MATTHEW S ELLIS MD PA – NPI #1780703561
Preventive Medicine

A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.

Health Care Provider Taxonomy Code for Preventive Medicine

MATTHEW S ELLIS MD PA is a provider located in GAINESVILLE, FL. NPPES has assigned the NPI number 1780703561 to MATTHEW S ELLIS MD PA on March 29, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2083P0011X from the Health Care Provider Taxonomy code set, which is classified as Preventive Medicine, specializing in Undersea and Hyperbaric Medicine

The NPI profile was previously updated about 6 years ago on Aug 05, 2020. 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 MATTHEW S ELLIS MD PA below.

NPI Profile for
MATTHEW S ELLIS MD PA

NPI Number
1780703561
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
MATTHEW S ELLIS MD PA
Primary location
6400 W NEWBERRY RD
SUITE 104
GAINESVILLE, FL 32605
Phone: (352) 333-5911 Fax: (353) 333-4684
Mailing address
PO BOX 3123
ST AUGUSTINE, FL 32085-3123
Phone: Fax:
Organization Subpart
No
Authorized Official
MATTHEW ELLIS
PRESIDENT
Phone: (352) 333-5911
Updated
Certification Date
Aug 05, 2020

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
2083P0011X
- Preventive Medicine / Undersea and Hyperbaric Medicine (Primary)		 FL ME96520

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.