ROBERT S ELLIS


Address: 910 E Houston St, Ste 530, Tyler, TX 75702-8369
Phone: 9035315560

ROBERT S ELLIS (NPI# 1093864027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093864027
Entity Type Individual
Full Name ROBERT S ELLIS
Credential MD
Practice Address 910 E Houston St
Ste 530
Tyler
TX 75702-8369
Mailing Address Po Box 846098
Dallas
TX 75284-6098
Practice Telephone 9035315560
Mailing Telephone 9033246450
Enumeration Date 2007-01-09
Last Update Date 2016-02-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2086S0102X Surgery
Specialization: Surgical Critical Care
M1656 TX Allopathic & Osteopathic Physicians
Y 2086S0127X Surgery
Specialization: Trauma Surgery
M1656 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
BCBS 86515S 01
TX TRICARE TIN PLUS 096 01
TX 178944801 05
TX BCBS OF TEXAS 8BC264 01

Other Providers ROBERT ELLIS

NPI Name Taxonomy Address Enumeration
1881945566 Robert Ray Ellis Military Health Care Provider 10194 Cottage Ct, Diberville, MS 39540-4744 2012-09-21
1336392224 Robert Ellis Specialist/Technologist, Other 8008 Blue Hole Ct, Mckinney, TX 75070-4896 2008-10-23
1124274394 Robert Stephen Ellis Dentist 1434 - Parker Drive, Laurel, MS 39440-1942 2008-08-07
1083810709 Robert Haig Ellis Internal Medicine 2412 Brookwood Drive, Fort Collins, CO 80525-1908 2007-06-21
1265534697 Robert Frank Ellis Obstetrics & Gynecology 770 Elysian Way, Deerfield, IL 60015-4500 2006-09-05
1083724843 Robert Lynn Ellis Dentist 143 1/2 E Main, Rigby, ID 83442 2006-08-30
1932111739 Robert George Ellis Radiology 1204 E 29th St, Tulsa, OK 74114-3907 2006-08-12
1366461337 Robert Earle Ellis Counselor 273 Front St, Weymouth, MA 02188-2202 2006-07-19
1124006549 Robert William Ellis IIi Psychiatry & Neurology 204 W Grand River Ave, Suite 260, Howell, MI 48843-2299 2006-01-05
1689185936 Robert Brian Ellis Audiologist 318 W El Norte Pkwy, Escondido, CA 92026-1925 2017-10-13

Office Location

Street Address 910 E HOUSTON ST
STE 530
City TYLER
State TX
Zip Code 75702-8369

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518962299 Nina Beth Partin Physician Assistant 910 E Houston St, Ste 550, Tyler, TX 75702-8369 2005-06-17
1396212437 Courtney Elizabeth Clifton Nurse Practitioner 910 E Houston St, Tyler, TX 75702-8369 2018-10-26
1275991994 Good News Medical, Pllc Family Medicine 910 E Houston St, Tyler, TX 75702-8369 2016-02-09
1154788941 April Michelle Coursey Nurse Practitioner 910 E Houston St, Ste 550, Tyler, TX 75702-8369 2016-01-25
1417343526 Dana R Pillans Nurse Practitioner 910 E Houston St, Ste 530, Tyler, TX 75702-8369 2015-04-15
1770973844 Sharon L Brooks Registered Nurse 910 E Houston St, Ste. 550, Tyler, TX 75702-8369 2015-01-28
1376948620 Kirsten Stuber Nurse Practitioner 910 E Houston St, Suite 100, Tyler, TX 75702-8369 2014-10-29
1417352931 Texas Oncology, P.a. Clinic/Center 910 E Houston St, Suite 100, Tyler, TX 75702-8369 2014-10-27
1811241292 Mandy Green Nurse Practitioner 910 E Houston St, Ste 230, Tyler, TX 75702-8369 2012-11-06
1902158751 Ashley Lesniewski Nurse Practitioner 910 E Houston St, Suite 330, Tyler, TX 75702-8369 2012-10-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679116610 Tiffiney Mcmakin Nurse Practitioner 810 E Houston St # 100, Tyler, TX 75702 2019-10-22
1659852507 Krystal Gayle Lilley Licensed Vocational Nurse 100 E Ferguson St Ste 60a, Tyler, TX 75702 2018-08-28
1679029383 Cynthia Lynn Kalawe Physical Therapist 100 E Ferguson, Suite 1204, Tyler, TX 75702 2016-09-01
1649623646 Susan E Oxford Social Worker 13495 Frankston Highway, Tyler, TX 75702 2016-07-14
1053769281 All Kidz Kan Home Health 2902 E Front St, Tyler, TX 75702 2016-05-27
1821415639 Heather Mullins Physical Therapy Assistant 100 E. Ferguson Ste.1204, Tyler, TX 75702 2014-03-19
1346671336 Dennis Keith Johnson Dentist 3081 Hwy. 31 East, Tyler, TX 75702 2013-12-02
1275882201 Bobby Gibson Counselor 401 East Front Street, Ste 233, Tyler, TX 75702 2012-09-06
1144596792 Tina Marie Borke Clinical Neuropsychologist 719 West Front St., Tyler, TX 75702 2012-03-28
1457629529 James Whaley Rapp Specialist/Technologist 430 South Beckham Avenue, Trinity Mother Frances Sports Medicine, Tyler, TX 75702 2011-12-05
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Taxonomy Information

Taxonomy Code 2086S0127X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Trauma Surgery

Taxonomy Definition

Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.
Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184671190 Mother Frances Hospital Surgery 612 S Fleishel Ave, Tyler, TX 75701-2012 2006-05-27
1063915916 Tyler Regional Hospital LLC Surgery 1000 S Beckham Ave, Tyler, TX 75701-1908 2018-03-16
1871735852 Melissa E Cloonan Surgery 910 E Houston St, Ste. 530, Tyler, TX 75702-8369 2009-04-06
1861417552 David H Villarreal Surgery 1020 E Idel St, Tyler, TX 75701-2024 2006-07-13
1730131681 Luis G Fernandez Surgery 910 E Houston St, Ste 530, Tyler, TX 75702-8369 2006-05-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1174034623 Stat Trauma & Surgical Services, Pllc Surgery 6 Garden Ln, Arlington, TX 76016 2017-10-23
1487164604 Urgent Specialty Associates Pllc Surgery 4100 Spring Valley Rd Ste 250, Farmers Branch, TX 75244-3645 2017-10-02
1578969788 Advanced Fracture Care Solutions Pllc Surgery 2145 Sutton Pl, Plano, TX 75093-4323 2014-11-16
1952737371 Ernest A Gonzalez Md Pa Surgery 12319 N Mopac Expy Ste 350, Austin, TX 78758-2512 2013-09-17
1831393735 Alexander Laurance Eastman Surgery 5323 Harry Hines Blvd # Mc9158, Department of Surgery--btcc, Dallas, TX 75390-9158 2007-06-13
1669592242 Surgical Consultants Pa Surgery 6210 Wooldridge Rd Ste A, Corpus Christi, TX 78414-2528 2007-03-29
1144240508 Ted R. Smith Surgery 50 Hillcrest Medical Blvd Ste 105, Waco, TX 76712-8953 2006-07-20
1750310520 Matthew A Lovitt Surgery 2710 Swiss Avenue, Dallas, TX 75204-5900 2006-07-02
1730115270 Jimie Dianne Owsley Surgery 810 Morgan Ave Apt 1, Corpus Christi, TX 78404-2058 2006-06-25
1578500815 Advanced Laparoendoscopic Surgery, Pllc Surgery 3005 West Loop S, Suite 225, Houston, TX 77027-6100 2006-06-02
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Competitor

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City TYLER
Zip Code 75702

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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