DR. KEITH TAYLOR ELLISON (NPI# 1720247414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720247414 |
| Entity Type | Individual |
| Full Name | DR. KEITH TAYLOR ELLISON |
| Credential | M.D. |
| Practice Address |
50 Hillcrest Medical Blvd Ste 303 Waco TX 76712-8955 |
| Practice Telephone | 2547411400 |
| Mailing Telephone | 2547411400 |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2013-06-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | P5800 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568823318 | Keith Romalis Ellison | Specialist/Technologist | One Lmu Drive, Gersten Pavilion - Athletic Training Room, Los Angeles, CA 90045 | 2016-03-08 |
| Street Address |
50 HILLCREST MEDICAL BLVD STE 303 |
| City | WACO |
| State | TX |
| Zip Code | 76712-8955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992291736 | Jamie Leanne Williams | Physician Assistant | 50 Hillcrest Medical Blvd Ste 303, Waco, TX 76712-8955 | 2018-07-05 |
| 1609137140 | Jaeson K. Courseault | Family Medicine | 50 Hillcrest Medical Blvd Ste 303, Waco, TX 76712 | 2012-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922634294 | Waco Ophthalmology, Pllc | Ophthalmology | 602 W Highway 6, Waco, TX 76712 | 2020-03-19 |
| 1326692872 | Oceans Behavioral Hospital of Waco LLC | Psychiatric Hospital | 5931 Crosslake Parkway, Waco, TX 76712 | 2019-08-01 |
| 1831759620 | Jessica Ngoc Vien | Optometrist | 1000 Hwy 6, Ste 210, Waco, TX 76712 | 2019-06-14 |
| 1780150888 | Chelsea Cannon | Occupational Therapist | 330 W State Hwy 6, Waco, TX 76712 | 2018-10-17 |
| 1669955399 | Elizabeth Ann Barnhill | Speech-Language Pathologist | 15003 Riatta Rd, Woodway, TX 76712 | 2018-09-09 |
| 1447731617 | Melanie A Melton | Physical Therapist | 300 West Highway 6, Waco, TX 76712 | 2018-08-27 |
| 1396226403 | Gala Kaye Czajkoski | Occupational Therapy Assistant | 300 West Hightway 6, Waco, TX 76712 | 2018-08-27 |
| 1619457454 | Monica Anderson | Physical Therapy Assistant | 300 W Hwy 6, Waco, TX 76712 | 2018-08-21 |
| 1295238368 | Waco Sn Opco LLC | Skilled Nursing Facility | 7501 Bagby, Waco, TX 76712 | 2018-03-14 |
| 1558872952 | C. Guy Fps, Pllc | Otolaryngology | 1129 Aberdeen Rd, Waco, TX 76712 | 2017-10-12 |
| Find all providers in zip 76712 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902184302 | Scott Hecox | Orthopaedic Surgery | 50 Hillcrest Medical Blvd Ste 208, Waco, TX 76712 | 2011-08-02 |
| 1235417817 | Jeffrey S Blasick | Orthopaedic Surgery | 5100 Franklin Ave Ste C, Waco, TX 76710 | 2011-07-29 |
| 1093917726 | Waco Bone & Joint Clinic, P.a. | Orthopaedic Surgery | 5100 Franklin Aveune, Suite C, Waco, TX 76710-6922 | 2007-06-04 |
| 1124095799 | Rahul Banerjee | Orthopaedic Surgery | 3500 Hillcrest Dr, Suite 1, Waco, TX 76708-3157 | 2006-03-02 |
| 1760476337 | Paul Anthony Bednarz | Orthopaedic Surgery | 5100 Franklin Ave, Waco, TX 76710-6922 | 2005-09-09 |
| 1982600193 | Jon Michael Ellis | Orthopaedic Surgery | 140 Hillcrest Medical Blvd Ste 2, Waco, TX 76712-8897 | 2005-06-22 |
| 1992349823 | Blasick Orthopedics, Pllc | Orthopaedic Surgery | 7005 Woodway Dr Ste 101, Waco, TX 76712-6160 | 2019-11-04 |
| 1811261985 | John Freeland Ackley | Orthopaedic Surgery | 140 Hillcrest Medical Blvd Ste 2, Waco, TX 76712-8897 | 2012-03-06 |
| 1063705820 | Chung-chieh Lo | Orthopaedic Surgery | 205 Woodhew Dr Ste 203, Waco, TX 76712-6679 | 2011-05-26 |
| 1194045773 | Husain Mohsin Bharmal | Orthopaedic Surgery | 100 Hillcrest Medical Blvd, Waco, TX 76712-8897 | 2010-06-07 |
| Find all providers in WACO | ||||
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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.