Active NPI
William M Ellis III, D.O.
- Anesthesiology Physician
- Alexandria, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 020195
- Practice address
- 211 4TH St
Alexandria, LA 71301-8421 - Phone
- (318) 473-3000
- NPI assigned
- Aug 26, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 020195 | LA | Primary |
Addresses
Primary practice location
211 4TH St
Alexandria, LA 71301-8421
Mailing address
211 4TH St
Box 30135
Alexandria, LA 71301-8421
Phone (318) 448-4440
Other practice location 1
10415 Wallace Alley St
Kingsport, TN 37663-3936
Phone (423) 390-0451
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1934518 | Medicaid | LA | |
| 050022020 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Missouri, Kansas City, School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
367 Hospital Blvd
Jackson, TN 38305-2080
Phone (731) 661-2000
620 Skyline Dr
Jackson, TN 38301-3923
Phone (731) 541-5000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5918 | TN | MD | Mental Health Counselor |
| 020195 | LA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Center Anesthesia Inc. | Anesthesiology | Current | Accepting new patients |
| Lasalle Parish Hospital Service District #1 | Current | Accepting new patients | |
| Paragon Anesthesia PC | Anesthesiology | Current | Accepting new patients |
| Willis Knighton Medical Center Inc. Crna Group | Anesthesiology | Current | Accepting new patients |
| Lasalle Parish Hospital Service District #1 | Current | Accepting new patients | |
| East Tennessee Ambulatory Surgery Center LLC | Current | Accepting new patients | |
| Singing River Health System | Past | Accepting new patients | |
| Minimally Invasive Image Guided Specialists, LLC | Past | Accepting new patients | |
| Lasalle Parish Hospital Service District #1 | Past | Accepting new patients | |
| Melanie C. Firmin, MD Apmc | Past | Accepting new patients | |
| Radiology Specialty Group LLC | Past | Accepting new patients | |
| Lasalle Parish Hospital Service Dist No1 | Past | Accepting new patients | |
| Med-Trans Corporation | Past | Accepting new patients | |
| Professional Anesthesia Consultants, LLP | Anesthesiology | Past | Accepting new patients |
Locations
1049 N Pine Rd
Olla, LA 71465
Phone (318) 495-3175
1102 N Pine Rd
Olla, LA 71465
Phone (318) 495-5302
2600 Greenwood Rd
Shreveport, LA 71103
Phone (318) 212-4600
1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451
620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923
10415 Wallace Alley St
Kingsport, TN 37663
Phone (423) 390-0451
Organizations & group practices 14
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.
-
- Anesthesiology Physician
- Jackson, TN
- NPI 1447591730
-
dba Hardtner Medical Center
- Critical Access Hospital
- Olla, LA
- NPI 1184815466
-
dba Willis Knighton Anesthesia Services
- Anesthesiology Physician
- Shreveport, LA
- NPI 1174546097
-
- Anesthesiology Physician
- Kingsport, TN
- NPI 1538174974
-
dba Hardtner Medical Clinic
- Rural Health Clinic/Center
- Olla, LA
- NPI 1053415745
-
- Ambulatory Surgical Clinic/Center
- Johnson City, TN
- NPI 1659360071
-
dba Hardtner Medical Center
- Critical Access Hospital
- Olla, LA
- NPI 1639263189
-
dba Hardtner Family Clinic
- Rural Health Clinic/Center
- Urania, LA
- NPI 1821401241
-
- Interventional Pain Medicine Physician
- Alexandria, LA
- NPI 1760598726
-
- Specialist
- Alexandria, LA
- NPI 1922006345
-
- Anesthesiology Physician
- Alexandria, LA
- NPI 1720071525
-
- Diagnostic Radiology Physician
- Marksville, LA
- NPI 1427134683
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jackson, TN
- NPI 1093705428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762300800000",
"number": "1336132141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 4TH ST",
"address_2": "BOX 30135",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713018421",
"telephone_number": "318-448-4440",
"fax_number": "318-473-4340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 4TH ST",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713018421",
"telephone_number": "318-473-3000"
}
],
"practiceLocations": [
{
"address_1": "10415 Wallace Alley St",
"address_purpose": "LOCATION",
"city": "Kingsport",
"state": "TN",
"postal_code": "376633936",
"country_code": "US",
"telephone_number": "423-390-0451",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELLIS",
"first_name": "WILLIAM",
"middle_name": "M",
"name_suffix": "III",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-26",
"last_updated": "2025-11-05",
"certification_date": "2025-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "LA",
"license": "020195",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1934518",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "050022020",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; 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.