DR. ELLEN MARIE SAN BUENAVENTURA (NPI# 1083796098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083796098 |
| Entity Type | Individual |
| Full Name | DR. ELLEN MARIE SAN BUENAVENTURA |
| Credential | MD |
| Practice Address |
5161 N Stonehouse Pl Tucson AZ 85750-9671 |
| Mailing Address |
5161 N Stone House Pl Tucson AZ 85750 |
| Practice Telephone | 5207495889 |
| Mailing Telephone | 5207495889 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2012-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PP0204X |
Emergency Medicine Specialization: Pediatric Emergency Medicine |
14454 | AZ | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 14454 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MCR | 370016065 | 01 | |
| AZ | AHCCCS | 240119 | 01 |
| AZ | 240119-10 | 05 |
| Street Address |
5161 N STONEHOUSE PL |
| City | TUCSON |
| State | AZ |
| Zip Code | 85750-9671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972125490 | Arizona Medical Specialty Group, LLC | Nurse Practitioner | 5590 E River Rd., Suite 101, Tucson, AZ 85750 | 2020-05-07 |
| 1962858936 | Honu Counseling Pllc | Community/Behavioral Health | 5855 North Kolb Road Unit 4208, Tucson, AZ 85750 | 2016-05-10 |
| 1750653341 | Patricia Jean Heese | Occupational Therapist | 5410 N Grey Moutain Tr, Tucson, AZ 85750 | 2012-01-30 |
| 1184911257 | Collaborative Associates In Surgical Assisting | Registered Nurse | 5601 E. Camino Del Celador, Tucson, AZ 85750 | 2011-07-08 |
| 1841468584 | Shelly Kay Surber | Nurse Practitioner | Minute Clinic, 6895 E Sunrise Dr., Tucson, AZ 85750 | 2008-02-15 |
| 1982788121 | Laurie Beth Weston | Psychiatry & Neurology | 7921 E Presidio Road, Tucson, AZ 85750 | 2006-10-24 |
| 1518050624 | David Stuart Thompson | Psychiatry & Neurology | 5661 East Shadow View Ct, Tucson, AZ 85750 | 2006-10-02 |
| 1043250541 | Cathy Evelyn Wayand | Registered Nurse | 6890 E Sunrise Drive Ste 120 #223, Tucson, AZ 85750 | 2006-06-07 |
| 1144206806 | John Daniel Mcarthur | Radiology | 5965 N Sabino Shadow Ln, Tucson, AZ 85750 | 2005-12-15 |
| 1972599181 | Howard Hunter Yost | Psychiatry & Neurology | 5520 N Waterfield Dr, Tucson, AZ 85750 | 2005-09-22 |
| Find all providers in zip 85750 | ||||
| Taxonomy Code | 207PP0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Pediatric Emergency Medicine |
| Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/ Board certification is provided by the American Board of Emergency Medicine. Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083886212 | Nathaniel Reagor Johnson | Emergency Medicine | 2746 N Warren Ave, Tucson, AZ 85719-3142 | 2008-03-27 |
| 1184157448 | Riley Anne Fisher | Emergency Medicine | Banner University Medical Center Tucson, 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2017-04-04 |
| 1376907923 | Victor Laurion | Emergency Medicine | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2016-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982851648 | Sheetal Shah | Emergency Medicine | 15608 N 71st St, Apt 215, Scottsdale, AZ 85254-5359 | 2008-08-25 |
| 1144719642 | Samantha Odell Meyerhoff | Emergency Medicine | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | 2018-05-09 |
| 1144624339 | District Medical Group, Inc | Emergency Medicine | 2601 E Roosevelt St, Emergency Medicine, Phoenix, AZ 85008-4973 | 2014-10-16 |
| 1396040713 | Zola Trotter | Emergency Medicine | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2011-01-14 |
| 1952530313 | Tina L Tobler | Emergency Medicine | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2009-07-07 |
| 1588865802 | Michael Jeffrey Jonas | Emergency Medicine | 7400 E Osborn Rd, Scottsdale, AZ 85251-6432 | 2007-05-31 |
| 1821148867 | Mark A Hostetler | Emergency Medicine | 1919 E Thomas Rd, East Building, Phoenix, AZ 85016-7710 | 2007-01-11 |
| 1649210758 | Frederick Mcdonald | Emergency Medicine | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2006-06-07 |
| 1720025661 | Madhumita Sinha | Emergency Medicine | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2006-05-31 |
| 1417904038 | Khajista Qazi | Emergency Medicine | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2006-05-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. ELLEN MARIE SAN BUENAVENTURA.
| 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.