Tina R Ellison in Westlake - Physician Assistant
Tina R Ellison - NPI 1033196571
Tina R Ellison is a Physician Assistant in Westlake, Ohio. Tina R Ellison practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Tina R Ellison is 1033196571. The last update date is 2009-08-05.
Tina R Ellison's current location address is 29000 Center Ridge Road, Westlake, Ohio. You can contact this provider via phone number 4408358000 and fax number 4408790084. The mailing address for Tina R Ellison is 29000 Center Ridge Road, Westlake, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tina R Ellison |
|---|---|
| Address | 29000 Center Ridge Road, Westlake, Ohio |
| Phone Number | 4408358000 |
| Fax Number | 4408790084 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1033196571 |
|---|---|
| Provider Enumeration Date | 2005-12-27 |
| Last Updated Date | 2009-08-05 |
Provider Mailing Address Detail
| Address | 29000 Center Ridge Road |
|---|---|
| City | Westlake |
| State | Ohio (OH) |
| Post Code | 44145 |
| Phone Number | 4408358000 |
| Fax Number | 4408790084 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 50-001637 |
|
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 |
|---|---|---|---|
| 316099 | OH | ANTHEM | |
| P00079777 | OH | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Tina R Ellison?
The Tina R Ellison has been issued the NPI (National Provider Identifier) 1033196571 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Tina R Ellison is geographically located?
The Tina R Ellison is physically situated at the following location: 29000 Center Ridge Road, Westlake, OH, 44145.
What is Tina R Ellison's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Tina R Ellison is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
When did Tina R Ellison receive its 1033196571 assignment?
The Tina R Ellison was assigned its 1033196571 on 2005-12-27, which is the date when this unique identifier was issued to the organization.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1033196571 to Tina R Ellison?
The Centers for Medicare & Medicaid Services originally issued the 1033196571 to Tina R Ellison on 2005-12-27.