SOUTHWEST DALLAS ORTHOPEDIC ASST PA (NPI# 1972658680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972658680 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST DALLAS ORTHOPEDIC ASST PA |
| Practice Address |
2909 South Hampton Suite D107 Dallas TX 75224 |
| Mailing Address |
Po Box 381329 Duncanville TX 75138-1329 |
| Practice Telephone | 2143339175 |
| Practice Fax Number | 2143304609 |
| Mailing Telephone | 2143339175 |
| Mailing Fax Number | 2143304609 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2008-08-28 |
| Authorized Official Name | DR. JAMES SCOTT ELLIS (OWNER PROVIDER) |
| Authorized Official Telephone | 2143339175 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 175763502 | 05 |
| Street Address |
2909 SOUTH HAMPTON SUITE D107 |
| City | DALLAS |
| State | TX |
| Zip Code | 75224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972133999 | Bra'sheika Renee Johnson | Pharmacist | 752 Wynnewood Village S/c, Dallas, TX 75224 | 2020-01-17 |
| 1821523317 | Hao Anh Dang | Dentist | 2221 W Ledbetter Dr Ste 100, Dallas, TX 75224 | 2017-04-22 |
| 1568820009 | Ashley Nicole Green | Dentist | 2221 W. Ledbetter Drive, Suite 100, Dallas, TX 75224 | 2016-01-28 |
| 1194138867 | Laurie Smith | Licensed Vocational Nurse | 3622 S Tyler St, Dallas, TX 75224 | 2014-06-10 |
| 1346667474 | Sherry Diann Flewellen-ervin | Counselor | 501 Wynnwood Village, Dallas, TX 75224 | 2014-03-26 |
| 1326381880 | Mercy Housecall Physicians Group, LLC | Clinic/Center | 501 Wynnrwood Village, Ste 102a, Dallas, TX 75224 | 2013-04-03 |
| 1437416971 | Masako Nishio M.d., P.a. | Anesthesiology | 2929 South Hampton Rd, Dallas, TX 75224 | 2012-04-23 |
| 1306119177 | Truevision Eye Care P.a. | Optometrist | 911 Wynnewood Village, Dallas, TX 75224 | 2012-02-09 |
| 1639449358 | Access Dental of Illinois Pa | Dentist | 2304 W Illinois Ave, Dallas, TX 75224 | 2012-01-11 |
| 1659649317 | Shambresha Lanette Sewell | Assisted Living Facility | 3911 Morning Spring Trl, Dallas, TX 75224 | 2011-12-09 |
| Find all providers in zip 75224 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215543566 | Ortholonestar, Pllc | Orthopaedic Surgery | 9301 North Central Expy, Tower 1, Ste 500, Dallas, TX 75231-7523 | 2020-09-22 |
| 1336790971 | Javier Errisuriz | Orthopaedic Surgery | 1130 Beachview St Ste 100, Dallas, TX 75218-3702 | 2019-09-25 |
| 1710548300 | Emily Skarda | Orthopaedic Surgery | 1801 Inwood Drive, Dallas, TX 75390-8883 | 2019-06-24 |
| 1275053605 | C3 Assist LLC | Orthopaedic Surgery | 9101 N Central Expy Ste 360, Dallas, TX 75231-5949 | 2017-06-27 |
| 1467717801 | Louis Baxter Jones | Orthopaedic Surgery | 12222 N Central Expy Ste 210, Dallas, TX 75243 | 2012-07-11 |
| 1649542564 | Hip & Joint Specialists of North Texas Pllc | Orthopaedic Surgery | 7777 Forest Ln Ste C300g, Dallas, TX 75230-6905 | 2012-02-08 |
| 1700167814 | David Muzykewicz | Orthopaedic Surgery | 9301 N Central Expy Ste 350, Dallas, TX 75231 | 2011-09-01 |
| 1497041222 | Premier Muscle Testing LLC | Orthopaedic Surgery | 2409 Wild Cherry Way, Dallas, TX 75206-8372 | 2011-06-20 |
| 1801194675 | Dallas Sarcoma Associates Pa | Orthopaedic Surgery | 4728 Crooked Ln, Dallas, TX 75229-4211 | 2011-03-03 |
| 1386940450 | Justin Friedman | Orthopaedic Surgery | 8220 Walnut Hill Ln Ste 615, Dallas, TX 75231-4424 | 2011-02-07 |
| Find all providers in DALLAS | ||||
Please comment or provide details below to improve the information on SOUTHWEST DALLAS ORTHOPEDIC ASST PA.
| 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.