DR. WALTER WRIGHT ELLIS (NPI# 1174688857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174688857 |
| Entity Type | Individual |
| Full Name | DR. WALTER WRIGHT ELLIS |
| Credential | M.D. |
| Practice Address |
3749 N Causeway Blvd Metairie LA 70002-2046 |
| Mailing Address |
227 Riverwood Dr Saint Rose LA 70087-3765 |
| Practice Telephone | 5048288241 |
| Practice Fax Number | 5048288243 |
| Mailing Telephone | 5044693438 |
| Enumeration Date | 2006-12-24 |
| Last Update Date | 2019-10-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | 024782 | LA | Allopathic & Osteopathic Physicians |
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
024782 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1489417 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588625958 | Walter Nicholas Ellis | Podiatrist | 106 Doctors Park, St Cloud, MN 56303-1207 | 2006-03-28 |
| Street Address |
3749 N CAUSEWAY BLVD |
| City | METAIRIE |
| State | LA |
| Zip Code | 70002-2046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144221151 | Robert David Lesser | Internal Medicine | 3749 N Causeway Blvd, Suite B, Metairie, LA 70002-1740 | 2005-08-02 |
| 1477823144 | Raul Llanos, Md Pmc | Obstetrics & Gynecology | 3749 N Causeway Blvd, Suite C, Metairie, LA 70002-1740 | 2012-01-11 |
| 1750615365 | Robert D Lesser Md Internal Medicine LLC | Internal Medicine | 3749 N Causeway Blvd, Suite B, Metairie, LA 70002-1740 | 2009-09-29 |
| 1497716419 | Raul Llanos | Obstetrics & Gynecology | 3749 N Causeway Blvd, Suite C, Metairie, LA 70002-1740 | 2006-03-29 |
| 1669444600 | Shailaja G. Raj | Obstetrics & Gynecology | 3749 N Causeway Blvd, Suite C, Metairie, LA 70002-1740 | 2006-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114541737 | Solstice Technologies, Inc. | Clinical Medical Laboratory | 3501 Severn Ave Suite 24, Metairie, LA 70002 | 2020-05-29 |
| 1891335071 | Kristin Alongi | Nurse Practitioner | 3838 N Causeway Blvd. Ste 2200, Metairie, LA 70002 | 2020-01-15 |
| 1841850450 | Emily Suarez Tan | Dentist | 3301 Veterans Blvd., Suite 203, Metairie, LA 70002 | 2019-06-17 |
| 1902369317 | Unitedhealthcare of Louisiana, Inc. | Health Maintenance Organization | 3838 N. Causeway Blvd., Suite 2600, Metairie, LA 70002 | 2019-04-11 |
| 1013479195 | Jeffrey Scott Toler | Dentist | 2937 Veterans Memorial Blvd, Ste C, Metairie, LA 70002 | 2019-04-05 |
| 1982188470 | Kelly Brooke Anderson | Clinic/Center | 2215 Veterans Blvd, Metairie, LA 70002 | 2018-09-20 |
| 1831695253 | A&g Pediatrics LLC | Community Based Residential Treatment Facility, Mental Illness | 3001 Division St., Suite 206, Metairie, LA 70002 | 2018-04-04 |
| 1730691064 | Desire Care, LLC | Technician | 2800 Hessmer Ave, Suite B, Metairie, LA 70002 | 2017-10-26 |
| 1104338458 | Monet Wiltz | Case Manager/Care Coordinator | 2637 Edenborn Ave Ste 302, Metairie, LA 70002 | 2017-10-26 |
| 1316461395 | Crystal Mc Bride | Counselor | 3100 Ridgelake Dr. Suite 309, Metairie, LA 70002 | 2017-08-01 |
| Find all providers in zip 70002 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033736343 | David S Vaughan | Physical Medicine & Rehabilitation | 3926 Barron St Ste C210, Metairie, LA 70002-5798 | 2020-07-02 |
| 1437263522 | Omni Pain Management, LLC | Physical Medicine & Rehabilitation | 2701 David Dr, Suite A, Metairie, LA 70003-4511 | 2006-08-18 |
| 1831119684 | Joseph John Mogan IIi | Physical Medicine & Rehabilitation | 2701 David Dr Ste A, Metairie, LA 70003-4511 | 2006-07-21 |
| 1801233648 | Metairie Physician Services Inc. | Physical Medicine & Rehabilitation | 4300 Houma Blvd., Ste. 202, Metairie, LA 70006-2924 | 2013-06-03 |
| 1477661965 | John K Smart | Physical Medicine & Rehabilitation | 2701 David Dr, Metairie, LA 70003-4511 | 2006-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184196784 | Evan Phillips | Physical Medicine & Rehabilitation | 1103 Kaliste Saloom Rd Ste 100&102, Lafayette, LA 70508-5783 | 2018-12-19 |
| 1093236283 | Spine Management Group, LLC | Physical Medicine & Rehabilitation | 4600 S Claiborne Ave Ste 100, New Orleans, LA 70125-5010 | 2017-06-28 |
| 1467808519 | Healthspere Management Group | Physical Medicine & Rehabilitation | 872 Behrman Hwy, Gretna, LA 70056-4546 | 2016-05-09 |
| 1144568320 | Rees Medical Services, LLC | Physical Medicine & Rehabilitation | 1211 Coolidge Blvd Ste 401, Lafayette, LA 70503-2638 | 2013-01-23 |
| 1962636597 | Bayou Physical Medicine, Inc. | Physical Medicine & Rehabilitation | 12038 Lake Sherwood Ave N, Baton Rouge, LA 70816-4341 | 2009-05-11 |
| 1386807444 | Axcess Medical Clinic, Inc | Physical Medicine & Rehabilitation | 524 Elmwood Park Blvd, Suite 100, Harahan, LA 70123-3339 | 2008-07-08 |
| 1124298344 | Satvik Bhargav Munshi | Physical Medicine & Rehabilitation | 3820 Lapalco Blvd, Harvey, LA 70058 | 2008-03-04 |
| 1417167750 | Markus Vattakattil John | Physical Medicine & Rehabilitation | 4021 We Heck Ct, Building M-1, Baton Rouge, LA 70816-0416 | 2007-05-23 |
| 1558475806 | Stat Care Pain Management, LLC | Physical Medicine & Rehabilitation | 807 Stubb St., Suite 1, Monroe, LA 71201 | 2006-08-17 |
| 1811900459 | Omni Paim Management Plus, LLC | Physical Medicine & Rehabilitation | 700 Gause Blvd Ste 101, Slidell, LA 70458-2852 | 2006-08-14 |
| Find all providers with the same taxonomy | ||||
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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.