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

Elyse A Shaw Ellis, MD

Individual provider Pediatrics Physician · NPI 1255744785

Elyse A Shaw Ellis, MD is a Pediatrics Physician in Saint Louis, Missouri. Licensed in Indiana and Missouri. Registered with an NPI since 2014.

Licensed in
IN, MO
In the registry since
2014
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1465 S Grand Blvd
Saint Louis, MO 63104-1003
Phone: (314) 577-5643
Fax: (314) 268-4112
Show map & directions

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

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 2018006628 (MO)
Pediatrics Physician Taxonomy 208000000X · Licence 01078371 (IN)
Pediatrics Physician Taxonomy 208000000X · Licence 2018006628 (MO)

Record details

NPI number1255744785
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 2, 2014
Last updated in NPPESMarch 25, 2025
Certification dateMarch 25, 2025

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