Walter Wright Ellis, LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

MD024782 Issued in LA

Legal business name

WALTER WRIGHT ELLIS, LLC

Practice address

4545 Bluebonnet Blvd
Baton Rouge, LA 70809-5600

Phone

(225) 766-2311

Fax

(225) 767-7134

NPI assigned

Feb 20, 2008

Reactivated

Nov 7, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Walter Wright Ellis, M.D.

Title

Physician

Phone

(504) 828-8241

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573171200000",
    "number": "1639347941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 84358",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708844358",
            "telephone_number": "225-766-2311",
            "fax_number": "225-767-7134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 BLUEBONNET BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708095600",
            "telephone_number": "225-766-2311",
            "fax_number": "225-767-7134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER WRIGHT ELLIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-20",
        "last_updated": "2019-11-08",
        "deactivation_date": "2019-10-10",
        "reactivation_date": "2019-11-07",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "WRIGHT",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "504-828-8241",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "LA",
            "license": "MD024782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Christopher Walsh, M.D.
• Kathleen Walsh, OT
• Laura Doolittle Walsh, PA-C
• Summer Nicole Walsh
• Walter J. Jung Professional Dental Corporation
• Latonya Walter
• Nancy Walter
• Arianna Walters
• Carey Ellender Walters, M.S.W., L.C.S.W.
• Joe Walther

• Physical Medicine & Rehabilitation Physician in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Physical Medicine & Rehabilitation Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; 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.