Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003812744 Individual Practitioner Male Practitioner

Dr. Mark Gregory Ellis , MD

Pediatrics • Eureka, CA

Professional Overview & Biography Verified Profile Summary

Dr. Mark Ellis, MD is a registered healthcare professional specializing in Pediatrics in Eureka, CA. Practice services are available at 2200 TYDD ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2200 Tydd St

Eureka, CA 955011284

Telephone 7072697051
Fax 7072697054
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Eureka, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.5 Yrs
Regional Practice Density
14 Specialists

Practicing in Eureka, CA (9612 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License CA G65432

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Secondary Practice Locations

2800 Harris St

Eureka, CA 955034809

Phone: 7074458416

2800 Harris St

Eureka, CA 955034809

Phone: 7074458416

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
Suzanne Dietz , PNP

Nurse Practitioner

NPI 1033113535

Pediatric Nurse Practitioner

NPI 1033183777

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

NPI 1073609400

Doctor of Medicine (M.D.)

Anna Strunk , RN

Registered Nurse

NPI 1104480953

Registered Nurse

Casey Kelly , PA

Physician Assistant

NPI 1205076015

Physician Assistant

Linda Villano , RN

Registered Nurse

NPI 1326339763

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

17 Historical Events
NPI Profile Active March 17, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location March 17, 2018

Registered at 2200 TYDD ST, EUREKA, CA 955011284 (Tel: 7072697051)

📍
Updated Business Mailing Address March 17, 2018

Registered at 670 9TH ST STE 203, ARCATA, CA 955216249 (Tel: 7078268633)

👤
Provider Name / Credentials Updated March 17, 2018

Recorded as MARK ELLIS, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Pediatrics (License #G65432 in CA)

📍
Updated Practice Location March 07, 2018

Registered at 2200 TYDD ST, EUREKA, CA 955011284 (Tel: 7072697051)

NPI Profile Active December 15, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address December 15, 2017

Registered at 670 9TH ST STE 203, ARCATA, CA 955216249 (Tel: 7078268633)

📍
Updated Practice Location December 15, 2017

Registered at 2800 HARRIS ST, EUREKA, CA 955034809 (Tel: 7074458416)

👤
Provider Name / Credentials Updated December 15, 2017

Recorded as MARK ELLIS, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 15, 2017

Pediatrics (License #G65432 in CA)

NPI Profile Active November 09, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location November 09, 2011

Registered at 2800 HARRIS ST, EUREKA, CA 955034809 (Tel: 7074458416)

📍
Updated Business Mailing Address November 09, 2011

Registered at 2800 HARRIS ST, EUREKA, CA 955034809 (Tel: 7074458416)

👤
Provider Name / Credentials Updated November 09, 2011

Recorded as MARK ELLIS, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 09, 2011

Pediatrics (License #G65432 in CA)

🟢
Initial NPI Registration & Enumeration June 27, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Mark Ellis. Be the first to share your experience!

Sign in to leave a review for Dr. Mark Ellis

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1003812744
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 27, 2005
Last Update: March 17, 2018
Sole Proprietor: No

Mailing Address

670 9th St Ste 203

Arcata, CA 955216249

Phone: 7078268633

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.