DR. ROBERT GEORGE ELLIS (NPI# 1932111739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932111739 |
Entity Type | Individual |
Full Name | DR. ROBERT GEORGE ELLIS |
Credential | M.D. |
Practice Address |
1204 E 29th St Tulsa OK 74114-3907 |
Practice Telephone | 9187421940 |
Mailing Telephone | 9187421940 |
Enumeration Date | 2006-08-12 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
9953 | OK | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881945566 | Robert Ray Ellis | Military Health Care Provider | 10194 Cottage Ct, Diberville, MS 39540-4744 | 2012-09-21 |
1336392224 | Robert Ellis | Specialist/Technologist, Other | 8008 Blue Hole Ct, Mckinney, TX 75070-4896 | 2008-10-23 |
1124274394 | Robert Stephen Ellis | Dentist | 1434 - Parker Drive, Laurel, MS 39440-1942 | 2008-08-07 |
1083810709 | Robert Haig Ellis | Internal Medicine | 2412 Brookwood Drive, Fort Collins, CO 80525-1908 | 2007-06-21 |
1265534697 | Robert Frank Ellis | Obstetrics & Gynecology | 770 Elysian Way, Deerfield, IL 60015-4500 | 2006-09-05 |
1083724843 | Robert Lynn Ellis | Dentist | 143 1/2 E Main, Rigby, ID 83442 | 2006-08-30 |
1366461337 | Robert Earle Ellis | Counselor | 273 Front St, Weymouth, MA 02188-2202 | 2006-07-19 |
1124006549 | Robert William Ellis IIi | Psychiatry & Neurology | 204 W Grand River Ave, Suite 260, Howell, MI 48843-2299 | 2006-01-05 |
1689185936 | Robert Brian Ellis | Audiologist | 318 W El Norte Pkwy, Escondido, CA 92026-1925 | 2017-10-13 |
1316467277 | Robert Tyler Ellis | Orthopaedic Surgery | 1100 Virginia Avenue Dc 953 00, Columbia, MO 65212-0001 | 2017-06-22 |
Street Address |
1204 E 29TH ST |
City | TULSA |
State | OK |
Zip Code | 74114-3907 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356865307 | Helen Marie Collier | Registered Nurse | 2325 S. Harvard Avenue, Tulsa, OK 74114 | 2017-08-01 |
1730635640 | Portia Resnick | Specialist/Technologist | 5707 E 24th Pl, Tulsa, OK 74114 | 2016-08-31 |
1093177925 | Ana Achlosser | Counselor | 2120 S Jamestown Ave, Tulsa, OK 74114 | 2016-03-21 |
1437558277 | Nicole Holzkamper | Case Manager/Care Coordinator | 2525 S Harvard Ave, Tulsa, OK 74114 | 2014-08-18 |
1619216272 | Nicole Lisette Mancinelli | Physician Assistant | 2424 E. 21st Street, Suite 320, Tulsa, OK 74114 | 2013-02-01 |
1598001414 | Zachary Paschall | Counselor | 2325 S Havard Ave, Tulsa, OK 74114 | 2012-12-20 |
1346511334 | Chelsea Lee Joslin | Counselor | 2140 S Harvard Ave Ste 200, Tulsa, OK 74114 | 2012-01-23 |
1073893210 | Elizabeth C Canfield | Speech-Language Pathologist | 1929 South 74th East Avenue, Tulsa, OK 74114 | 2011-08-19 |
1508185430 | Karly Lynn Mason | Social Worker | 2140 S. Harvard, Tulsa, OK 74114 | 2010-05-17 |
1790922185 | State of Oklahoma | Community Based Residential Treatment Facility, Mental Illness | 2323 South Harvard, Tulsa, OK 74114 | 2009-01-07 |
Find all providers in zip 74114 |
Taxonomy Code | 2085R0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Radiation Oncology |
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437148954 | Nathan Wilson Uy I | Radiology | 12697 E 51st St, Tulsa, OK 74146-6236 | 2005-10-18 |
1467992230 | South Tulsa Oncology Professionals Cancer Associates | Radiology | 1120 S Utica Ave, Tulsa, OK 74104-4012 | 2017-02-27 |
1366897357 | Andrea Kellogg | Radiology | 4502 E 41st St, Tulsa, OK 74135-2536 | 2016-04-27 |
1437544228 | Nilan Naik | Radiology | 10109 E 79th St, Tulsa, OK 74133-4564 | 2015-03-30 |
1538483698 | Oklahoma Oncology and Hematology, P.C. | Radiology | 9320 S Mingo Rd, Tulsa, OK 74133-5710 | 2010-03-18 |
1760644587 | South Tulsa Rt Associates LLC | Radiology | 2408 E 81st St, Ste 110, Tulsa, OK 74137-4215 | 2008-07-02 |
1598927618 | Radiation Therapy Specialists of Tulsa, Pllc | Radiology | 6161 S Yale Ave, Tulsa, OK 74136-1902 | 2008-06-30 |
1174784540 | Walter Edwin Watts Iv | Radiology | 1120 S Utica Ave, Tulsa, OK 74104-4012 | 2008-06-18 |
1821115304 | Elesyia D. Outlaw | Radiology | 10109 E. 79th Street, Tulsa, OK 74133 | 2007-03-22 |
1548319940 | Stephen Zohar Sack | Radiology | 11212 E 48th St, Tulsa, OK 74146-5824 | 2007-01-09 |
Find all providers in TULSA |
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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.