Southwest Dallas Orthopedic Asst PA

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

SOUTHWEST DALLAS ORTHOPEDIC ASST PA

Practice address

2909 South Hampton
Suite D107
Dallas, TX 75224

Phone

(214) 333-9175

Fax

(214) 330-4609

NPI assigned

Jan 24, 2007

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, DO

Title

Owner Provider

Phone

(214) 333-9175

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anitha Byreddy, MD, MPH

  • Nephrology Physician
  • Irving, TX
  • NPI 1689712945
  NPD
• 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": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219881600000",
    "number": "1972658680",
    "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": "751381329",
            "telephone_number": "214-333-9175",
            "fax_number": "214-330-4609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 SOUTH HAMPTON",
            "address_2": "SUITE D107",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75224",
            "telephone_number": "214-333-9175",
            "fax_number": "214-330-4609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST DALLAS ORTHOPEDIC ASST PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "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": "175763502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southwest Anesthesiology Associates, LLP
• Southwest Behavioral Systems Inc
• Southwest Center Medical PA
• Southwest Central Wound Care Clinic PLLC
• Southwest Child and Family Medicine, P.a.
• Southwest Electrodiagnostic Center LLC
• Southwest ENT Associates PA
• Southwest General Surgical Associates, PA
• Southwest Imaging and Interventional Specialists, P.a.
• Southwest Infectious Disease, PA

• 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.