R LEE ENNIS MD PA (NPI# 1457629503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457629503 |
| Entity Type | Organization |
| Organization Name | R LEE ENNIS MD PA |
| Other Organization Name | RONALD L ENNIS MD |
| Practice Address |
2402 W Morton Ste 146 Denison TX 75020 |
| Mailing Address |
Po Box 626 Denison TX 75021-0626 |
| Practice Telephone | 9034657313 |
| Practice Fax Number | 9034634496 |
| Mailing Telephone | 9034657313 |
| Mailing Fax Number | 9034634496 |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2011-12-05 |
| Authorized Official Name | DR. RONALD L ENNIS (PRESIDENT) |
| Authorized Official Telephone | 9034657313 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 097089901 | 05 |
| Other Name | Type Code |
|---|---|
| RONALD L ENNIS MD | Doing Business As Name - Organization |
| Street Address |
2402 W MORTON STE 146 |
| City | DENISON |
| State | TX |
| Zip Code | 75020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780210161 | Claudia Perez | Counselor | 6101 Hwy 691, Denison, TX 75020 | 2020-03-18 |
| 1356989800 | Chandler Stockwell | Perfusionist | 5016 North Highway 75, Denison, TX 75020 | 2019-12-16 |
| 1598301459 | Amanda Lauren Boyle | Family Medicine | 307 King Ave, Dennison, TX 75020 | 2019-11-25 |
| 1770134876 | Red River Oral Surgery | Dentist | 4616 Highway 75, Suite 201, Denison, TX 75020 | 2019-09-20 |
| 1558844399 | Leslie Jill Wilson | Speech-Language Pathologist | 3635 Rosewood Drive, Denison, TX 75020 | 2018-09-07 |
| 1487175758 | Amanda Hoyer | Physician Assistant | 5012 S Us Highway 75 Ste 150, Denison, TX 75020 | 2017-06-27 |
| 1679006076 | Michael Slack | Family Medicine | 5016 N Us Hwy 75, Denison, TX 75020 | 2017-04-04 |
| 1184171597 | Tanya Paschen | Nurse Practitioner | 1300 Tx-91, Denison, TX 75020 | 2016-09-01 |
| 1992154553 | Rhonda Howery | Durable Medical Equipment & Medical Supplies | 1001 W. Main St., Suite 101, Denison, TX 75020 | 2016-06-05 |
| 1801255088 | Denison Dental Pllc | Dentist | 3515 West Fm 120, Denison, TX 75020 | 2016-02-17 |
| Find all providers in zip 75020 | ||||
| Taxonomy Code | 207ZP0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. [7/1/2007: definition added, source added, 7/1/2009: defintion reformatted; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology (note: this taxonomy code identifies the "anatomic pathology only" route). To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912495086 | Vibha Bhasin | Pathology | 106 Happy Trl, Shavano Park, TX 78231-1428 | 2018-04-24 |
| 1770035545 | Texas Tech University Health Sciences Center | Pathology | 2000 Transmountain Road, El Paso, TX 79911 | 2016-10-27 |
| 1891151601 | Thomas Steven Roosth | Pathology | 5850 Rogerdale Rd., Houston, TX 77072-1602 | 2016-01-08 |
| 1619379302 | Ameer Hamza | Pathology | 1515 Holcombe Blvd # 2, Houston, TX 77030 | 2014-09-24 |
| 1861823569 | Victoria Greene | Pathology | 43 Du Pont Cir, Sugar Land, TX 77479-2522 | 2013-12-05 |
| 1417391533 | Consultative Genomics, Pllc | Pathology | 5909 West Loop South, Suite 310, Bellaire, TX 77401-2433 | 2013-04-19 |
| 1164769485 | Randall Carrol Harper | Pathology | 9702 Dove Shadow, San Antonio, TX 78230 | 2013-01-07 |
| 1659617009 | Adg Houston Path Pllc | Pathology | 2525 W Bellfort Ave Ste 194, Houston, TX 77054-5099 | 2012-12-12 |
| 1457654170 | Samuel A Maxey | Pathology | 2604 Waterford Dr, Irving, TX 75063-3186 | 2010-12-20 |
| 1720381742 | Eumenia Costa Da Cunha Castro | Pathology | 5130 Sycamore Creek Dr, Kingwood, TX 77345-1447 | 2010-12-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.