Todd S Ellison, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

A10597 Issued in LA

Practice address

1501 Kings Hwy
Department of Emergency Medicine
Shreveport, LA 71103-4228

Phone

(318) 675-7737

Fax

(318) 675-5666

NPI assigned

Jul 14, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Acs Primary Care Physicians Southwest, PA

  • Emergency Medicine Physician
  • Gainesville, TX
  • NPI 1538101019
  Medicare reassignment
• Memorial Hermann Hospital Based Physician Group

  • Emergency Medicine Physician
  • Houston, TX
  • NPI 1295363497
  Medicare reassignment
• Louisiana State University Health Sciences Center

  dba LSU Health Shreveport dba Allied Health Clinics

  • Behavior Analyst
  • Shreveport, LA
  • NPI 1063000750
  NPD (past)
• Louisiana State University Health Sciences Center

  dba Allied Health Clinics Early Steps

  • Speech-Language Pathologist
  • Shreveport, LA
  • NPI 1144544529
  NPD (past)
• Louisiana State University Health Sciences Center

  dba LSUHSC-S Department of Anesthesiology

  • Anesthesiology Physician
  • Shreveport, LA
  • NPI 1235174061
  NPD (past)
• Louisiana State University Health Sciences Center

  dba Comphrehensive Clinic of Monroe

  • Family Medicine Physician
  • Monroe, LA
  • NPI 1316119167
  NPD (past)
• Louisiana State University Health Sciences Center

  dba Allied Health Clinics

  • Physical Therapist
  • Shreveport, LA
  • NPI 1346609526
  NPD (past)
• Louisiana State University Health Sciences Center

  dba Louisiana State University Health Sciences

  • Family Medicine Physician
  • Shreveport, LA
  • NPI 1366614117
  NPD (past)
• Louisiana State University Health Sciences Center

  dba Allied Health Clinics

  • Psychologist
  • Shreveport, LA
  • NPI 1689901316
  NPD (past)
• Louisiana State University Health Sciences Center

  dba HPL Family Medicine Clinics

  • Family Medicine Physician
  • Alexandria, LA
  • NPI 1871765982
  NPD (past)
• Louisiana State University Health Sciences Center

  dba LSU Clinics of Monroe

  • Family Medicine Physician
  • Monroe, LA
  • NPI 1962674713
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093731762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 KINGS HWY",
            "address_2": "DEPARTMENT OF EMERGENCY MEDICINE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034228",
            "telephone_number": "318-675-7737",
            "fax_number": "318-675-5666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 KINGS HWY",
            "address_2": "DEPARTMENT OF EMERGENCY MEDICINE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034228",
            "telephone_number": "318-675-7737",
            "fax_number": "318-675-5666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLISON",
        "first_name": "TODD",
        "middle_name": "S",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "A10597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1626350",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Malisha Ellis
• Ashton Cameron Ellison, MD
• Benjamin Ellison
• Dominique Ellison
• Paula Rashell Ellison, B.S.
• Donald Alan Elmajian, M.D.
• Johnny Elmalakh, D.O
• Sandy Rayes Elmalakh, DO
• Julia A Elrod, MD
• Forozan Emamjomeh, RPH

• Physician Assistant in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.