Southwest Regional Orthopedic Sports Medicine

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

SOUTHWEST REGIONAL ORTHOPEDIC SPORTS MEDICINE

Practice address

1505 W Jefferson
Suite 102
Waxahachie, TX 75165

Phone

(972) 923-3800

Fax

(972) 351-9360

NPI assigned

Jan 12, 2007

Last updated

Aug 28, 2008By 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. James Scott Ellis, DONPI 1962554915

Title

Owner Provider

Phone

(214) 333-9175

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 2

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.

• James Scott Ellis, DO

  • Orthopaedic Surgery Physician
  • Dallas, TX
  • NPI 1962554915
  NPD (past) Authorized official
• Kevin Rojas, PHYSICAN ASSISTANT P

  • Surgical Physician Assistant
  • Greeneville, TN
  • NPI 1730239476
  NPD (past)

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219881600000",
    "number": "1831249499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 381329",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "75165",
            "telephone_number": "972-923-3800",
            "fax_number": "972-351-9360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 W JEFFERSON",
            "address_2": "SUITE 102",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "75165",
            "telephone_number": "972-923-3800",
            "fax_number": "972-351-9360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST REGIONAL ORTHOPEDIC SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2008-08-28",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER PROVIDER",
        "authorized_official_telephone_number": "214-333-9175",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1757635201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1757635203",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sophia Agape Zoe
• Olayinka Cecilia Sotayo, FNP
• Natalia J Southerland, MD
• Southern Plains Pavilion Associates, LLC
• Southwest Family Services, Inc.
• Southwestern Assemblies of God University (SAGU Sports Medicine)
• David Conley Spates, COTA
• Christopher K. Speigner, RPSGT, CCSH
• Brittney Spiegel, MSN, AGACNP-BC
• Rebecca Diane Spradlin, RD, LD

• Orthopaedic Surgery Physician in Waxahachie, TX
• Providers in Waxahachie, TX by specialty
• Orthopaedic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; 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.