Dr. Jimmy Scott Ellis, D.O.
Obstetrics & Gynecology in Craig, CO. Individual provider (NPI-1).
NPI number1609891795
StatusActive
Last updated in NPPESMar 20, 2025
Details
- NPI
- 1609891795
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jimmy Scott Ellis
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 12, 2006
- Certification date
- Mar 20, 2025
- Last updated
- Mar 20, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 46656 | CO | Yes |
| 207V00000X | Obstetrics & Gynecology | OP61014771 | WA | |
| 207V00000X | Obstetrics & Gynecology | 14709 | SD | |
| 207V00000X | Obstetrics & Gynecology | L6229 | TX |
Practice location
785 Russell StSuite 100
Craig, CO 81625-2019
Phone 970-826-2420 · Fax 970-826-2429
Mailing address
785 Russell StSuite 100
Craig, CO 81625-2019
Phone 970-826-2420 · Fax 970-826-2429
Other practice locations
353 Fairmont Blvd
Rapid City, SD 57701-7375
Rapid City, SD 57701-7375
Phone 864-908-3530
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