ELLEN ELMORE (NPI# 1164694634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164694634 |
Entity Type | Individual |
Full Name | ELLEN ELMORE |
Credential | MD |
Practice Address |
11149 Research Blvd Suite 210 Austin TX 78759-5279 |
Practice Telephone | 5122311901 |
Practice Fax Number | 5122311902 |
Mailing Telephone | 5122311901 |
Mailing Fax Number | 5122311902 |
Enumeration Date | 2008-03-25 |
Last Update Date | 2013-05-03 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | P2852 | TX | Allopathic & Osteopathic Physicians |
N | 207Q00000X | Family Medicine | 6418 | AK | Allopathic & Osteopathic Physicians |
N | 207Q00000X | Family Medicine | 8800 | HI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 313465201 | 05 | |
TX | 313465202 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245678028 | Ellen Owen Elmore | Optometrist | 1492 Madison St, Clarksville, TN 37040-8625 | 2013-06-13 |
Street Address |
11149 RESEARCH BLVD SUITE 210 |
City | AUSTIN |
State | TX |
Zip Code | 78759-5279 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689671513 | Albert Milner Tate Jr. | Dentist | 11149 Research Blvd, Suite 270, Austin, TX 78759-5279 | 2005-07-07 |
1508223298 | Andrea Glaser | Dietitian, Registered | 11149 Research Blvd, Suite Number 210, Austin, TX 78759-5279 | 2016-01-26 |
1255705778 | Sharon Hausman-cohen, Md | Family Medicine | 11149 Research Blvd, Suite 210, Austin, TX 78759-5279 | 2015-11-20 |
1972946788 | Tiny Teeth, PC | Dentist | 11149 Research Blvd, Suite 270, Austin, TX 78759-5279 | 2013-04-10 |
1093053837 | Philip Matson | Dentist | 11149 Research Blvd, #270, Austin, TX 78759-5279 | 2013-01-29 |
1558613745 | Andres Ossorio | Radiologic Technologist | 11149 Research Blvd, Suite 360, Austin, TX 78759-5279 | 2012-10-11 |
1144575119 | Austin City Medical Ctr | Physiological Laboratory | 11149 Research Blvd, Suite 360, Austin, TX 78759-5279 | 2012-07-17 |
1851676027 | Total Smile Management PC | Dentist | 11149 Research Blvd, Suite 270, Austin, TX 78759-5279 | 2011-10-19 |
1700172483 | Lara Hochman | Family Medicine | 11149 Research Blvd, Suite 210, Austin, TX 78759-5279 | 2011-06-22 |
1861703969 | Aaron Engels Dds PC | Clinic/Center | 11149 Research Blvd, Suite 270, Austin, TX 78759-5279 | 2010-06-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629677612 | Laurel Sunde | Nurse Practitioner | 11111 Research Blvd-ll2, Austin, TX 78759 | 2020-10-20 |
1558990242 | Sarah Ann Weier | Counselor | 8500 North Mopac Expressway, Austin, TX 78759 | 2020-04-03 |
1124672696 | Gabrielle Jade Hurley | Physical Therapist | 9333 Research Blvd Ste 400, Austin, TX 78759 | 2019-08-01 |
1730740671 | Jennifer Kraft | Behavior Technician | 9600 Great Hills Trail, Suite 150w, Austin, TX 78759 | 2019-06-21 |
1881199024 | Pediatric Home Healthcare, LLC | Home Health | 8501 N Mopac Expy Ste 410, Austin, TX 78759 | 2018-03-29 |
1679072870 | Sylvia Chen | Psychologist | 8400 N Mopac Expy Ste 302, Austin, TX 78759 | 2018-02-03 |
1215443064 | Greater Austin Urology, Pllc | Urology | 11673 Jollyville Rd Ste B101, Austin, TX 78759 | 2017-12-15 |
1831603042 | Jane A Dykes | Counselor | 9015 Mountain Ridge Dr., Houston Bldg., Ste. 200, Austin, TX 78759 | 2017-11-27 |
1134632706 | Gary Victor Friedman | Pharmacist | 4411 Spicewood Springs Road #1111, Austin, TN 78759 | 2017-11-06 |
1740720242 | Taylor Renee Cahill | Behavioral Analyst | 9901 North Capital of Texas Hwy, Austin, TX 78759 | 2017-03-02 |
Find all providers in zip 78759 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205437662 | Angela Ekern | Family Medicine | 7421 Cordoba Dr, Austin, TX 78724-6252 | 2020-11-03 |
1245847011 | Diane Brewer | Family Medicine | 309 Shant St, Austin, TX 78748-1612 | 2020-09-25 |
1568075265 | Agno Health, LLP | Family Medicine | 2506 South Lamar Blvd, Unit 2, Austin, TX 78704-4731 | 2020-08-24 |
1245853514 | Kaitlin Claire Negandhi Valentine | Family Medicine | 1400 N Ih 35 Ste C2.410, Austin, TX 78701-1926 | 2020-05-21 |
1548899248 | Candice Bethke Escobedo | Family Medicine | 12020 Pepperidge Dr, Austin, TX 78739-1948 | 2020-04-04 |
1184257123 | Aegis Health Services LLC | Family Medicine | 3005 S Lamar Blvd Ste D109-245, Austin, TX 78704-8864 | 2020-02-18 |
1285274100 | Mw Wellness Iv, LLC | Family Medicine | 13359 N Highway 183 Ste 403, Austin, TX 78750-7154 | 2020-01-08 |
1578112207 | Heather Lenz | Family Medicine | 6633 E Highway 290 Ste 300, Austin, TX 78723-1158 | 2019-09-05 |
1245887355 | Jonathan Thomas Mason | Family Medicine | 1400 N-ih 35, Dell Seton Medical Center, Ste C2.410, Austin, TX 78701 | 2019-08-22 |
1609421247 | Maycare, Pllc | Family Medicine | 6911 Ranch Road 620 N Ste A-300, Austin, TX 78732-1920 | 2019-08-08 |
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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.