Individual
THOMAS JAMES ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6810 PERIMETER DR STE 200, DUBLIN, OH 43016-8013
(614) 827-8700
(614) 827-8701
Mailing address
340 POLARIS PKWY, WESTERVILLE, OH 43082-7971
(614) 827-8700
(614) 827-8701
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
35.089720
OH
207X00000X
Orthopaedic Surgery Physician
MD22134
OR
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
35.089720
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134348
—
OR
05
—
2748067
—
OH
Enumeration date
08/03/2006
Last updated
01/06/2025
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