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

Clarence V Ellis, MD

Individual provider Family Medicine Physician · NPI 1982647475

Clarence V Ellis, MD is a Family Medicine Physician in Lakewood, Colorado. Licensed in Colorado. Registered with an NPI since 2006.

Licensed in
CO
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

12790 W Alameda Pkwy Ste A
Lakewood, CO 80228-2850
Phone: (303) 403-6350
Fax: (303) 403-6372
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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 · Licence 33692 (CO)
Occupational Medicine Physician Taxonomy 2083X0100X · Licence 33692 (CO)

Record details

NPI number1982647475
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 13, 2006
Last updated in NPPESJanuary 25, 2012

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