Ellis Emergency Group PA
Organization Active NPI Emergency Medicine Physician · Ennis, TX
NPI 1497715239 · NPPES record last updated Jul 11, 2017
Key facts
- NPI
- 1497715239
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- ELLIS EMERGENCY GROUP PA
- Practice address
- 2201 W Lampasas St
Ennis, TX 75119-5644 - Phone
- (972) 875-0900
- NPI assigned
- Mar 24, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Michael A Pawlowski, MD
- Title
- President
- Phone
- (800) 893-9698
Practitioners 35
-
Faith Banda, PA-C
-
Ronald Bryce, M.D.
-
Sheila Calmese, FNP-C
-
Robert Campbell, MD
-
Jonathan S Coolidge, D.O.
-
Obiora M Ekweani, MD
-
Merle Ann Filecia, FNP-C
-
Steven Fredric Holtzman, M.D.
-
Danny Blayne Laws, M.D.
-
Sonal R Patel, M.D.
-
Fredric Clark Puckett, D.O.
-
Abdur Rauf, M.D.
-
James Lowell Ryman, M.D.
-
Sergey Stepanov, DO
-
Stephanie Ward, NP
-
Olusegun Wilde, MD
National Provider Directory
Locations
800 W Lampasas St
Ennis, TX 75119
Phone (972) 875-0900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes | ||
| Medical Physician Assistant |
363AM0700X | |||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
2201 W Lampasas St
Ennis, TX 75119-5644
Mailing address
200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (800) 893-9698
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 170729101 | Medicaid | TX |
Other providers in Ennis, TX
- Eastland Memorial Hospital District
- Edc Dental Center PLLC
- Ellis County Coalition for Health Options
- Ellis County Medical Associates
- Ellis County Sleep Center, LLC
- Ellis Pain & Pain Rehabilitation Center
- Cody Ely
- Emmanuel E Sackey MD, PA
- Encompass Anesthesia Partners LLC
- Encore ASC, LLC
All providers in Ennis, TX · Emergency Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.