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SOUTHWEST SPORTS MEDICINE AND ORTHOPAEDICS
NPI 1740349661
Orthopaedic Surgery - Sports Medicine in Waco, TX

Active since December 06, 2006CLIA 45D2049854 · Waiver
7030 NEW SANGER RD, SUITE 200, WACO, TX 76712(254) 774-1140(254) 741-1428 Get Directions Write a Review

NPPES record last updated: March 28, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southwest Sports Medicine And Orthopaedics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHWEST SPORTS MEDICINE AND ORTHOPAEDICS (NPI 1740349661) is a healthcare organization registered as a sports medicine in Waco, Texas and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through November 14, 2026 and lists Matt Rohrer, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1740349661
Entity TypeOrganization
Primary Taxonomy207XX0005X
Legal Business NameJON M. ELLIS, MD PA
Location Address7030 NEW SANGER RD, SUITE 200Waco, TX 76712-3991
Mailing Address7030 New Sanger Rd, Suite 200Waco, TX 76712-3991 · (254) 774-1140 · Fax (254) 741-1428
Phone(254) 774-1140
Fax(254) 741-1428
Organization SubpartNo
Authorized OfficialMatt RohrerBusiness Manager · (254) 741-1400
Enumeration DateDecember 6, 2006
Last NPPES UpdateMarch 28, 2008
✔ NPI 1740349661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in TX · J9580
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
7030 NEW SANGER RD, Waco, TX 76712
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Other Names 1

Doing Business AsSouthwest Sports Medicine And Orthopaedics

Other Identifiers 2

Medicare PIN00447UTX
Medicare PINDB8538TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2049854

Southwest Sports Medicine Orthopedics · Waco, TX
Active · expires Nov 14, 2026
CLIA Number45D2049854
Laboratory TypeSchool/Student Health Service
Certificate Effective DateNovember 15, 2024
Certificate Expiration DateNovember 14, 2026
Laboratory DirectorChristopher Miars
Laboratory Phone(254) 741-1400
Laboratory LocationSouthwest Sports Medicine Orthopedics1500 S University Parks Drive, Waco, TX 76706
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LARRY J PRITCHARD DDS
Dentist (Oral and Maxillofacial Surgery)
7030 NEW SANGER RD, SUITE 100
WACO, TX 76712
McLennan County (254) 751-1171
DR. JAMES V. CAMPBELL M.D.
Ophthalmology
7030 NEW SANGER RD, SUITE 102
WACO, TX 76712
McLennan County (254) 753-7007
MASAKI OISHI, M.D., P.A.
Neurological Surgery
7030 NEW SANGER RD, SUITE 200
WACO, TX 76712
McLennan County (254) 772-6760

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jon M. Ellis, MD PA's NPI number?

The NPI number for Jon M. Ellis, MD PA is 1740349661. It was assigned to this organization in the NPPES registry on December 6, 2006. The provider is doing business as Southwest Sports Medicine And Orthopaedics.

Where is Jon M. Ellis, MD PA located?

Jon M. Ellis, MD PA is located at 7030 New Sanger Rd Suite 200, Waco, TX 76712. The listed phone number is (254) 774-1140.

What is Jon M. Ellis, MD PA's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Does Jon M. Ellis, MD PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2049854) is associated with this NPI, valid through November 14, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jon M. Ellis, MD PA was last updated on March 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.