Nicole M Ellison (NPI# 1013013721, PAC ID# 6103978069) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1013013721 |
| PAC ID by PECOS | 6103978069 |
| Professional Enrollment ID | I20090723000576 |
| Full Name | Nicole M Ellison |
| Organization Legal Name | TYLER COUNTY HOSPITAL DISTRICT |
| Address |
104 N Beech Woodville TX 75979-4718 |
| Phone Number | 4092832822 |
| Gender | F |
| Medical School | UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | EMERGENCY MEDICINE, PERIPHERAL VASCULAR DISEASE |
| Group Practice PAC ID | 1951212588 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450460 | TYLER COUNTY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 104 N Beech, Woodville, TX 75979-4718 | 4092832822 | TYLER COUNTY HOSPITAL DISTRICT |
| 1100 W Bluff, West Bluff Emergency Physicians, Woodville, TX 75979-4738 | 4092838141 | EMERGENCY PHYSICIANS OF WEST BLUFF PLLC |
| Organization Legal Name | TYLER COUNTY HOSPITAL DISTRICT |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Risheng Xu | Internal Medicine | Tyler County Hospital District | 104 N Beech, Woodville, TX 75979-4718 |
| Paula L Denson | Family Medicine | Tyler County Hospital District | 104 N Beech, Woodville, TX 75979-4718 |
| Pramoda K Mohapatra | Family Medicine | Tyler County Hospital District | 104 N Beech, Woodville, TX 75979-4718 |
| Nalini S Baijnath | Family Medicine | Tyler County Hospital District | 104 N Beech, Woodville, TX 75979-4718 |
| Natalia Ivanova | Family Medicine | Tyler County Hospital District | 104 N Beech, Woodville, TX 75979-4718 |
| James M Brown | Family Practice | Tyler County Hospital District | 1100 W Bluff St, Woodville, TX 75979-4738 |
| Street Address |
104 N BEECH |
| City | WOODVILLE |
| State | TX |
| Zip | 75979-4718 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Risheng Xu | Internal Medicine | Tyler County Hospital District | 104 N Beech, Woodville, TX 75979-4718 |
| Paula L Denson | Family Medicine | Tyler County Hospital District | 104 N Beech, Woodville, TX 75979-4718 |
| Pramoda K Mohapatra | Family Medicine | Tyler County Hospital District | 104 N Beech, Woodville, TX 75979-4718 |
| Nalini S Baijnath | Family Medicine | Tyler County Hospital District | 104 N Beech, Woodville, TX 75979-4718 |
| Natalia Ivanova | Family Medicine | Tyler County Hospital District | 104 N Beech, Woodville, TX 75979-4718 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew D James | Optometry | 1003 N Pine St, Woodville, TX 75979-4115 | |
| William P Williamson | Chiropractic | Wheeler Chiropractic and Sports Injury | 1101 W Bluff St, Woodville, TX 75979-4737 |
| Vien T Pham | Internal Medicine | Doucette Branch Inpatient Services Pllc | 1100 W Bluff St, Tyler County Hospital, Woodville, TX 75979-4738 |
| James W Kutchback | Podiatry | 1100 W Bluff, Woodville, TX 75979-4738 | |
| Howard H. Hood | Emergency Medicine | Emergency Physicians of West Bluff Pllc | 1100 W Bluff, West Bluff Emergency Physicians, Woodville, TX 75979-4738 |
| James M Brown | Family Practice | Tyler County Hospital District | 1100 W Bluff St, Woodville, TX 75979-4738 |
| Laconia A Bacon | Nurse Practitioner | Woodrome Medical Pa | 613 W Bluff, Dogwood Family Clinic, Woodville, TX 75979-5125 |
| Curtis R Evans | Nurse Practitioner | Dmctx1, Pllc | 703 W Bluff St, Dedicated Medical Center and Urgent Care, Woodville, TX 75979-5131 |
| Meagan Yeates | Nurse Practitioner | Dmctx1, Pllc | 703 W Bluff St, Dedicated Medical Center and Urgent Care, Woodville, TX 75979-5131 |
| City | WOODVILLE |
| Zip Code | 75979 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | WOODVILLE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Nicole M Ellison.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.