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

Blake Michael Ellis, DO

Individual provider Orthopaedic Surgery Physician · NPI 1104685346

Blake Michael Ellis, DO is an Orthopaedic Surgery Physician in Youngstown, Ohio. Licensed in Ohio. Registered with an NPI since 2024.

Licensed in
OH
In the registry since
2024
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1044 Belmont Ave
Youngstown, OH 44504-1006
Phone: (330) 480-7142
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 58.034231 (OH)

Record details

NPI number1104685346
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 18, 2024
Last updated in NPPESJune 25, 2024
Certification dateJune 25, 2024
Mailing address1044 Belmont Ave, Youngstown, OH 44504-1006

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