Ethan R Ellis, MD
Ethan R Ellis, MD is a Cardiac Electrophysiology in Fort Collins, Colorado. Graduated from University of Rochester School of Medicine and Dentistry in 2006, 20 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Colorado, Massachusetts and Nebraska.
- Years since qualifying
- 20
- Trained at
- University of Rochester School of Medicine and Dentistry
- Licensed in
- CO, MA, NE
- In the registry since
- 2008
- Specialties on file
- 5
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
2121 E Harmony Rd Ste 100Fort Collins, CO 80528-3400
Phone: (970) 221-1000
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Cardiac Electrophysiology Physician (primary) | Taxonomy 207RC0001X · Licence DR.0053902 (CO) |
|---|---|
| Clinical Cardiac Electrophysiology Physician | Taxonomy 207RC0001X · Licence 27958 (NE) |
| Internal Medicine Physician | Taxonomy 207R00000X · Licence 235720 (MA) |
| Cardiovascular Disease Physician | Taxonomy 207RC0000X · Licence DR.0053902 (CO) |
| Internal Medicine Physician | Taxonomy 207R00000X · Licence DR.0053902 (CO) |
Record details
| NPI number | 1316110208 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | April 11, 2008 |
| Last updated in NPPES | March 28, 2016 |
| Mailing address | 2121 E Harmony Rd, Ste 100, Fort Collins, CO 80528-3400 |
Medicare enrollment
| Medicare specialty | CARDIAC ELECTROPHYSIOLOGY |
|---|---|
| Also practises | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Medical school | UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY |
| Graduated | 2006 (20 years in practice) |
| Group practice | Poudre Valley Medical Group Llc — 2416 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 16 on file with Medicare |