JAMES B ELLIS MDPA (NPI# 1568824209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568824209 |
| Entity Type | Organization |
| Organization Name | JAMES B ELLIS MDPA |
| Practice Address |
12446 West Ave Ste 200 San Antonio TX 78216-2517 |
| Practice Telephone | 2105251668 |
| Practice Fax Number | 2105251669 |
| Mailing Telephone | 2105251668 |
| Mailing Fax Number | 2105251669 |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2016-09-27 |
| Authorized Official Name | JAMES B ELLIS (MD/OWNER) |
| Authorized Official Telephone | 2105251668 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 356652301 | 05 |
| Street Address |
12446 WEST AVE STE 200 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78216-2517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265431415 | Samuel R Neeley | Neuromusculoskeletal Medicine & OMM | 12446 West Ave, Suite 200, San Antonio, TX 78216-2517 | 2005-07-19 |
| 1033652425 | Pediatric Urology of San Antonio Pllc | Urology | 12446 West Ave, Ste 200, San Antonio, TX 78216-2517 | 2016-12-02 |
| 1881077857 | Charles Thomas Md Pa | Psychiatry & Neurology | 12446 West Ave, Ste 200, San Antonio, TX 78216-2517 | 2015-07-08 |
| 1548668411 | Neurology Associates of San Antonio Pllc | Psychiatry & Neurology | 12446 West Ave, Ste 200, San Antonio, TX 78216-2517 | 2014-12-09 |
| 1235360009 | Christina Ann Keane | Specialist/Technologist, Other | 12446 West Ave, Ste 200, San Antonio, TX 78216-2517 | 2009-07-28 |
| 1376749564 | Jerry I. Koch | Chiropractor | 12446 West Ave, Ste 100, San Antonio, TX 78216-2517 | 2007-06-25 |
| 1508061482 | Rose Medical Group, P.a. | Anesthesiology | 12446 West Ave, Suite 100, San Antonio, TX 78216-2517 | 2007-06-19 |
| 1649391632 | Samuel R Neeley Md Pa | Clinic/Center | 12446 West Ave, Suite 200, San Antonio, TX 78216-2517 | 2007-04-03 |
| 1801869268 | James Brant Ellis | Internal Medicine | 12446 West Ave, Ste 200, San Antonio, TX 78216-2517 | 2006-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376179820 | Damiana Lea Mcmahan | Speech-Language Pathologist | 12 Inter Park Blvd, #105, San Antonio, TX 78216 | 2020-03-17 |
| 1811530967 | Hacienda Hospice, Ltd | Hospice Care, Community Based | 101 W Silver Sands Dr, San Antonio, TX 78216 | 2019-10-22 |
| 1437792876 | Eddy Sidra | Optometrist | 7400 San Pedro Avenue, Suite 486, San Antonio, TX 78216 | 2019-10-17 |
| 1083256796 | Tiffany Michelle Goericke | Physical Therapist | 502 East Ramsey, San Antonio, TX 78216 | 2019-10-14 |
| 1780246942 | Esperanza Eating Disorders Center, Pllc | Clinic/Center | 403 E. Ramsey, Suite 204, San Antonio, TX 78216 | 2019-07-08 |
| 1568938314 | Lyric Lea Lewis | Licensed Vocational Nurse | 85 Ne Interstate 410 Loop #500, San Antonio, TX 78216 | 2018-10-19 |
| 1912488206 | Rebecca Anna Poppe | Licensed Vocational Nurse | 1514 Vista Del Norte, San Antonio, TX 78216 | 2018-08-24 |
| 1205338779 | Bailee Hannah Mokry | Behavioral Analyst | 11306 Sir Winston, San Antonio, TX 78216 | 2018-03-01 |
| 1487155677 | Ojer Corbie | Behavior Technician | 11310 Sir Winston At Bld D, San Antonio, TX 78216 | 2018-02-23 |
| 1366943631 | Briana Nicole Rodriguez | Behavior Technician | 14235 Blanco Road, San Antonio, TX 78216 | 2018-02-22 |
| Find all providers in zip 78216 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881965481 | Spurs Lane Medical Associates Pa | Internal Medicine | 2 Spurs Lane, Bldg 6 Ste 100, San Antonio, TX 78240-1634 | 2012-01-13 |
| 1942486964 | Cancer Care Network of South Texas Pa | Internal Medicine | 2130 N.e. Loop 410, Suite #100, San Antonio, TX 78217-4660 | 2008-01-22 |
| 1457547135 | Ju-hsien Chao | Internal Medicine | 4450 Medical Dr Fl 1, San Antonio, TX 78229-3710 | 2007-09-17 |
| 1558403337 | Slavisa Gasic | Internal Medicine | 7355 Barlite Blvd Ste 504, San Antonio, TX 78224-1341 | 2007-02-12 |
| 1700980299 | Alexei Arkhipov | Internal Medicine | 7390 Barlite Blvd, Suite 205, San Antonio, TX 78224-1337 | 2006-09-12 |
| 1457374142 | Stephen C Cohen | Internal Medicine | 2130 N.e.loop 410, Suite #250, San Antonio, TX 78217-4660 | 2006-07-25 |
| 1285662510 | Jayasree N Rao | Internal Medicine | 202 Baltimore, San Antonio, TX 78215-1907 | 2006-06-28 |
| 1265473391 | Raul M Portillo | Internal Medicine | 1200 Brooklyn Ave Ste 115, San Antonio, TX 78212-4815 | 2006-06-09 |
| 1881632974 | Zulfaqqar M Jaffar | Internal Medicine | 8019 S New Braunfels Ste 101, San Antonio, TX 78235-1069 | 2006-06-02 |
| 1336120054 | Cancer Care Centers of South Texas | Internal Medicine | 4411 Medical Dr, Ste. 100, San Antonio, TX 78229-3832 | 2005-11-09 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78216 |
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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.