Individual
JOHN ALLAN ELLERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, CM
Contact information
Practice address
1655 E CACTUS AVE STE 300, LAS VEGAS, NV 89183-7723
(702) 724-8777
(702) 352-2790
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 724-8777
(702) 352-2790
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
3861
NV
207RH0003X
Hematology & Oncology Physician
G39440
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0098707
CIGNA
NV
01
—
01673965
AMERIGROUP
NV
05
—
20-02623
—
NV
01
—
3861
LICENSE
NV
01
—
4297063
AETNA
NV
01
—
G39440
LICENSE
CA
01
—
P01062140
RAILROAD MEDICARE
NV
Enumeration date
10/23/2006
Last updated
11/17/2025
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