Ellen D. Walthall, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

J0343 Issued in TX

Practice address

301 Jenny George LN
Sweetwater, TX 79556-7152

Phone

(325) 236-8886

Fax

(325) 236-8861

NPI assigned

Nov 13, 2006

Last updated

Jan 31, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Specialty

General SurgeryAlso: Emergency Medicine, Family Practice

Education

Texas a & M University System, HSC, College of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Concord Medical Group of Texas PLLCGroup PAC ID 7810117223, 319 clinicians

Muenster Hospital DistrictGroup PAC ID 6608785993, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ballinger Memorial Hospital Hospital, Ballinger, TX, CCN 451310
• W J Mangold Memorial Hospital Hospital, Lockney, TX, CCN 451337
• Ward Memorial Hospital Hospital, Monahans, TX, CCN 451373
• Plains Memorial Hospital Hospital, Dimmitt, TX, CCN 451350
• Muenster Memorial Hospital Hospital, Muenster, TX, CCN 451335

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Concord Medical Group of Texas PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1750790762
  Medicare reassignment Care Compare group NPD
• Muenster Hospital District

  dba MMH ER Group

  • Emergency Medicine Physician
  • Muenster, TX
  • NPI 1972556009
  Medicare reassignment Care Compare group NPD
• Ballinger Memorial Hospital District

  dba Ballinger Memorial Hospital

  • Critical Access Hospital
  • Ballinger, TX
  • NPI 1225038938

  Emergency Medicine

  Medicare reassignment NPD
• Baylor County Hospital District

  dba Seymour Hospital

  • Critical Access Hospital
  • Seymour, TX
  • NPI 1194893263
  Medicare reassignment NPD
• Castro County Hospital District

  dba Plains Memorial Hospital

  • Critical Access Hospital
  • Dimmitt, TX
  • NPI 1033118716
  Medicare reassignment NPD
• Concord Medical Group PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1083630610
  Medicare reassignment NPD
• County of Yoakum

  dba Yoakum County Hospital

  • Critical Access Hospital
  • Denver City, TX
  • NPI 1790702371
  Medicare reassignment NPD
• Dallam-Hartley Counties Hospital District

  dba Coon Memorial Hospital

  • Critical Access Hospital
  • Dalhart, TX
  • NPI 1245353747

  Family Medicine

  Medicare reassignment NPD
• Fisher County Hospital District

  dba Clearfork Health Center

  • Rural Health Clinic/Center
  • Rotan, TX
  • NPI 1104808112
  Medicare reassignment NPD
• Fisher County Hospital District

  • Critical Access Hospital
  • Rotan, TX
  • NPI 1598746703
  Medicare reassignment NPD
• Sutton County Hospital District

  dba Lillian M Hudspeth Memorial Hospital

  • Critical Access Hospital
  • Sonora, TX
  • NPI 1831140979
  Medicare reassignment NPD
• Walthall Surgical Center PLLC

  • Surgery Physician
  • Sweetwater, TX
  • NPI 1720315393
  Authorized official Same address or phone

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ballinger Memorial Hospital District

  dba Ballinger EMS

  • Land Ambulance
  • Ballinger, TX
  • NPI 1215991039

  Hospital

  Care Compare affiliation
• Ballinger Memorial Hospital District

  dba Ballinger Memorial Hospital

  • Critical Access Hospital
  • Ballinger, TX
  • NPI 1225038938
  Care Compare affiliation
• Castro County Hospital District

  dba Plains Memorial Hospital

  • Critical Access Hospital
  • Dimmitt, TX
  • NPI 1033118716
  Care Compare affiliation
• County of Ward

  dba Ward Memorial Hospital

  • Critical Access Hospital
  • Monahans, TX
  • NPI 1720096019
  Care Compare affiliation
• County of Ward

  dba Ward Memorial Hospital ER Group

  • Emergency Medicine Physician
  • Monahans, TX
  • NPI 1881782423

  Hospital

  Care Compare affiliation
• Lockney General Hospital District

  dba W.J. Mangold Memorial Hospital

  • Critical Access Hospital
  • Lockney, TX
  • NPI 1104842475
  Care Compare affiliation
• Muenster Hospital District

  dba Muenster Memorial Hospital

  • Critical Access Hospital
  • Muenster, TX
  • NPI 1699770149
  Care Compare affiliation

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1174694707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2162 COUNTY ROAD 1403",
            "city": "LOMETA",
            "state": "TX",
            "postal_code": "768533444",
            "telephone_number": "417-718-5754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 JENNY GEORGE LN",
            "city": "SWEETWATER",
            "state": "TX",
            "postal_code": "795567152",
            "telephone_number": "325-236-8886",
            "fax_number": "325-236-8861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTHALL",
        "first_name": "ELLEN",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "J0343",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J0343",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "J0343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co. (Walgreens #21525)
• Walker Chiropractic Clinic Inc.
• Curtis Lee Walker, D.C.
• Susan Kay Walker, NURSE PRACTITIONER
• Walthall Surgical Center PLLC
• Way of Living Counseling PLLC
• Matthew Garrett Weaver, CRNA
• John Michael Wedin, DDS
• West Central Texas Ssa
• West Wharton County Hospital District (Sterling Hills Rehabilitation and Healthcare Center)

• Surgery Physician in Sweetwater, TX
• Providers in Sweetwater, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.