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Deactivated NPI 1699049395 Deactivated / Inactive NPI Male Practitioner

Dr. Harry L. Ellis , MD

Urology • Springfield, MO

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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. Harry Ellis has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 28, 2012
NPI Deactivation Date April 29, 2023
Total Practice Duration ~11 Years of Practice (2012 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Harry Ellis, MD was a registered Urology practicing in Springfield, MO. Throughout an active medical career spanning 11 years, Dr. Ellis provided care at the practice location at 5034 S GLENHAVEN AVE until profile deactivation on 2023-04-29.

Practice Location & Contact Primary Location

Practice Address

5034 S Glenhaven Ave

Springfield, MO 658047804

Telephone 4178831402
Fax 4178238139

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Springfield, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 28.6 Yrs
State Avg: 27.5 Yrs
Regional Practice Density
18 Specialists

Practicing in Springfield, MO (282 Statewide)

Telehealth Adoption Rate
5.6% 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

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License MO R2310

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated April 29, 2023

Record deactivated on April 29, 2023

NPI Profile Active February 28, 2012

NPI status registered as active in NPPES database

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Updated Practice Location February 28, 2012

Registered at 5034 S GLENHAVEN AVE, SPRINGFIELD, MO 658047804 (Tel: 4178831402)

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Updated Business Mailing Address February 28, 2012

Registered at 5034 S GLENHAVEN AVE, SPRINGFIELD, MO 658047804 (Tel: 4178831402)

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Provider Name / Credentials Updated February 28, 2012

Recorded as HARRY ELLIS, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 28, 2012

Urology (License #R2310 in MO)

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Initial NPI Registration & Enumeration February 28, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1699049395
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 28, 2012
Last Update: February 28, 2012
Deactivation Date: April 29, 2023

Mailing Address

5034 S Glenhaven Ave

Springfield, MO 658047804

Phone: 4178831402

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.