Thomas P Ellis DC PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00004294 Issued in FL

Legal business name

THOMAS P ELLIS DC PA

Practice address

214 Pasadena Ave S
St Petersburg, FL 33707-1251

Phone

(727) 341-1234

Fax

(727) 345-0843

NPI assigned

Dec 12, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Paul Ellis, D.C.

Title

President

Phone

(727) 341-1234

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1355270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355270400000",
    "number": "1659617090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 PASADENA AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337071251",
            "telephone_number": "727-341-1234",
            "fax_number": "727-345-0843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 PASADENA AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337071251",
            "telephone_number": "727-341-1234",
            "fax_number": "727-345-0843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS P ELLIS DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-12",
        "last_updated": "2012-12-12",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-341-1234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH00004294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051111100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas C. Tolli MD PA
• Thomas D. Young, LMHC
• Thomas E Hughes, DC, PA
• Thomas K Flanagan OD and Associates PA
• Thomas O Johnson DDS PA
• Thomas Paulantonio D.C., P.a.
• Patricia Anne Thomas-Bolden, APRN
• Amy L Thomas, RNFA
• Andrea Janine Thomas, LCSW
• Bond William Thomas, D.C

• Chiropractor in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2012; 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.