STEFANIE R ELLISON (NPI# 1053372904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053372904 |
| Entity Type | Individual |
| Full Name | STEFANIE R ELLISON |
| Credential | M.D. |
| Practice Address |
2301 Holmes St Kansas City MO 64108-2640 |
| Mailing Address |
2310 Holmes St Ste 800 Kansas City MO 64108-2634 |
| Practice Telephone | 8164041500 |
| Mailing Telephone | 8162182500 |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2016-08-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
112705 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 203987409 | 05 |
| Street Address |
2301 HOLMES ST |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64108-2640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063416949 | Heather K Isom | Emergency Medicine | 2301 Holmes St, Kansas City, MO 64108-2640 | 2005-06-09 |
| 1457951733 | Edin Mehmedovic | Pharmacist | 2301 Holmes St, Kansas City, MO 64108-2677 | 2020-10-27 |
| 1679170005 | Melissa Kay Abramovitz | Nurse Practitioner | 2301 Holmes St, Kansas City, MO 64108-2640 | 2020-10-08 |
| 1487269957 | Collin Curry | Nurse Practitioner | 2301 Holmes St, Kansas City, MO 64108-2640 | 2020-09-11 |
| 1114530631 | Eric Potrykus | Pharmacist | 2301 Holmes St, Kansas City, MO 64108-2640 | 2020-08-25 |
| 1093323784 | Katie Lynn Luetkenhaus | Pharmacist | 2301 Holmes St, Kansas City, MO 64108-2640 | 2020-07-19 |
| 1063020907 | Jordan Elaine Frangello | Pharmacist | 2301 Holmes St, Kansas City, MO 64108-2640 | 2020-07-16 |
| 1114545357 | Aaron Lawson | Pharmacist | 2301 Holmes St, Kansas City, MO 64108-2640 | 2020-07-13 |
| 1336766013 | Gadison Quick | Pharmacist | 2301 Holmes St, Kansas City, MO 64108-2640 | 2020-06-29 |
| 1376166843 | Rebecca Ann Garton | Pharmacist | 2301 Holmes St, Kansas City, MO 64108-2640 | 2020-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194345561 | Diversity Telehealth, LLC | Health Educator | 1601 East 18th Street, 320a, Kansas City, MO 64108 | 2020-04-25 |
| 1447894092 | Claire-louise Sophia Young | Student in an Organized Health Care Education/Training Program | Truman Medical Center - Department of Pathology, 2301 Holmes, Kansas City, MO 64108 | 2019-11-06 |
| 1053962415 | Kymberly Kline | Behavior Technician | Riley Aba & Autism Center, 1936 Summit St, Kansas City, MO 64108 | 2019-09-26 |
| 1841854643 | Mallak Ahmed Ghozlan Zatreh | Student in an Organized Health Care Education/Training Program | 2301 Homes Street, Kansas City, MO 64108 | 2019-04-26 |
| 1003470881 | Sindhuja Palle | Internal Medicine | Truman Medial Center, 2301 Holmes Dept. of Interal Medicine, Kansas City, MO 64108 | 2019-04-26 |
| 1467016253 | Osama Mahmoud Okasha | Internal Medicine | Truman Medicial Center, 2301 Holmes, Dept of Internal Medicine, Kansas City, MO 64108 | 2019-04-26 |
| 1730643719 | Michele D Smith | Registered Nurse | 2101 Charlotte Street, Urology, Kansas City, MO 64108 | 2019-01-24 |
| 1437640414 | Omar Fayez Ahmad Abuqamar | Student in an Organized Health Care Education/Training Program | Truman Medical Center, 2301 Holmes St., Dept. of Internal Medicine, Kansas City, MO 64108 | 2018-05-24 |
| 1992200190 | Hannah Rebekah Hurst | Student in an Organized Health Care Education/Training Program | 2101 Charlotte St Ste 200, Kansas City, MO 64108 | 2018-03-28 |
| 1659873404 | William Andrew Carroll | Chiropractor | 313 E. 17th St. #210, Kansas City, MO 64108 | 2018-03-07 |
| Find all providers in zip 64108 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750434999 | Luis Robles | Emergency Medicine | 529 Southwest Blvd, Kansas City, MO 64108-2122 | 2007-01-19 |
| 1316180839 | Jennifer J Von Fintel | Emergency Medicine | 8929 Parallel Pkwy, Kansas City, KS 66112-1689 | 2009-04-14 |
| 1194980409 | Jiten Natvar Lad | Emergency Medicine | 920 Main St Ste 300, Attn Dr. Jiten Lad, Kansas City, MO 64105-2008 | 2008-07-25 |
| 1114199817 | Emily Anne Hillman | Emergency Medicine | 2301 Holmes St, Kansas City, MO 64108-2640 | 2008-04-02 |
| 1114147857 | Anthony James Bonin | Emergency Medicine | 1000 Carondelet Dr, Kansas City, MO 64114-4673 | 2007-04-26 |
| 1114144219 | David Allen Hobley | Emergency Medicine | 1000 Carondelet Dr, Kansas City, MO 64114-4673 | 2007-04-19 |
| 1033222997 | John Lorei | Emergency Medicine | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2006-08-16 |
| 1588670962 | Douglas Arthur Coe | Emergency Medicine | 2401 Holmes St, Kansas City, MO 64108-2741 | 2006-07-31 |
| 1144236159 | Marc Devries Larsen | Emergency Medicine | 4401 Wornall Rd, Kansas City, MO 64111 | 2006-07-31 |
| 1932132032 | Emily Hyatt | Emergency Medicine | 8929 Parallel Pkwy, Kansas City, KS 66112-1689 | 2006-07-09 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64108 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.