Ellen Michelle Provost in Anchorage - Internal Medicine
Ellen Michelle Provost - NPI 1053344572
Ellen Michelle Provost is a Internal Medicine in Anchorage, Alaska. Ellen Michelle Provost practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Ellen Michelle Provost is 1053344572. The last update date is 2008-10-17.
Ellen Michelle Provost's current location address is 4315 Diplomacy Dr, Anchorage, Alaska. You can contact this provider via phone number 9077291500 and fax number 9077292082. The mailing address for Ellen Michelle Provost is 4315 Diplomacy Dr, Anchorage, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ellen Michelle Provost |
|---|---|
| Address | 4315 Diplomacy Dr, Anchorage, Alaska |
| Phone Number | 9077291500 |
| Fax Number | 9077292082 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1053344572 |
|---|---|
| Provider Enumeration Date | 2006-07-08 |
| Last Updated Date | 2008-10-17 |
Provider Mailing Address Detail
| Address | 4315 Diplomacy Dr |
|---|---|
| City | Anchorage |
| State | Alaska (AK) |
| Post Code | 995085926 |
| Phone Number | 9077291500 |
| Fax Number | 9077292082 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 2717 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| MD27172 | AK | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Ellen Michelle Provost?
The Ellen Michelle Provost has been issued the NPI (National Provider Identifier) 1053344572 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Ellen Michelle Provost?
The Ellen Michelle Provost is situated at 4315 Diplomacy Dr, in the city of Anchorage, state of AK, with the zip code 995085926.
What is Ellen Michelle Provost's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Ellen Michelle Provost is Internal Medicine, and the corresponding taxonomy classification code for this specialized field is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1053344572 to Ellen Michelle Provost?
The Ellen Michelle Provost received its 1053344572 assignment from the Centers for Medicare & Medicaid Services on 2006-07-08.
When was the information regarding Ellen Michelle Provost most recently updated?
The details pertaining to the Ellen Michelle Provost, including its address, specialty, and other relevant information, were last refreshed on 2008-10-17.