Steven Ellsworth, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G5021 Issued in TX

Practice address

5000 E University Blvd Ste 6
Odessa, TX 79762-8149

Phone

(432) 550-5525

Fax

(432) 362-4594

NPI assigned

Oct 10, 2006

Last updated

Jul 8, 2007By 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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 26, 2016 through Jan 26, 2028

Medicare enrollment (NPD)

Not 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.

• Adapt 2 Work Products Inc

  dba OccuMed

  • Personal Emergency Response Attendant
  • Odessa, TX
  • NPI 1760600571
  NPD (past) Authorized official

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780771675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 E UNIVERSITY BLVD STE 6",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797628149",
            "telephone_number": "432-550-5525",
            "fax_number": "432-362-4594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 E UNIVERSITY BLVD STE 6",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797628149",
            "telephone_number": "432-550-5525",
            "fax_number": "432-362-4594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLSWORTH",
        "first_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "G5021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alaa Eldin A Eldemerdash, MD
• Elite Ivf & Fertility Solutions
• Byron D. Elliott, M.D.
• Lauryn Elliott, PTA
• Tausha Bradshaw Elliott, LPC
• Paula Kay Elrod, LPT
• Renee Nicole Elston, PTA
• Ngozi Helen Eluma, FNP-BC
• Halie Elzoghbi, M.S.
• Emeritus Corporation (Brookdale Sherwood)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.