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

Dr. Jesse Lee Ellis, DC

Individual provider Chiropractor · NPI 1093063950

Dr. Jesse Lee Ellis, DC is a Chiropractic in Marlow, Oklahoma. Qualified in 2011, 15 years ago. Accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
15
Licensed in
OK
In the registry since
2012
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

1802 S Broadway St
Marlow, OK 73055-8691
Phone: (580) 721-7007
Fax: (580) 721-7008
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 4076 (OK)

Record details

NPI number1093063950
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedAugust 27, 2012
Last updated in NPPESMarch 24, 2016
Mailing address1802 S Broadway St, Marlow, OK 73055-8691

Medicare enrollment

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

Medicare specialtyCHIROPRACTIC
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Marlow