DR. ROBERT GEORGE ELLIS


Address: 1204 E 29th St, Tulsa, OK 74114-3907
Phone: 9187421940

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0001X Radiology
Specialization: Radiation Oncology
9953 OK Allopathic & Osteopathic Physicians

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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

Office Location

Street Address 1204 E 29TH ST
City TULSA
State OK
Zip Code 74114-3907

Providers in the same zip code

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 Information

Taxonomy Code 2085R0001X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Radiation Oncology

Taxonomy Definition

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

Providers in the same taxonomy and city

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

Competitor

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City TULSA
Zip Code 74114

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Dataset Information

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.

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