DR. THOMAS CHARLES ELLIS (NPI# 1700893054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700893054 |
| Entity Type | Individual |
| Full Name | DR. THOMAS CHARLES ELLIS |
| Credential | D.C. |
| Practice Address |
122 Mulberry Ln Wilson OK 73463-6203 |
| Practice Telephone | 5806683600 |
| Practice Fax Number | 5806683605 |
| Mailing Telephone | 5806683600 |
| Mailing Fax Number | 5806683605 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2014-06-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3267 | OK | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275720997 | Thomas Shawn Ellis | Psychologist | 1240 California St Apt 3, San Francisco, CA 94109-5060 | 2007-09-26 |
| 1326030354 | Thomas J Ellis | Family Medicine | 1204 E Fire Tower Rd, Ecu Physicians Family Medicine Firetower Medical Office, Greenville, NC 27858-4196 | 2005-08-16 |
| 1942797436 | Thomas Ellis | Behavior Technician | 90 Carando Dr, Springfield, MA 01104-4205 | 2018-04-19 |
| 1659736676 | Thomas Edward Ellis | Psychologist | 12301 Main St, The Menninger Clinic, Houston, TX 77035-6207 | 2015-12-17 |
| 1144357542 | Thomas Matthew Ellis | Counselor | 1133 Grand Ave, Saint Paul, MN 55105-2629 | 2007-02-27 |
| 1922151240 | Thomas R. Ellis | Anesthesiology | 450 Sutter Street, San Francisco, CA 94108-4206 | 2007-01-19 |
| 1689731242 | Thomas W. Ellis | Emergency Medicine | 7777 Hennessy Blvd, Baton Rouge, LA 70808-4300 | 2007-01-03 |
| 1235234428 | Thomas J Ellis | Orthopaedic Surgery | 101 Regent Ct, State College, PA 16801-7965 | 2006-09-13 |
| 1427163039 | Thomas W Ellis | Nurse Practitioner | 5202 Miller Rd, Flint, MI 48507-1040 | 2006-08-21 |
| 1124036645 | Thomas James Ellis | Orthopaedic Surgery | 4605 Sawmill Rd, Upper Arlington, OH 43220-2246 | 2006-08-03 |
| Street Address |
122 MULBERRY LN |
| City | WILSON |
| State | OK |
| Zip Code | 73463-6203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982713855 | Good Samaritan Hospice, Inc. | Hospice Care, Community Based | 410 Idlewood Circle, Wilson, OK 73463 | 2006-08-30 |
| 1992299895 | April M Sanders | Case Manager/Care Coordinator | 637 Ash St, Wilson, OK 73463-1280 | 2018-06-14 |
| 1952353427 | Ynal Habj-bik | Family Medicine | 1152 Us Highway 70a, Wilson, Wilson, OK 73463-1482 | 2006-05-16 |
| 1891862868 | Mercy Health Network of The Southern Region, Inc. | Internal Medicine | 1152 Us Highway 70a, Wilson, OK 73463-1482 | 2006-11-29 |
| 1518052281 | Equity Funding LLC | Skilled Nursing Facility | 867 Us Highway 70a, Wilson, OK 73463-1683 | 2006-10-04 |
| 1225245046 | Susan Renee Youngblood | Counselor | 867 Us Highway 70a, Wilson, OK 73463-1683 | 2007-05-17 |
| 1720285505 | Kimberly Dawn Powell | Counselor | 1749 Hewitt Rd, Wilson, OK 73463-1875 | 2007-06-27 |
| 1558448381 | Wilson Public School | Technician | 1860 Hewitt Rd, Wilson, OK 73463-1882 | 2006-11-01 |
| 1154541944 | Good Health Care Professionals, Inc. | Home Health | 182 Redwood St, Wilson, OK 73463-6555 | 2007-04-26 |
| 1184007213 | Jincy S Golden | Community/Behavioral Health | 622 Sandy Stone Rd, Wilson, OK 73463-6717 | 2015-07-07 |
| Find all providers in zip 73463 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285019554 | Brian Lee Hooper | Chiropractor | 3402 Queensferry Dr Nw, Wilson, NC 27896-1492 | 2015-07-28 |
| 1760752810 | Joyner Chiropractic Pain and Wellness Center | Chiropractor | 2515 Airport Blvd Nw, Suite D, Wilson, NC 27896-9602 | 2012-01-06 |
| 1063734622 | Bolton Enterprises I Pllc | Chiropractor | 1704 Medical Park Dr Nw, Wilson, NC 27893-6942 | 2010-02-24 |
| 1790017564 | James Bolton | Chiropractor | 2801 Ward Blvd, Ste 7a, Wilson, NC 27893-1752 | 2010-02-04 |
| 1487986329 | Nathan Anderson Joyner | Chiropractor | 3917 Country Club Dr Nw, Wilson, NC 27896-8183 | 2010-02-03 |
| 1093957722 | Advance Chiropractic-wilson P.C. | Chiropractor | 286 Young St., Wilson, NY 14172-0890 | 2009-03-26 |
| 1215029608 | Kurtz Chiropractic Inc | Chiropractor | 3011 Raleigh Road Parkway West, Wilson, NC 27896 | 2006-09-29 |
| 1093806309 | Michael G Kelly | Chiropractor | 1004 Tarboro St W, Wilson, NC 27893-4758 | 2006-09-28 |
| 1609967884 | Hooper-thurston Elite Chiropractic Center Inc | Chiropractor | 806 Hines St W, Wilson, NC 27893-3022 | 2006-09-27 |
| 1184646572 | Daryl Rowe Chapman | Chiropractor | 2231 Nash St Nw, Suite A, Wilson, NC 27896-1712 | 2006-07-24 |
| Find all providers in WILSON | ||||
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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.