DR. MICHAEL G. ELLISON (NPI# 1417158734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417158734 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL G. ELLISON |
| Credential | PH.D. |
| Practice Address |
11940 Fm 730 N Azle TX 76020-5442 |
| Practice Telephone | 8174445800 |
| Practice Fax Number | 8174445800 |
| Mailing Telephone | 8174445800 |
| Mailing Fax Number | 8174445800 |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
20094 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861465932 | Michael John Ellison | Internal Medicine | 700 Frederick St Ste 203, Santa Cruz, CA 95062 | 2006-02-09 |
| 1720382393 | Michael Joseph Ellison | Physician Assistant | 115 Mall Dr, Hanford, CA 93230-5786 | 2010-12-22 |
| 1649598616 | Michael James Ellison | Social Worker | 703 Frisco Ave, Clinton, OK 73601-3320 | 2010-05-14 |
| 1740357797 | Michael A Ellison | Internal Medicine | 1435 Waukegan Rd, Glenview, IL 60025-2120 | 2006-11-28 |
| Street Address |
11940 FM 730 N |
| City | AZLE |
| State | TX |
| Zip Code | 76020-5442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518168848 | Patti Becher | Counselor | 11940 Fm 730 N, Azle, TX 76020-5442 | 2007-05-31 |
| 1922326800 | Holder Wellness Solutions, Pllc | Chiropractor | 11940 Fm 730 N, Azle, TX 76020-5442 | 2010-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447537 | Azle Cube Smiles Pllc | Dentist | 100 Park Plc Ste 224, Azle, TX 76020 | 2020-11-04 |
| 1992112650 | Euverse Neuromonitoring LLC | Neurological Surgery | 1244 Boling Ranch Road N, Azle, TX 76020 | 2014-07-15 |
| 1124378351 | Kathleen C. Anderson | Speech-Language Pathologist | 15873 Flying Jib Dr., Azle, TX 76020 | 2012-09-14 |
| 1386886703 | Janie Darlene Holder | Specialist/Technologist, Other | 10934 Power Squadron Rd., Azle, TX 76020 | 2009-03-31 |
| 1245442367 | Joseph S Mccreary | Dentist | 209 Roe St, Azle, TX 76020 | 2007-05-03 |
| 1659491207 | Phyllis Ann Nelson | Dietitian, Registered | 108 Denver Trail, Harris Methodist Northwest Hospital, Azle, TX 76020 | 2007-03-29 |
| 1548386824 | Terry L Moore | Dentist | 500 Boyd Court, Colleyville, TX 76020 | 2007-03-21 |
| 1437177862 | James Lee Masson | Chiropractor | 1025 Southeast Parkway, Azle, TX 76020 | 2006-07-17 |
| 1982609269 | Azle Manor Health Care, L.l.l.p. | Skilled Nursing Facility | 721 Dunaway Ln, Azle, TX 76020 | 2005-06-14 |
| 1154801165 | Shayna Colleen Lacy | Occupational Therapist | 721 Dunaway Ln, Azle, TX 76020 | 2018-08-19 |
| Find all providers in zip 76020 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487263554 | Leslie Gale Jones | Counselor | 220 Pecan St, Azle, TX 76020-2410 | 2020-07-24 |
| 1518168848 | Patti Becher | Counselor | 11940 Fm 730 N, Azle, TX 76020-5442 | 2007-05-31 |
| 1508873399 | Walter Joel Ward | Counselor | 1550 Cliff Manor St, Azle, TX 76020-3808 | 2006-08-02 |
| 1568071439 | Cassandra Donahue | Counselor | 7510 Fm 1886, Azle, TX 76020-1054 | 2020-07-27 |
| 1881140234 | William Stoy | Counselor | 7510 Fm 1886, Azle, TX 76020-1054 | 2016-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316903 | Christi Shortes | Counselor | 5024 Fm 304, Corsicana, TX 75109 | 2020-11-06 |
| 1265033047 | Rosa Isela Vidal | Counselor | 710 W Dove Ave, Pharr, TX 78577-9080 | 2020-11-06 |
| 1245831841 | Armando Martinez Jr. | Counselor | 2321 Nightingale Ave, Mcallen, TX 78504-4246 | 2020-11-02 |
| 1386245850 | Sondra Whitaker | Counselor | 19827 Billineys Park Dr, Katy, TX 77449-8538 | 2020-11-02 |
| 1902407430 | John Woodruff | Counselor | 206 S Kentucky St Ste 101, Mckinney, TX 75069-5439 | 2020-11-02 |
| 1063013589 | Infinite Beings Treatment Center LLC | Counselor | 4201 Cypress Creek Pkwy Ste 250, Houston, TX 77068-3412 | 2020-11-02 |
| 1821698531 | Stephenie Johnson | Counselor | 603 Ellington, Ropesville, TX 79358 | 2020-10-30 |
| 1770183477 | Yoonkyung Chung | Counselor | 312 W Westway Ave, Mcallen, TX 78501-2179 | 2020-10-30 |
| 1104426824 | Debrah Lynn Alsobrook | Counselor | 6601 Cypresswood Dr Ste 224, Spring, TX 77379-7893 | 2020-10-30 |
| 1134729106 | Provost Psychotherapy | Counselor | 1300 Bay Area Blvd Ste B150-28, Houston, TX 77058-2505 | 2020-10-29 |
| 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.