Jonathan Mark Ellen in St. Petersburg - Pediatrics
Jonathan Mark Ellen - NPI 1871533547
Jonathan Mark Ellen is a Pediatrics in St. Petersburg, Florida. Jonathan Mark Ellen practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jonathan Mark Ellen is 1871533547. The last update date is 2014-12-29.
Jonathan Mark Ellen's current location address is 601 5th Street South, St. Petersburg, Florida. You can contact this provider via phone number 7277676873. The mailing address for Jonathan Mark Ellen is 601 5th Street South, St. Petersburg, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jonathan Mark Ellen |
|---|---|
| Address | 601 5th Street South, St. Petersburg, Florida |
| Phone Number | 7277676873 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1871533547 |
|---|---|
| Provider Enumeration Date | 2006-06-08 |
| Last Updated Date | 2014-12-29 |
Provider Mailing Address Detail
| Address | 601 5th Street South |
|---|---|
| City | St. Petersburg |
| State | Florida (FL) |
| Post Code | 33701 |
| Phone Number | 7277676873 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | D54679 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 472901300 | MD | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jonathan Mark Ellen by the Centers for Medicare & Medicaid Services?
The Jonathan Mark Ellen has been issued the NPI (National Provider Identifier) 1871533547, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Jonathan Mark Ellen's facilities are situated?
The facilities of Jonathan Mark Ellen are physically located at the following address: 601 5Th Street South, St. Petersburg, FL, 33701.
What is Jonathan Mark Ellen's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jonathan Mark Ellen is Pediatrics, and the taxonomy code that categorizes this field of expertise is 208000000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1871533547 to Jonathan Mark Ellen?
The Centers for Medicare & Medicaid Services assigned the 1871533547 to Jonathan Mark Ellen on 2006-06-08.
As of what date was the information regarding Jonathan Mark Ellen, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jonathan Mark Ellen, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-12-29.
NPI Number: 1073517686
Address: 2100 Martin Luther King Jr Blvd, Clovis, NM