NPIMap

Organization Active NPI

Ennis Orthopedics PA

  • Orthopaedic Surgery Physician
  • Ennis, TX
National Provider Identifier
1508052853
Registry record updated Mar 9, 2010
On this page

Key facts

NPPES NPI Registry
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
Last updated
Mar 9, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2010

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

Authorized official

Name
Dr. Kevin Alexander Williams, MDNPI 1548376668
Title
Owner
Phone
(972) 875-4700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X K8575 TX Primary

Addresses

Primary practice location

802 W Lampasas St
Ennis, TX 75119-4500

Mailing address

802 W Lampasas St
Ennis, TX 75119-4500
Phone (972) 875-4700

National Provider Directory

National Provider Directory

Locations

802 W Lampasas St
Ennis, TX 75119
Phone (972) 875-4700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ennis, TX

Sources for this page

  • 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.