPI enumeratedSeptember 23, 2026
Last updated in NPPESSeptember 23, 2026
Certification dateSeptember 23, 2026
Mailing address2601 S 12th St, Philadelphia, PA 19148-4303

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