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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1881988582

Clayton Tyler Ellis, MD is a Student in an Organized Health Care Education/Training Program in Louisville, Kentucky. Practices as a sole proprietor. Licensed in Kentucky and North Carolina.

Licensed in
KY, NC
In the registry since
2011
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 Partly verified

Some contact details are missing from the federal record.

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Louisville, KY
Fax: (502) 588-9506

No coordinates on file. Search this address in Google Maps

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X · Licence TP364 (KY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 173420 (NC)

Record details

NPI number1881988582
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 31, 2011
Last updated in NPPESMay 22, 2019

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