Ellen Elmore, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

P2852 Issued in TX

Practice address

11149 Research Blvd
Suite 210
Austin, TX 78759-5279

Phone

(512) 231-1901

Fax

(512) 231-1902

NPI assigned

Mar 25, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Maniilaq Association

  dba Maniilaq Health Center

  • Rural Acute Care Hospital
  • Kotzebue, AK
  • NPI 1861698805

  TX

  Medicare reassignment NPD
• Maniilaq Association

  dba Kobuk Clinic

  • Federal Public Health Clinic/Center
  • Kobuk, AK
  • NPI 1265709901
  NPD
• Maniilaq Association

  dba Maniilaq Health Center

  • Critical Access Hospital
  • Kotzebue, AK
  • NPI 1316995210
  NPD
• Sharon Hausman-Cohen, MD, PA

  dba Resilient Health

  • Primary Care Clinic/Center
  • Austin, TX
  • NPI 1730325846

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367539200000",
    "number": "1164694634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11149 RESEARCH BLVD",
            "address_2": "SUITE 210",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595279",
            "telephone_number": "512-231-1901",
            "fax_number": "512-231-1902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11149 RESEARCH BLVD",
            "address_2": "SUITE 210",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595279",
            "telephone_number": "512-231-1901",
            "fax_number": "512-231-1902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELMORE",
        "first_name": "ELLEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-25",
        "last_updated": "2013-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "8800",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "6418",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P2852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "313465202",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "313465201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Carlyle Ellspermann, PA-C
• Todd Ellsworth, RPH
• Dina Tarek Elmasri
• Christiana Elmer
• Sarah Marie Elmer, PA-C
• James Thomas Elms Jr., LMSW
• Samantha Elms, LMSW
• Luna Elmur
• Maysun Elnihum, LPC
• Linda Elrafie, B.A., LCDC

• Family Medicine Physician in Austin, TX
• Providers in Austin, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2013; 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.