What is Stacy Ellison's NPI number?

Stacy Ellison's National Provider Identifier (NPI) is 1093843484, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Stacy Ellison's specialty?

Stacy Ellison is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).

Where is Stacy Ellison located?

Stacy Ellison's practice location on file with NPPES is 2831 S Hurstbourne Pkwy, Louisville, KY 40220-4112.

What is Stacy Ellison's phone number?

The practice phone number listed in the NPPES registry for Stacy Ellison is (502) 491-0330.

Is Stacy Ellison's NPI active?

Yes — Stacy Ellison's NPI (1093843484) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Stacy Ellison, D.M.D.

NPI 1093843484 · General Practice Dentistry · Louisville, KY

Stacy Ellison, D.M.D. is a General Practice Dentistry provider in Louisville, KY (NPI 1093843484).

Provider details

NPI number: 1093843484
Entity type: Individual
Primary specialty: General Practice DentistryDental Providers
Credential: D.M.D.
Sex: Male
Sole proprietor: Yes
License: 5989 (KY)

Specialties & taxonomies

General Practice DentistryPrimary1223G0001XLicense 5989 (KY)
Dental Providers

Profile Score

Detailed profile(89/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

2831 S Hurstbourne Pkwy

Louisville, KY 40220-4112

Phone: (502) 491-0330

Fax: (502) 491-7431

Street-level locationGet directions

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Mailing address