TRACY ELLIS (NPI# 1679895700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679895700 |
| Entity Type | Individual |
| Full Name | TRACY ELLIS |
| Credential | DC |
| Practice Address |
10317 Greenbriar Pkwy Oklahoma City OK 73159-7648 |
| Practice Telephone | 4053783400 |
| Practice Fax Number | 8663237959 |
| Mailing Telephone | 4053783400 |
| Mailing Fax Number | 8663237959 |
| Enumeration Date | 2010-02-16 |
| Last Update Date | 2017-12-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3509 | OK | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992273734 | Tracy Ellis | Psychologist | 70 N Main St Ste 104, Bountiful, UT 84010-6115 | 2018-11-09 |
| 1669080180 | Tracy Ellis | Behavior Technician | 8805 W 14th Ave, Suite 100, Lakewood, CO 80215-4848 | 2020-07-21 |
| 1649664442 | Tracy Jo Ellis | Contractor | 157 W Hayden Ave, Hayden Lake, ID 83835-9650 | 2015-03-19 |
| 1962890426 | Tracy Ellis | Specialist/Technologist, Other | 9499 W Charleston Blvd, Ste 200, Las Vegas, NV 89117-7150 | 2015-01-06 |
| 1982974622 | Tracy Kent Ellis | Behavioral Analyst | 900 N Broadway St, Poteau, OK 74953-2617 | 2012-01-11 |
| 1326292707 | Tracy Ellis | Rehabilitation Practitioner | 9808 Venice Blvd Ste 700, Culver City, CA 90232-6824 | 2008-11-11 |
| Street Address |
10317 GREENBRIAR PKWY |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73159-7648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174552947 | Ct Associates No. 1, L.L.C. | Clinic/Center | 10317 Greenbriar Pkwy, Oklahoma City, OK 73159-7648 | 2006-07-02 |
| 1629489612 | Oklahoma Medical Clinic LLC | Physician Assistant | 10317 Greenbriar Pkwy, Oklahoma City, OK 73159-7648 | 2014-05-13 |
| 1689950180 | Diagnostic Imaging Solutions | Clinic/Center | 10317 Greenbriar Pkwy, Oklahoma City, OK 73159-7648 | 2011-10-27 |
| 1588940084 | Comps Medical | Clinic/Center | 10317 Greenbriar Pkwy, Oklahoma City, OK 73159-7648 | 2011-10-27 |
| 1093037046 | 415 Main LLC | Chiropractor | 10317 Greenbriar Pkwy, Oklahoma City, OK 73159-7648 | 2010-02-18 |
| 1699903922 | Central Diagnostics | Clinic/Center | 10317 Greenbriar Pkwy, Oklahoma City, OK 73159-7648 | 2009-06-25 |
| 1720216054 | Eastern Diagnostics | Clinic/Center | 10317 Greenbriar Pkwy, Oklahoma City, OK 73159-7648 | 2009-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346849528 | Mel Vision LLC | Optometrist | 1413 W Interstate 240 Service Rd, Suite E, Oklahoma City, OK 73159 | 2020-10-20 |
| 1053959247 | Phillip J Elassal Dds Pllc | Clinic/Center | 1601 Sw 89th Street #g500, Oklahoma City, OK 73159 | 2019-12-18 |
| 1629573407 | Carrie Lynn Sanchez | Case Manager/Care Coordinator | 2604 Sw 92nd Street, Oklahoma City, OK 73159 | 2018-03-26 |
| 1407368038 | Deborah Dorton | Psychologist | Okc Va Hcs (111a), 921 Ne 13th St, Oklahoma City, OK 73159 | 2017-11-06 |
| 1366969933 | Matthew Lewis Hearne | Case Manager/Care Coordinator | 7504 S Country Club Dr, Apt 105, Oklahoma City, OK 73159 | 2017-08-24 |
| 1043766405 | Pro Hearing, LLC | Clinic/Center | 10404 S Pennsylvania Ave, Oklahoma City, OK 73159 | 2016-08-26 |
| 1952764169 | Doc LLC | Orthopaedic Surgery | 3130 Sw 89th St Ste 200e, Oklahoma City, OK 73159 | 2016-04-04 |
| 1235511288 | Anusha Koneru | Dentist | 1610 W Interstate 240 Service Road, Oklahoma City, OK 73159 | 2015-06-26 |
| 1114347069 | Crystal A Dockery | Family Medicine | 3212 Sw 89th St Ste 100, Oklahoma City, OK 73159 | 2014-04-18 |
| 1790121440 | Kimberly Anne Dyer | Occupational Therapy Assistant | 5725 S Ross, Oklahoma City, OK 73159 | 2013-05-21 |
| Find all providers in zip 73159 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083222715 | Chirothere, LLC | Chiropractor | 4416 N Western Ave Ste 205b, Oklahoma City, OK 73118-5256 | 2020-07-20 |
| 1790315547 | Kyle Brent Babcock | Chiropractor | 4900 Richmond Sq Ste 108, Oklahoma City, OK 73118-2043 | 2020-01-21 |
| 1518506310 | Daniel S Holt | Chiropractor | 13838 Quail Pointe Dr Ste A, Oklahoma City, OK 73134-1003 | 2019-12-27 |
| 1982168167 | Young Life Chiropractic Pllc | Chiropractor | 600 Nw 23rd St Ste 102, Oklahoma City, OK 73103-1464 | 2019-01-22 |
| 1134692973 | Gregory S Mendiaz | Chiropractor | 13325 N Macarthur Blvd Ste 5, Oklahoma City, OK 73142-3091 | 2019-01-04 |
| 1528536034 | Aaron Burk | Chiropractor | 2563 W Memorial Rd, Oklahoma City, OK 73134-8030 | 2018-11-02 |
| 1003383829 | Dana Denise Mahan | Chiropractor | 2316 Sw 102nd St, Oklahoma City, OK 73159-7539 | 2018-10-30 |
| 1225504459 | Dme Orthotics, LLC | Chiropractor | 10802 Quail Plaza Dr Ste 300b, Oklahoma City, OK 73120-3122 | 2018-10-15 |
| 1063998128 | Blake Alan Matlock | Chiropractor | 8901 S Santa Fe Ave Ste A, Oklahoma City, OK 73139-8413 | 2018-07-12 |
| 1518464833 | Focus Chiropractic Pllc | Chiropractor | 9101 S Western Ave Ste 112, Oklahoma City, OK 73139-2757 | 2018-04-12 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73159 |
Please comment or provide details below to improve the information on TRACY ELLIS.
| 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.