Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Jack Ellzey

Individual provider Physician Assistant · NPI 1194645044

Jack Ellzey is a Physician Assistant in Topeka, Kansas. Works from 2 locations. Licensed in Kansas.

Licensed in
KS
In the registry since
2026

Practice location Address checks out

823 SW Mulvane St
Topeka, KS 66606-1764
Phone: (785) 354-9591
Fax: (785) 354-0519
Show map & directions

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

Additional practice locations (1)

  • 1500 Sw 10th Ave, Topeka, KS 66604-1301 — (785) 354-6000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 15-03346 (KS)

Record details

NPI number1194645044
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 20, 2026
Last updated in NPPESSeptember 23, 2026
Certification dateSeptember 23, 2026

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