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

Mr. Henry Dudley Ellington III, PAC

Individual provider Physician Assistant · NPI 1316921992

Mr. Henry Dudley Ellington III, PAC is a Physician Assistant in Phoenix, Arizona. Licensed in Arizona and Hawaii. Registered with an NPI since 2005.

Licensed in
AZ, HI
In the registry since
2005
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

1701 E Thomas Rd Ste A-104
Phoenix, AZ 85016-7646
Phone: (888) 381-4858
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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 5574 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence AMD-132 (HI)

Record details

NPI number1316921992
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedDecember 6, 2005
Last updated in NPPESOctober 17, 2013

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