DR. JAISHREE RIVA ELLIS (NPI# 1790924298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790924298 |
| Entity Type | Individual |
| Full Name | DR. JAISHREE RIVA ELLIS |
| Other Name | DR. JAISHREE RIVA SCHLEY |
| Credential | MD |
| Practice Address |
820 E Front St Tyler TX 75702-8326 |
| Mailing Address |
2028 Wirt Rd Houston TX 77055-1602 |
| Practice Telephone | 9033431265 |
| Mailing Telephone | 7136827066 |
| Mailing Fax Number | 8329162813 |
| Enumeration Date | 2009-02-07 |
| Last Update Date | 2016-12-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | M9998 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
820 E FRONT ST |
| City | TYLER |
| State | TX |
| Zip Code | 75702-8326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407817489 | Hattie E Henderson | Family Medicine | 820 E Front St, Tyler, TX 75702-8326 | 2006-03-30 |
| 1457855637 | La'mesa Hunter | Nurse Practitioner | 820 E Front St, Tyler, TX 75702-8326 | 2018-03-21 |
| 1073961603 | Tabbotha Mcgee | Nurse Practitioner | 820 E Front St, Tyler, TX 75702-8326 | 2016-05-24 |
| 1225419575 | Maria Thomas | Nurse Practitioner | 820 E Front St, Tyler, TX 75702-8326 | 2015-06-12 |
| 1346346335 | Willow Wellness Center, P.a. | Internal Medicine | 820 E Front St, Tyler, TX 75702-8326 | 2006-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679116610 | Tiffiney Mcmakin | Nurse Practitioner | 810 E Houston St # 100, Tyler, TX 75702 | 2019-10-22 |
| 1659852507 | Krystal Gayle Lilley | Licensed Vocational Nurse | 100 E Ferguson St Ste 60a, Tyler, TX 75702 | 2018-08-28 |
| 1679029383 | Cynthia Lynn Kalawe | Physical Therapist | 100 E Ferguson, Suite 1204, Tyler, TX 75702 | 2016-09-01 |
| 1649623646 | Susan E Oxford | Social Worker | 13495 Frankston Highway, Tyler, TX 75702 | 2016-07-14 |
| 1053769281 | All Kidz Kan | Home Health | 2902 E Front St, Tyler, TX 75702 | 2016-05-27 |
| 1821415639 | Heather Mullins | Physical Therapy Assistant | 100 E. Ferguson Ste.1204, Tyler, TX 75702 | 2014-03-19 |
| 1346671336 | Dennis Keith Johnson | Dentist | 3081 Hwy. 31 East, Tyler, TX 75702 | 2013-12-02 |
| 1275882201 | Bobby Gibson | Counselor | 401 East Front Street, Ste 233, Tyler, TX 75702 | 2012-09-06 |
| 1144596792 | Tina Marie Borke | Clinical Neuropsychologist | 719 West Front St., Tyler, TX 75702 | 2012-03-28 |
| 1457629529 | James Whaley Rapp | Specialist/Technologist | 430 South Beckham Avenue, Trinity Mother Frances Sports Medicine, Tyler, TX 75702 | 2011-12-05 |
| Find all providers in zip 75702 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407229693 | Ann H Abrameit | Obstetrics & Gynecology | 1100 E Lake St Ste 260, Tyler, TX 75701-3359 | 2015-11-10 |
| 1093009185 | Jessica Clifton Charest | Obstetrics & Gynecology | 700 Olympic Plaza Cir Ste 602, Tyler, TX 75701 | 2011-06-06 |
| 1184952392 | Womens Environment | Obstetrics & Gynecology | 619 Courtview, Tyler, TX 75703-5916 | 2009-11-28 |
| 1316001753 | Sherilyn A. Willis | Obstetrics & Gynecology | 2017 Rickety Ln, Tyler, TX 75703-1706 | 2006-12-20 |
| 1346250149 | William E Brown | Obstetrics & Gynecology | 4290 Kinsey Dr, Ste 200, Tyler, TX 75703-1024 | 2006-08-08 |
| 1336159128 | Amanda L Harris | Obstetrics & Gynecology | 700 Olympic Plaza Cir Ste 503, Tyler, TX 75701-1952 | 2006-08-08 |
| 1528096542 | Arnold D Wharton | Obstetrics & Gynecology | 900 Medical Dr, Tyler, TX 75701-2129 | 2006-06-29 |
| 1740230820 | Trinity Clinic | Obstetrics & Gynecology | 733 S. Fleishel, Tyler, TX 75701 | 2006-05-11 |
| 1568435329 | Joe B Belue | Obstetrics & Gynecology | 534 S Beckham Ave, Tyler, TX 75702-8310 | 2006-02-10 |
| 1710950530 | Stephanie H Carl | Obstetrics & Gynecology | 1720 S Beckham Ave Ste 104, Tyler, TX 75701-4464 | 2006-02-10 |
| 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.