James Scott Ellis, DO

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

D0G1383 Issued in TX

Practice address

2909 South Hampton Rd
Suite D107
Dallas, TX 75224

Phone

(214) 333-9175

Fax

(214) 333-4609

NPI assigned

Jan 18, 2007

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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 and National Provider Directory roles.

• Southwest Regional Orthopedic Sports Medicine

  • Orthopaedic Surgery Physician
  • Waxahachie, TX
  • NPI 1831249499
  NPD (past) Authorized official
• Carewell Kidney Doctors PLLC

  • Nephrology Physician
  • Irving, TX
  • NPI 1851631204
  NPD

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219881600000",
    "number": "1962554915",
    "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": "75138",
            "telephone_number": "214-333-9175",
            "fax_number": "214-333-4609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 SOUTH HAMPTON RD",
            "address_2": "SUITE D107",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75224",
            "telephone_number": "214-333-9175",
            "fax_number": "214-333-4609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "JAMES",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2008-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "D0G1383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "033172002",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WAX",
            "identifier": "033172001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Porter Ellis, DDS
• Daisha Ellis, FNP-C
• Daniel James Ellis, MD
• Deborah T Ellis, SLP
• Foster Ellis, M.S. CF-SLP
• Justin Ellis
• Lauren Nicole Ellis, PA
• Paul Roscoe Ellis III, M.D.
• Roneisha Ellis
• Sarah Nicole Ellis

• Orthopaedic Surgery Physician in Dallas, TX
• Providers in Dallas, 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.