Womens Environment

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

M9998 Issued in TX

Legal business name

WOMENS ENVIRONMENT

Practice address

619 Courtview
Tyler, TX 75703-5916

Phone

(903) 343-1265

Fax

(903) 561-6176

NPI assigned

Nov 28, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jaishree Riva Ellis, MD

Title

President

Phone

(903) 343-1265

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1259366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259366400000",
    "number": "1184952392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 COURTVIEW",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757035916",
            "telephone_number": "903-343-1265",
            "fax_number": "903-561-6176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 COURTVIEW",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757035916",
            "telephone_number": "903-343-1265",
            "fax_number": "903-561-6176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMENS ENVIRONMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-28",
        "last_updated": "2009-11-28",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "JAISHREE",
        "authorized_official_middle_name": "RIVA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-343-1265",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "M9998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Wolf
• Scott William Wolf, MD
• Ashley Danelle Womack, ATC, LAT
• Gary L Womack, MD
• Noah Womack, CPO
• Womens Total Care of East Texas
• Drew C Woock, OT
• Amber Dionne Wood, AGACNP-C
• Charlie Elizabeth Wood, PA
• Cynthia Sue Wood, REGISTERED NURSE

• Obstetrics & Gynecology Physician in Tyler, TX
• Providers in Tyler, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.