J. Scott Ellis, DO, PA

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

L6229 Issued in TX

Legal business name

J. SCOTT ELLIS, DO, PA

Doing business as

Texas Plains Women's Center

Practice address

3023 Perryton Pkwy
Suite 205
Pampa, TX 79065-2821

Phone

(806) 665-9900

Fax

(806) 665-9905

NPI assigned

Mar 5, 2007

Last updated

Jul 18, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jimmy Scott Ellis, DONPI 1609891795

Title

Sole Proprietor

Phone

(806) 665-9900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Texas Plains Women's Center Doing business as

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.

• Jimmy Scott Ellis, D.O.

  • Obstetrics & Gynecology Physician
  • Craig, CO
  • NPI 1609891795
  NPD (past) Authorized official

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184716800000",
    "number": "1730218520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3023 PERRYTON PKWY",
            "address_2": "SUITE 205",
            "city": "PAMPA",
            "state": "TX",
            "postal_code": "790652821",
            "telephone_number": "806-665-9900",
            "fax_number": "806-665-9905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3023 PERRYTON PKWY",
            "address_2": "SUITE 205",
            "city": "PAMPA",
            "state": "TX",
            "postal_code": "790652821",
            "telephone_number": "806-665-9900",
            "fax_number": "806-665-9905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. SCOTT ELLIS, DO, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-18",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "806-665-9900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "L6229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0042KD",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Plains Women's Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Obstetrics & Gynecology Physician in Pampa, TX
• Providers in Pampa, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; 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.