Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1669629200 Deactivated / Inactive NPI Male Practitioner

Dr. Phillip Paul Ellis , MD

Ophthalmology • Denver, CO

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Phillip Ellis has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 26, 2008
NPI Deactivation Date August 26, 2008
Total Practice Duration ~1 Years of Practice (2008 – 2008)

Professional Overview & Biography Verified Profile Summary

Dr. Phillip Ellis, MD was a registered Ophthalmology practicing in Denver, CO. Throughout an active medical career spanning 1 years, Dr. Ellis provided care at the practice location at 1055 CLERMONT ST until profile deactivation on 2008-08-26.

Practice Location & Contact Primary Location

Practice Address

1055 Clermont St

Denver, CO 802203808

Telephone 3033932863
Fax 3033935235
Associated Practice Facility / Clinic
🏢 Va Eastern Colorado Hcs Facility NPI 1760468680

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Denver, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.9 Yrs
State Avg: 25.9 Yrs
Regional Practice Density
85 Specialists

Practicing in Denver, CO (361 Statewide)

Telehealth Adoption Rate
1.2% 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

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License CO 13911

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Practice Associates & Co-Workers

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

7 Associated Practitioners
Jannine Sandman , ANP

Nurse Practitioner - Adult Health

NPI 1215962832

Adult Nurse Practitioner

Frances Frantz-Musgrove , BSN, MS

Nurse Practitioner - Family

NPI 1649299512

Bachelor of Science in Nursing, Master of Science

Dr. Wheeler Daniels , MD

General Acute Care Hospital

NPI 1669492484

Doctor of Medicine (M.D.)

Phyllis Matthews , NP

Nurse Practitioner - Adult Health

NPI 1679594139

Nurse Practitioner

NPI 1740209550

Doctor of Medicine (M.D.)

NPI 1932129749

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated August 26, 2008

Record deactivated on August 26, 2008

NPI Profile Active August 26, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location August 26, 2008

Registered at 1055 CLERMONT ST, DENVER, CO 802203808 (Tel: 3033932863)

📍
Updated Business Mailing Address August 26, 2008

Registered at 1055 CLERMONT ST, DENVER, CO 802203808 (Tel: 3033932863)

👤
Provider Name / Credentials Updated August 26, 2008

Recorded as PHILLIP ELLIS, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2008

Ophthalmology (License #13911 in CO)

🟢
Initial NPI Registration & Enumeration August 26, 2008

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. Phillip Ellis. Be the first to share your experience!

Sign in to leave a review for Dr. Phillip Ellis

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

NPI Administrative Meta

NPI Number: 1669629200
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 26, 2008
Last Update: August 26, 2008
Deactivation Date: August 26, 2008

Mailing Address

1055 Clermont St

Denver, CO 802203808

Phone: 3033932863

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.