John Robert Ellis, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

G3328 Issued in TX

Practice address

7802 Tarter Ave
Amarillo, TX 79121-1700

Phone

(806) 352-1456

NPI assigned

May 3, 2006

Last updated

Jul 11, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Baptist St. Anthony's Hospital Corporation

  dba BSA Health System

  • Vascular & Interventional Radiology Physician
  • Amarillo, TX
  • NPI 1376510347
  NPD (past)
• Wyatt Clinic, P.a.

  • Family Medicine Physician
  • Amarillo, TX
  • NPI 1639280431
  NPD (past)

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184112000000",
    "number": "1760440291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51509",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791591509",
            "telephone_number": "806-352-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7802 TARTER AVE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791211700",
            "telephone_number": "806-352-1456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "JOHN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2007-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "G3328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Todd Ellington, M.D.
• Susan Elizabeth Ellington, MD
• Aaron Michael Elliott, M.D.
• Amber Leann Elliott, PHARM. D
• Mia Beth Elliott, SLP
• Matthew Ryan Ellis, RN, AG-ACNP
• Donald Ray Ellison Jr., APRN, FNP-C
• Mahmoud Abdelghani Mohamed Elmahi, MD
• Tiffany Babette Elmore
• Jonathon Michael Elmquist, LCSW

• Neurology Physician in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Neurology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.