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

Dr. George Ellis Jr., MD

Individual provider Emergency Medicine Physician · NPI 1366428484

Dr. George Ellis Jr., MD is an Internal Medicine in Boardman, Ohio. Qualified in 1985, 41 years ago. Practices with Sch Professional Corporation, a 59-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
41
Licensed in
OH
In the registry since
2005
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

910 Boardman-Canfield Rd
Boardman, OH 44512
Phone: (330) 965-0832
Fax: (330) 965-0155
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 35060641E (OH)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 35060641 (OH)

Record details

NPI number1366428484
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 20, 2005
Last updated in NPPESSeptember 23, 2024
Certification dateSeptember 23, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Group practice Sch Professional Corporation — 59 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Boardman