MICHELLE L ELLENBURG (NPI# 1316327661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316327661 |
| Entity Type | Individual |
| Full Name | MICHELLE L ELLENBURG |
| Practice Address |
6205 N Santa Fe Ave Suite 201 Oklahoma City OK 73118-7537 |
| Practice Telephone | 4052728338 |
| Practice Fax Number | 4052726030 |
| Mailing Telephone | 4052728338 |
| Mailing Fax Number | 4052726030 |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2020-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
102324 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6205 N SANTA FE AVE SUITE 201 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73118-7537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801856471 | St Anthony North Ambulatory Surgical Center L L C | Clinic/Center | 6205 N Santa Fe Ave, Suite 100, Oklahoma City, OK 73118-7535 | 2006-03-27 |
| 1639612518 | St Anthony Physicians Allergy | Allergy & Immunology | 6205 N Santa Fe Ave, Suite 105, Oklahoma City, OK 73118-7537 | 2016-11-28 |
| 1932553203 | Saint Medical Group, LLC | Family Medicine | 6205 N Santa Fe Ave, Suite 201, Oklahoma City, OK 73118-7537 | 2016-04-22 |
| 1659666899 | Ssm Healthcare of Oklahoma | Family Medicine | 6205 N Santa Fe Ave, Suite 201, Oklahoma City, OK 73118-7537 | 2011-06-16 |
| 1649459140 | Saints Medical Group, LLC | Family Medicine | 6205 N Santa Fe Ave, Suite 201, Oklahoma City, OK 73118-7537 | 2007-10-31 |
| 1679644348 | Brad A Marion | Internal Medicine | 6205 N Santa Fe Ave, Suite 201, Oklahoma City, OK 73118-7537 | 2006-11-13 |
| 1558475756 | Stephen P Wolf | Internal Medicine | 6205 N Santa Fe Ave, Suite 201, Oklahoma City, OK 73118-7537 | 2006-08-18 |
| 1083728307 | Danny Ray Norris | Chiropractor | 6205 N Santa Fe Ave, #110, Oklahoma City, OK 73118-7537 | 2006-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255812772 | Karrie Danea Moreno | Behavior Technician | 1507 Ne 31st, Oklahoma, OK 73118 | 2018-08-23 |
| 1528578499 | Revive Medical LLC | General Practice | 4215 N Classen Blvd Ste 103, Oklahoma City, OK 73118 | 2017-10-05 |
| 1225556228 | Anika Carr | Case Manager/Care Coordinator | 1212 Nw 32nd Street, Oklahoma City, OK 73118 | 2017-08-30 |
| 1740635168 | Nikhil Malhotra | Internal Medicine | 3635 Vista Avenue At Grand Boulevard, 14th Floor, Desloge Towers, St. Louis, MO 73118 | 2016-05-04 |
| 1144694183 | Christopher Woon | Counselor | 4001 N Classen, Suite 105, Oklahoma City, OK 73118 | 2015-11-13 |
| 1699181925 | Stac Embry | Counselor | 3321 N. Mckinley Ave, Oklahoma City, OK 73118 | 2014-07-08 |
| 1194161216 | Jennifer Kaye Powers | Counselor | 3124 N. Classen Blvd., Ste. A, Oklahoma City, OK 73118 | 2013-05-15 |
| 1932445491 | Jessica Camp | Behavioral Analyst | 3220 N Harvey Pkwy, Oklahoma City, OK 73118 | 2013-01-02 |
| 1942578661 | Michael D Danielson | Behavioral Analyst | 4232 N Sante Fe Ave, Oklahoma City, OK 73118 | 2011-12-08 |
| 1912280587 | Tara Roberts | Counselor | 1743 Nw 37th, Oklahoma City, OK 73118 | 2011-09-21 |
| Find all providers in zip 73118 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700483302 | Terri Lynn Quintero | Nurse Practitioner | 15701 S Pennsylvania Ave, Oklahoma City, OK 73170-8713 | 2020-10-06 |
| 1952917239 | Philomina Philipose | Nurse Practitioner | 8805 Nw 116th St, Oklahoma City, OK 73162-2220 | 2020-09-21 |
| 1376158295 | Ligi Abraham | Nurse Practitioner | 4200 W Memorial Rd Ste 206, Oklahoma City, OK 73120-8305 | 2020-09-09 |
| 1487266532 | Carla Jo Walker | Nurse Practitioner | 1325 N Walker Ave Apt 357, Oklahoma City, OK 73103-6409 | 2020-08-20 |
| 1396356143 | Deshell Ravette Tillman | Nurse Practitioner | 2621 N Sterling Ave, Oklahoma City, OK 73127-1919 | 2020-08-14 |
| 1225656549 | Simon Wellness LLC | Nurse Practitioner | 9321 Sw 23rd St, Oklahoma City, OK 73128-1840 | 2020-07-13 |
| 1831717396 | Caitlin Raylynn Stenberg | Nurse Practitioner | 1000 N Lincoln Blvd Ste 3200, Oklahoma City, OK 73104-3252 | 2020-07-10 |
| 1467078113 | Jaanki Bhakta | Nurse Practitioner | 9116 Sw 24th St, Oklahoma City, OK 73128-4903 | 2020-06-18 |
| 1629699244 | Tanya Cates | Nurse Practitioner | 5529 Bush Creek Way, Oklahoma City, OK 73117-8440 | 2020-05-05 |
| 1922629054 | Heather Amanda Chin Hwa Rutledge | Nurse Practitioner | 7800 Sw 87th Cir, Oklahoma City, OK 73169-7800 | 2020-04-29 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73118 |
Please comment or provide details below to improve the information on MICHELLE L ELLENBURG.
| 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.