Ennis Orthopedics PA

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

K8575 Issued in TX

Legal business name

ENNIS ORTHOPEDICS PA

Practice address

802 W Lampasas St
Ennis, TX 75119-4500

Phone

(972) 875-4700

Fax

(972) 878-4527

NPI assigned

Sep 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Alexander Williams, MD

Title

Owner

Phone

(972) 875-4700

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268092800000",
    "number": "1508052853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 W LAMPASAS ST",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751194500",
            "telephone_number": "972-875-4700",
            "fax_number": "972-878-4527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 W LAMPASAS ST",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751194500",
            "telephone_number": "972-875-4700",
            "fax_number": "972-878-4527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENNIS ORTHOPEDICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2010-03-09",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-875-4700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "K8575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030815701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ennis Heart Center, PA
• Ennis Hometown Dental
• Ennis Isd
• Ennis Midwifery LLC
• Ennis Nursing and Rehab Center LLC
• Ennis Pediatric and Adolescent Health Care Center, P.a.
• Ennis Physical Medicine, PLLC
• Ennis Smiles PLLC
• Ennis Specialty Pharmacy, Inc
• Ennis Veterinary Clinic PC

• Orthopaedic Surgery Physician in Ennis, TX
• Providers in Ennis, TX by specialty
• Orthopaedic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; 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.