Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Clyde Neal Ellis Jr., MD
Surgery Physician in Elkins, WV · enumerated 2006.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1093762908
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Registry record
Entity type Individual (Type 1)
Name Clyde Neal Ellis Jr.
Credential MD
Sex Male
Practice address 812 Gorman Ave, Elkins, WV, 26241
Phone (304) 636-3300
Fax (304) 636-4331
Enumeration date May 27, 2006
Last updated in NPPES Jul 27, 2026
Taxonomy & licenses
208C00000X Colon & Rectal Surgery Physician Allopathic & Osteopathic Physicians · License 19367 (NV) Secondary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure.
About the MD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093762908 | Medicaid | NV | - |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
What specialty is Clyde Ellis?
Clyde Ellis is registered in NPPES with the primary taxonomy of Surgery Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
Other providers at this practice address
Browse all → Emad Kowatli Pulmonary Disease Physician · Elkins, WV NPI 1447257787 James Gainer Family Medicine Physician · Elkins, WV NPI 1740272475 Harold Zorger Podiatrist · Elkins, WV NPI 1255324117 Davis Memorial Hospital General Acute Care Hospital · Elkins, WV NPI 1619964806 Catherine Chua Family Medicine Physician · Elkins, WV NPI 1295726685 Philip Chua Family Medicine Physician · Elkins, WV NPI 1467433649 Mohamed Fahim Anesthesiology Physician · Elkins, WV NPI 1750367975 Sandra Fleming Anesthesiology Physician · Elkins, WV NPI 1811973035
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-07-27.