MEDICARE: ADAM ELLIS, MD, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	39576	TN

General Provider Information

NPI Number	:	1033216270
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADAM ELLIS, MD, PLLC

Provider Business Mailing Address
First Line	:	1623 NASHVILLE ST
Second Line	:	SUITE 106
City	:	RUSSELLVILLE
State	:	KY
Zip	:	42276-8889
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1623 NASHVILLE ST
Second Line	:	SUITE 106
City	:	RUSSELLVILLE
State	:	KY
Zip	:	42276-8889
Country	:	US
Telephone Number	:	270-726-8090
Fax Number	:	270-726-9008

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ADAM ELLIS
Credential	:	MD
Telephone Number	:	270-726-8090

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	02/24/2009

Similar Medicare Providers

1043217169 — DR. RONALD B ELDER M.D., PSC
Practice Location Address:

1623 NASHVILLE ST , SUITE 201
RUSSELLVILLE, KY
42276-8889

Practice Phone: 270-726-3303
Practice Fax: 270-726-3910

1831181593 — DR. STEVE G SALYERS MD
Practice Location Address:

1623 NASHVILLE ST , SUITE 102 AND 103
RUSSELLVILLE, KY
42276-8889

Practice Phone: 270-725-4862
Practice Fax: 270-725-4864

1871559583 — LOGAN ORTHOPAEDICS
Practice Location Address:

1623 NASHVILLE ST
RUSSELLVILLE, KY
42276-8889

Practice Phone: 270-726-6384
Practice Fax:

1972569630 — LOGAN ORTHOPAEDICS
Practice Location Address:

1623 NASHVILLE ST SUITE 103
RUSSELLVILLE, KY
42276-8889

Practice Phone: 270-726-6384
Practice Fax:

1245263631 — LOGAN MEMORIAL HOSPITAL
Practice Location Address:

1623 NASHVILLE ST , SUITE 105
RUSSELLVILLE, KY
42276-8889

Practice Phone: 615-372-8500
Practice Fax:

1003918731 — DR. ADAM WESLEY ELLIS M.D
Practice Location Address:

1623 NASHVILLE ST , STE 106
RUSSELLVILLE, KY
42276-8889

Practice Phone: 270-726-8090
Practice Fax: 270-726-9008

Directions to “ADAM ELLIS, MD, PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.