Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeri L Ellis MD, MPH, PC

Organization Adult Medicine Physician · NPI 1538672001

Jeri L Ellis MD, MPH, PC is an Adult Medicine Physician in Shawnee, Oklahoma. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

420 N Kickapoo Ave
Shawnee, OK 74801-6643
Phone: (400) 581-6331
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X
Adult Medicine Physician Taxonomy 207QA0505X

Record details

NPI number1538672001
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Denise Cato — Contracting Manager · (405) 470-1884
Other names Ellis Family Practice
NPI enumeratedNovember 7, 2017
Last updated in NPPESNovember 7, 2017
Mailing address5909 Nw Expressway Ste 360, Oklahoma City, OK 73132-5149