LESLIE ELLIS – NPI #1568889418
Emergency Medicine

An emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness. A sports medicine physician has knowledge and experience in the promotion of wellness and the role of exercise in promoting a healthy lifestyle. Knowledge of exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation and epidemiology is essential to the practice of sports medicine.

Health Care Provider Taxonomy Code for Emergency Medicine

LESLIE ELLIS is a physician located in WOODBURY, MN. NPPES has assigned the NPI number 1568889418 to LESLIE ELLIS on March 27, 2014. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207PS0010X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine, specializing in Sports Medicine

The NPI profile was previously updated about 3 years ago on Jun 13, 2023. 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 LESLIE ELLIS below.

NPI Profile for
LESLIE ELLIS

NPI Number
1568889418
Enumeration Date

(more than 12 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
LESLIE ELLIS
Primary location
155 RADIO DR
WOODBURY, MN 55125-2619
Phone: (952) 831-8742 Fax:
1 Other location(s):
1 Gustave Apt 4H
L Levy Place
New York, NY 10009
Phone: (212) 241-6500
Mailing address
8170 33RD AVE S # MS 21110Q
BLOOMINGTON, MN 55425-4516
Phone: Fax:
Sole Proprietor
Yes
Updated
Certification Date
Jun 13, 2023

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.

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
207PS0010X
- Emergency Medicine / Sports Medicine (Primary)		 NY 3005091
390200000X
- Student in an Organized Health Care Education/Training Program

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.

Additional Information

Education
NEW YORK UNIVERSITY SCHOOL OF MEDICINE - Graduated 2014
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
LESLIE ELLIS is affiliated with the following medical group(s):
  • HOSPITAL
    • REGIONS HOSPITAL
      640 JACKSON STREET
      SAINT PAUL, MN 55101

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