Michael R Ellen Md Ps in Olympia - Urology
Michael R Ellen Md Ps - NPI 1174637599
Michael R Ellen Md Ps is a Urology in Olympia, Washington. Michael R Ellen Md Ps practices all healthcare services and medical treatments related to Urology. The NPI Number for Michael R Ellen Md Ps is 1174637599. The last update date is 2020-08-22.
Michael R Ellen Md Ps's current location address is 128 Lilly Rd Ne, Olympia, Washington. You can contact this provider via phone number 3607543380. The mailing address for Michael R Ellen Md Ps is 128 Lilly Rd Ne, Olympia, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Michael R Ellen Md Ps |
|---|---|
| Address | 128 Lilly Rd Ne, Olympia, Washington |
| Phone Number | 3607543380 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Ellen R Michael |
| Credentials | MD |
| Telephone Number | 3607543380 |
NPI Number Detail
| NPI Number | 1174637599 |
|---|---|
| Provider Enumeration Date | 2006-08-19 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 128 Lilly Rd Ne |
|---|---|
| City | Olympia |
| State | Washington (WA) |
| Post Code | 985065029 |
| Phone Number | 3607543380 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Urology |
|---|---|
| Taxonomy | 208800000X |
| Licence No | MD00026526 |
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Definition: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1105360 | WA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Michael R Ellen Md Ps by the Centers for Medicare & Medicaid Services (CMS)?
The Michael R Ellen Md Ps has been assigned the NPI (National Provider Identifier) 1174637599. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Michael R Ellen Md Ps's facilities are geographically located?
The facilities of Michael R Ellen Md Ps are physically situated at the following location: 128 Lilly Rd Ne, Olympia, WA, 985065029.
What is Michael R Ellen Md Ps's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Michael R Ellen Md Ps is Urology, and the taxonomy code that classifies this field of practice is 208800000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1174637599 to Michael R Ellen Md Ps?
The Centers for Medicare & Medicaid Services assigned the 1174637599 to Michael R Ellen Md Ps on 2006-08-19.
As of what date was the information regarding Michael R Ellen Md Ps, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Michael R Ellen Md Ps, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.