Paul Roscoe Ellis III, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G3329 Issued in TX

Practice address

3600 Gaston Ave Ste 450
Dallas, TX 75246-1904

Phone

(214) 823-5351

Fax

(214) 823-2825

NPI assigned

Jul 17, 2006

Last updated

Nov 17, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lankford Hand Surgery Association

  • Specialist
  • Dallas, TX
  • NPI 1871520213
  Medicare reassignment NPD

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289952000000",
    "number": "1750309878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 GASTON AVE STE 450",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461904",
            "telephone_number": "214-823-5351",
            "fax_number": "214-823-2825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 GASTON AVE STE 450",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461904",
            "telephone_number": "214-823-5351",
            "fax_number": "214-823-2825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "PAUL",
        "middle_name": "ROSCOE",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2010-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "G3329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah T Ellis, SLP
• Foster Ellis, M.S. CF-SLP
• James Scott Ellis, DO
• Justin Ellis
• Lauren Nicole Ellis, PA
• Roneisha Ellis
• Sarah Nicole Ellis
• Shauna Ellis, LCSW-S
• Stephen Richard Ellis, M.D.
• Tamara Ellis

• Specialist in Dallas, TX
• Providers in Dallas, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.