ELIS MEDICAL CORPORATION – NPI #1912032384
Clinic/Center

ELIS MEDICAL CORPORATION is an AHC clinic located in COLLEYVILLE, TX. NPPES has assigned the NPI number 1912032384 to ELIS MEDICAL CORPORATION on February 23, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Multi-Specialty Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was last updated on May 09, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ELIS MEDICAL CORPORATION below.

NPI Profile for
ELIS MEDICAL CORPORATION

NPI Number
1912032384
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ELIS MEDICAL CORPORATION
Primary location
5207 HERITAGE AVE
COLLEYVILLE, TX 76034-5915
Phone: (817) 355-8000 Fax: (817) 553-3536
1 Other location(s):
3930 Glade Rd
Ste. 105
Colleyville, TX 76034-5931
Phone: (817) 355-8000
Fax: (817) 283-0400
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TRACY SCHRIMPF
COO
Phone: (817) 355-8000
Updated
Certification Date
May 09, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ELIS MEDICAL CORPORATION

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
otherAETNATX2517940
otherAETNATX7300217
otherBCBSTX0011CK
otherCIGNATX6401723
medicaidTX079735901
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM1300X
- Clinic/Center / Multi-Specialty (Primary)
363AM0700X
- Physician Assistant / Medical
261QP2300X
- Clinic/Center / Primary Care
208000000X
- Pediatrics
207R00000X
- Internal Medicine
207QS0010X
- Family Medicine / Sports Medicine
207Q00000X
- Family Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.