Jennifer L Ellegood in Sylvania - Physician Assistant
Jennifer L Ellegood - NPI 1780654608
Jennifer L Ellegood is a Physician Assistant in Sylvania, Ohio. Jennifer L Ellegood practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jennifer L Ellegood is 1780654608. The last update date is 2007-10-26.
Jennifer L Ellegood's current location address is 5200 Harroun Rd, Sylvania, Ohio. You can contact this provider via phone number 4198241952 and fax number 4198241751. The mailing address for Jennifer L Ellegood is 5200 Harroun Rd, Sylvania, Ohio. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jennifer L Ellegood |
---|---|
Address | 5200 Harroun Rd, Sylvania, Ohio |
Phone Number | 4198241952 |
Fax Number | 4198241751 |
Sole Proprietor | N |
Credentials | P.A. |
NPI Number Detail
NPI Number | 1780654608 |
---|---|
Provider Enumeration Date | 2006-01-24 |
Last Updated Date | 2007-10-26 |
Provider Mailing Address Detail
Address | 5200 Harroun Rd |
---|---|
City | Sylvania |
State | Ohio (OH) |
Post Code | 435602168 |
Phone Number | 4198241952 |
Fax Number | 4198241751 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
---|---|
Taxonomy | 363A00000X |
Licence No | 50-002331 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
50-002331 | OH | PA LICENSE | |
P00354306 | OH | RR MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jennifer L Ellegood by the Centers for Medicare & Medicaid Services?
The Jennifer L Ellegood has been issued the NPI (National Provider Identifier) 1780654608 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Jennifer L Ellegood's facilities are situated?
The facilities of Jennifer L Ellegood are physically located at the following address: 5200 Harroun Rd, Sylvania, OH, 435602168.
What is Jennifer L Ellegood's area of expertise and its corresponding taxonomy classification?
The Jennifer L Ellegood's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
On what date did Jennifer L Ellegood receive its 1780654608 assignment from the Centers for Medicare & Medicaid Services?
The Jennifer L Ellegood was assigned its 1780654608 on 2006-01-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Jennifer L Ellegood, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jennifer L Ellegood, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-10-26.