Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Ellis Thompson, PA-C

Individual provider Physician Assistant · NPI 1770992430

Mr. Ellis Thompson, PA-C is a Physician Assistant in Louisville, Kentucky. Qualified in 2014, 12 years ago. Practices with University of Louisville Physicians Inc, a 1,433-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
12
Licensed in
KY
In the registry since
2014
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

201 Abraham Flexner Way Ste 100
Louisville, KY 40202-3841
Phone: (502) 587-8222
Fax: (502) 587-0860
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2432 (KY)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1770992430
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedAugust 7, 2014
Last updated in NPPESJanuary 7, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice University Of Louisville Physicians Inc — 1433 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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