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

Edward Robert Ellis, DO

Individual provider Family Medicine Physician · NPI 1770921538

Edward Robert Ellis, DO is a Family Practice in Erie, Pennsylvania. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2013, 13 years ago. Practices with St Vincent Medical Education and Research Institute Inc, a 299-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
13
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
PA
In the registry since
2013
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

311 W 24th St Ste 305
Erie, PA 16502-2666
Phone: (814) 454-4484
Fax: (814) 452-1809
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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 OS018315 (PA)

Record details

NPI number1770921538
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 13, 2013
Last updated in NPPESOctober 2, 2020
Certification dateOctober 2, 2020

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 2013 (13 years in practice)
Group practice St Vincent Medical Education And Research Institute Inc — 299 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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