Owen Bernardo Ellington, M.D, J.D.

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

H5109 Issued in TX

Practice address

14007 Cole Point Dr
Humble, TX 77396-1109

Phone

(713) 304-4227

Fax

(281) 277-0491

NPI assigned

May 1, 2006

Last updated

Mar 15, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr. Owen B. Ellington Professional name

Medicare fee-for-service enrollment

Enrolled in TX, CA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Juris Doctor, 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.

• Bellaire Wound Care

  • General Practice Physician
  • Houston, TX
  • NPI 1659238467
  Medicare reassignment NPD Authorized official
• Global Wound Care Medical Group

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1235831132
  NPD Authorized official
• Dermatology & Skin Cancer Care

  • Hematology & Oncology Physician
  • Sugar Land, TX
  • NPI 1558513325
  NPD (past) Authorized official
• Advanced Wound Care Group USA

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1972204394
  Authorized official Same address or phone
• Az Wound Care Medical Group

  • General Practice Physician
  • Gilbert, AZ
  • NPI 1861100828
  Authorized official Same address or phone
• FL Wound Care Medical Group

  • General Practice Physician
  • Tampa, FL
  • NPI 1760109003
  Authorized official Same address or phone
• Ga Wound Care Medical Group

  • General Practice Physician
  • Atlanta, GA
  • NPI 1134846470
  Authorized official Same address or phone
• Mi Wound Care Medical Group

  • General Practice Physician
  • Detroit, MI
  • NPI 1578280814
  Authorized official Same address or phone
• National Wound Care Associates

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1801597224
  Authorized official Same address or phone
• NV Wound Care Medical Group

  • General Practice Physician
  • Las Vegas, NV
  • NPI 1053038398
  Authorized official Same address or phone
• Ny Wound Care Medical Group

  • General Practice Physician
  • Rochester, NY
  • NPI 1932817996
  Authorized official Same address or phone
• TN Wound Care Medical Group

  • General Practice Physician
  • Memphis, TN
  • NPI 1750008991
  Authorized official Same address or phone

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1396703310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14007 COLE POINT DR",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773961109",
            "telephone_number": "713-304-4227",
            "fax_number": "281-277-0491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14007 COLE POINT DR",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773961109",
            "telephone_number": "713-304-4227",
            "fax_number": "281-277-0491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5901 W Century Blvd Ste 750",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900455443",
            "country_code": "US",
            "telephone_number": "888-880-3451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLINGTON",
        "first_name": "OWEN",
        "middle_name": "BERNARDO",
        "name_prefix": "Dr.",
        "credential": "M.D, J.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A30345",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TX",
            "license": "H5109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255333-05",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OWEN",
            "last_name": "ELLINGTON",
            "middle_name": "B.",
            "prefix": "DR.",
            "credential": "M.D.,J.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Hematology & Oncology Physician in Humble, TX
• Providers in Humble, TX by specialty
• Hematology & Oncology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; 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.