ELLISIV LIEN (NPI# 1265670749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265670749 |
| Entity Type | Individual |
| Full Name | ELLISIV LIEN |
| Credential | MD |
| Practice Address |
2737 S Broadway Ave Tyler TX 75701-5413 |
| Mailing Address |
Po Box 6605 Tyler TX 75711-6605 |
| Practice Telephone | 9035926000 |
| Practice Fax Number | 9035923224 |
| Mailing Telephone | 9035926000 |
| Mailing Fax Number | 9035923224 |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2019-01-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | N1735 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
2737 S BROADWAY AVE |
| City | TYLER |
| State | TX |
| Zip Code | 75701-5413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629071527 | Mark A Hackbarth | Anesthesiology | 2737 S Broadway Ave, Tyler, TX 75701 | 2005-05-24 |
| 1194216994 | Leslie Karen Partlow | Nurse Practitioner | 2737 S Broadway Ave, Tyler, TX 75701-5413 | 2018-05-29 |
| 1134633266 | Wendy Prewett | Nurse Practitioner | 2737 S Broadway Ave, Tyler, TX 75701-5413 | 2017-11-28 |
| 1871044115 | Travis Squyres | Nurse Practitioner | 2737 S Broadway Ave, Tyler, TX 75701 | 2016-10-21 |
| 1881076891 | Preston Harmon | Emergency Medicine | 2737 S Broadway Ave, Tyler, TX 75701-5413 | 2015-06-25 |
| 1427447580 | Ruben Benjamin Delarosa | Physician Assistant | 2737 S Broadway Ave, Tyler, TX 75701 | 2015-01-13 |
| 1346670726 | Charles R Gordon Md Pa | Pharmacy | 2737 S Broadway Ave, Tyler, TX 75701-5413 | 2013-11-20 |
| 1437581055 | Edward Lee Poe | Counselor | 2737 S Broadway Ave, Suite 206, Tyler, TX 75701-5413 | 2013-08-06 |
| 1023276466 | James Alan Muns | Neurological Surgery | 2737 S Broadway Ave, Tyler, TX 75701-5413 | 2008-05-31 |
| 1831373042 | Andy Juney Redmond | Neurological Surgery | 2737 S Broadway Ave, Tyler, TX 75701-5413 | 2007-12-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962057059 | Gonzalo Fernandez | Physical Therapy Assistant | 753 S Beckham Ave, Tyler, TX 75701 | 2019-08-06 |
| 1215422654 | Adrianna Bussell | Nurse Practitioner | 1000 South Beckham, Tyler, TX 75701 | 2018-06-28 |
| 1285128017 | Idowu Akintokunbo Akinyele | Dentist | Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 | 2018-06-15 |
| 1992208912 | Heather Renee Vancleave | Occupational Therapy Assistant | 1228 Louann Lane, Tyler, TX 75701 | 2018-03-15 |
| 1497260533 | Smile Workshop Mckinney, Pllc | Dentist | 301 N. Custer Rd, Mckinney, TX 75701 | 2017-12-12 |
| 1396266441 | Eye Surgery Center of East Texas, Pllc | Clinic/Center | 2448 E 5th St, Tyler, TX 75701 | 2017-06-29 |
| 1962936369 | Collins Complete Family Care | Nurse Practitioner | 1910 E Se Loop 323 # 176, Tyler, TX 75701 | 2017-04-12 |
| 1386187052 | Fellowship Health Team LLC | Home Health | 1124 S Fleishel Ave, Tyler, TX 75701 | 2016-11-29 |
| 1205382454 | Brenton Robinson | Nurse Practitioner | 1100 East Lake St, 160, Tyler, TX 75701 | 2016-08-28 |
| 1851846208 | Care First Pharmacy, LLC | Pharmacy | 1910 Roseland Blvd A, Tyler, TX 75701 | 2016-08-15 |
| Find all providers in zip 75701 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508318460 | Tyler Integrative Health and Wellness, LLC | Physical Medicine & Rehabilitation | 7062 Highlands Ln, Tyler, TX 75703 | 2016-10-26 |
| 1962567586 | Gerald P Foox | Physical Medicine & Rehabilitation | 1405 S. Fleishel Ave, Suite 316, Tyler, TX 75701 | 2006-12-26 |
| 1194817825 | Spine Specialists, Pa | Physical Medicine & Rehabilitation | 1814 Roseland Blvd., Suite 250, Tyler, TX 75701 | 2006-09-29 |
| 1487698106 | Donald Edward Arego | Physical Medicine & Rehabilitation | 701 Olympic Plaza, 2nd Floor, Tyler, TX 75701 | 2006-06-15 |
| 1952308777 | Ritesh R Prasad | Physical Medicine & Rehabilitation | 3110 Park Center Dr, Tyler, TX 75701-9215 | 2005-07-07 |
| 1336146794 | Janine Coles Islam | Physical Medicine & Rehabilitation | 4295 Kinsey Dr, Tyler, TX 75703-1004 | 2005-06-30 |
| 1538760640 | Ancelmo Mojarro | Physical Medicine & Rehabilitation | 100 E Ferguson St, Tyler, TX 75702-5759 | 2020-11-04 |
| 1336775014 | Katherine Sue Henke | Physical Medicine & Rehabilitation | 701 Olympic Plaza Cir, Tyler, TX 75701-1950 | 2020-03-13 |
| 1720510795 | Trinity Physical Medicine and Rehab, Pllc | Physical Medicine & Rehabilitation | 7062 Highlands Ln, Tyler, TX 75703-0590 | 2017-03-29 |
| 1275850836 | James Edward Applebury | Physical Medicine & Rehabilitation | 3131 Troup Hwy, Tyler, TX 75701-8350 | 2010-04-22 |
| Find all providers in TYLER | ||||
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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.