National Provider Identifier

Ellie Lockhart

Ellie Lockhart is listed in the NPPES registry with a primary specialty of Physician Assistant in Ithaca, NY and a listed phone number of (607) 277-2170.

NPI 1639995673Ithaca, NYPhysician Assistant

Profile Overview

NPI
1639995673
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
November 25, 2024
Last Updated
November 19, 2025

Practice Location

  • 905 Hanshaw RD Ste C
  • Ithaca, NY 14850-1549

Phone: (607) 277-2170

Mailing Address

  • 8 Ogden RD
  • Ithaca, NY 14850-9663

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1639995673
Entity Type
Individual
Last Name
Lockhart
First Name
Ellie
Mailing Street Address
8 Ogden RD
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-9663
Mailing Country
US
Practice Street Address
905 Hanshaw RD Ste C
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-1549
Practice Country
US
Practice Phone
(607) 277-2170
Enumeration Date
November 25, 2024
Last Updated
November 19, 2025
Sex
Female
Sole Proprietor
No
Certification Date
November 19, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)