Individual
JOHN A ELLZEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6019 WALNUT GROVE, MEMPHIS, TN 38120
(901) 383-8860
(901) 383-1194
Mailing address
7600 WOLF RIVER BLVD STE 200, GERMANTOWN, TN 38138-1788
(901) 747-1000
(901) 747-1001
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
36589
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00122829
—
MS
05
—
142994001
—
AR
05
—
209040203
—
MO
05
—
3883156
—
TN
01
—
4065404
BCBS
TN
01
—
5L864
BCBS
AR
01
—
P00032804
RR MEDICARE
TN
01
—
P00294088
RR MEDICARE
MS
Enumeration date
08/19/2006
Last updated
01/28/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us