DR. LANCE A. ELLIS (NPI# 1508826074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508826074 |
| Entity Type | Individual |
| Full Name | DR. LANCE A. ELLIS |
| Credential | DO |
| Practice Address |
1507 W Main St Gatesville TX 76528-1024 |
| Practice Telephone | 2548652166 |
| Practice Fax Number | 2542480626 |
| Mailing Telephone | 2548652166 |
| Mailing Fax Number | 2542480626 |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2020-10-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
34-007955 | OH | Allopathic & Osteopathic Physicians |
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
5101015902 | MI | Allopathic & Osteopathic Physicians |
| Y | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
M4053 | TX | Allopathic & Osteopathic Physicians |
| N | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
5101015902 | MI | Allopathic & Osteopathic Physicians |
| N | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
34-007955 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | STATE LICENSE | M4053 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3500 Hillcrest Dr, Ste 1, Waco, TX 767083144 | 8886246882 | 8883959138 |
| 5100 Franklin Ave, Waco, TX 767106922 | 2548652166 | 2542480626 |
| Street Address |
1507 W MAIN ST |
| City | GATESVILLE |
| State | TX |
| Zip Code | 76528-1024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013910272 | Richard Kenneth Hurley | Anesthesiology | 1507 W Main St, Gatesville, TX 76528-1024 | 2005-05-23 |
| 1922658897 | Russell Rowe, Md, Pa | Dermatology | 1507 W Main St, Gatesville, TX 76528-1024 | 2019-09-12 |
| 1629540109 | Emily Leib | Physician Assistant | 1507 W Main St, Gatesville, TX 76528-1024 | 2018-12-21 |
| 1316427883 | Kelli Dudley | Nurse Practitioner | 1507 W Main St, Gatesville, TX 76528-1024 | 2018-08-15 |
| 1912485293 | Alecia Nicole Eads | Nurse Practitioner | 1507 W Main St, Gatesville, TX 76528-1024 | 2018-07-30 |
| 1679065833 | Ashley Lynette Stephens | Nurse Practitioner | 1507 W Main St, Gatesville, TX 76528-1024 | 2018-06-04 |
| 1760972863 | Casey Lynn Questelle | Specialist/Technologist, Other | 1507 W Main St, Gatesville, TX 76528 | 2018-05-14 |
| 1295241305 | Kerry Zacharias | Nurse Practitioner | 1507 W Main St, Gatesville, TX 76528-1024 | 2017-12-27 |
| 1255844791 | Mistee Jefferies | Nurse Practitioner | 1507 W Main St, Gatesville, TX 76528-1024 | 2017-11-07 |
| 1770010787 | Steven Christopher Liebing | Family Medicine | 1507 W Main St, Gatesville, TX 76528-1024 | 2017-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649751850 | Shannon Neuharth | Physical Therapy Assistant | 300 South Highway 36 Bypass, Gatesville, TX 76528 | 2018-08-25 |
| 1083149835 | Kathryn Cordell | Peer Specialist | 2400 Greenbriar Road, Gatesville, TX 76528 | 2017-04-28 |
| 1205375334 | Angel Edwards | Behavior Technician | 136 North 28th Street, Gatesville, TX 76528 | 2017-02-22 |
| 1790133775 | Peter Bealka | Ophthalmology | 2406 S. Business Highway 36, Gatesville, TX 76528 | 2016-05-31 |
| 1356748230 | Hcaa, LLC | Clinic/Center | 2610 Osage Road, Gatesville, TX 76528 | 2014-11-20 |
| 1215346788 | Deborah Stephens | Dentist | 1916 N. Hwy 36, Gatesville, TX 76528 | 2014-08-08 |
| 1144419672 | Neil M. Bealka Jr.,m.d. Pa | Ophthalmology | 2406 S. Business Hwy 36, Gatesville, TX 76528 | 2007-10-22 |
| 1386762920 | Cynthia Treadway Bankston | Hearing Instrument Specialist | 145 Cr 107, Gatesville, TX 76528 | 2007-03-26 |
| 1437268885 | H-e-b, Lp | Clinical Medical Laboratory | 1207 E Main St, Gatesville, TX 76528 | 2006-08-30 |
| 1336182310 | Neil Michael Bealka Jr. | Ophthalmology | 2406 S Business Hwy 36, Gatesville, TX 76528 | 2006-06-14 |
| Find all providers in zip 76528 | ||||
| Taxonomy Code | 207XX0801X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Trauma |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992952857 | Richard Brian Barber | Orthopaedic Surgery | 21 Spurs Ln Ste 300, San Antonio, TX 78240-1679 | 2008-08-22 |
| 1114192473 | Joseph M Hahn | Orthopaedic Surgery | 7121 S Padre Island Dr Ste 106, Corpus Christi, TX 78412 | 2008-04-28 |
| 1386835585 | Justin Fowler | Orthopaedic Surgery | 2606 Hospital Blvd Ste E, Corpus Christi, TX 78405 | 2007-08-05 |
| 1033312632 | Brent J Bauer | Orthopaedic Surgery | 7125 Sanger Rd Ste 516, Waco, TX 76712-4054 | 2007-06-09 |
| 1568665164 | Ashoke Kasyap Sathy | Orthopaedic Surgery | 4900 Harry Hines Blvd Fl 2, Dept of Orthopaedic Surgery, Dallas, TX 75235-7719 | 2007-06-09 |
| 1689694390 | Charisse Y Sparks | Orthopaedic Surgery | 1809 W Loop 281, Suite 100-131, Longview, TX 75604-2571 | 2006-07-19 |
| 1588655799 | Michael Thomas Charlton | Orthopaedic Surgery | 10010 Rogers Xing Ste 308, San Antonio, TX 78251-4776 | 2005-11-04 |
| 1932199759 | Robert O Crous IIi | Orthopaedic Surgery | 5519 Doctors Dr, Edinburg, TX 78539-5563 | 2005-10-24 |
| 1205241965 | Raymond Bradley Kessler | Orthopaedic Surgery | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2014-06-20 |
| 1962847376 | Jacob Travis Davis | Orthopaedic Surgery | 2201 Macarthur Dr Ste 2205, Waco, TX 76708-3159 | 2013-04-30 |
| Find all providers with the same taxonomy | ||||
| City | GATESVILLE |
| Zip Code | 76528 |
Please comment or provide details below to improve the information on DR. LANCE A. ELLIS.
| 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.