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

Ellen Michelle Provost, DO

Individual provider Internal Medicine Physician · NPI 1053344572

Ellen Michelle Provost, DO is an Internal Medicine Physician in Anchorage, Alaska. Licensed in Alaska. Registered with an NPI since 2006.

Licensed in
AK
In the registry since
2006
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

4315 Diplomacy Dr
Anchorage, AK 99508-5926
Phone: (907) 729-1500
Fax: (907) 729-2082
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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 2717 (AK)

Record details

NPI number1053344572
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 8, 2006
Last updated in NPPESOctober 17, 2008
Mailing address4315 Diplomacy Dr, Anchorage, AK 99508-5926

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