Ellis Health Center Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3267 Issued in OK

Legal business name

ELLIS HEALTH CENTER INC

Practice address

243 Heritage St
Lone Grove, OK 73443

Phone

(580) 657-2225

Fax

(580) 657-2235

NPI assigned

Apr 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Charles Ellis, D.C.NPI 1700893054

Title

Owner

Phone

(580) 657-2225

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas Charles Ellis, D.C.

  • Chiropractor
  • Wilson, OK
  • NPI 1700893054
  Medicare reassignment NPD Authorized official
• Stephanie Michelle Hammons, APRN, FNP

  • Family Nurse Practitioner
  • Davis, OK
  • NPI 1124648746
  NPD (past)

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1679799308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 HERITAGE",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734012089",
            "telephone_number": "580-657-2225",
            "fax_number": "580-657-2235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 HERITAGE ST",
            "city": "LONE GROVE",
            "state": "OK",
            "postal_code": "73443",
            "telephone_number": "580-657-2225",
            "fax_number": "580-657-2235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIS HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-657-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerri Bradshaw, PA-C
• Laura Bruce
• Taylor Johnson, CD (CERTIFIED DOULA)
• Anthony Dewayne Leming, D.C.
• Lone Grove Dentistry & Braces
• Lone Grove Drug
• Shelley D McNeill, MSHR

• Chiropractor in Lone Grove, OK
• Providers in Lone Grove, OK by specialty
• Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.