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

Dr. Michael Paul Ellis, MD

Individual provider Family Medicine Physician · NPI 1780650093

Dr. Michael Paul Ellis, MD is a Family Medicine Physician in Black Hawk, Colorado. Licensed in Colorado. Registered with an NPI since 2006.

Licensed in
CO
In the registry since
2006
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

562 Gregory St
Black Hawk, CO 80422
Phone: (303) 582-5276
Fax: (303) 582-1003
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 50801 (CO)

Record details

NPI number1780650093
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 27, 2006
Last updated in NPPESDecember 12, 2012
Mailing addressPo Box 9, 20 E Lakeview Dr. Suite 109, Nederland, CO 80466-0009

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