DR. BETTINA MARIE ELLSWORTH (NPI# 1336178615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336178615 |
| Entity Type | Individual |
| Full Name | DR. BETTINA MARIE ELLSWORTH |
| Other Name | BETTINA MARIE GROOME OHL |
| Credential | MD |
| Practice Address |
993 Long Ln Gettysburg PA 17325-2920 |
| Practice Telephone | 7173346068 |
| Mailing Telephone | 7173346068 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2012-12-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
MD027671E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HIGHMARK BLUE SHIELD | 150863 | 01 |
| PA | 000876100 | 05 | |
| MD | 132151001 | 05 | |
| PA | JOHNS HOPKINS | 104609 | 01 |
| PA | GEISINGER | 38221 | 01 |
| PA | AETNA | 4244528 | 01 |
| Street Address |
993 LONG LN |
| City | GETTYSBURG |
| State | PA |
| Zip Code | 17325-2920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427684059 | Health Care Center LLC | Clinic/Center | 16e Hanover Street, Hanover St, Gettysburg, PA 17325 | 2020-03-16 |
| 1578039574 | Cpmoptometry LLC | Point of Service | Walmart Vision, 3271 Pa 940, Mt Pocono, PA 17325 | 2018-10-17 |
| 1306353933 | Hayley Michelle Kidd | Physical Therapist | 237 Savannah Dr, Gettysburg, PA 17325 | 2018-01-04 |
| 1700247582 | Renee Lehman LLC | Physical Therapist | 249 B York Street, Gettysburg, PA 17325 | 2016-03-08 |
| 1245664820 | Kera Joan Provost | Pharmacist | 40 V-twin Drive, Suite 107, Gettysburg, PA 17325 | 2013-08-30 |
| 1790922524 | Shannon Shutika | Physical Therapist | 867 York Road, Gettysburg, PA 17325 | 2009-01-15 |
| 1245489988 | Edward Mitchell O'brien | Acupuncturist | 2311 Fairfield Rd., Suite E, Gettysburg, PA 17325 | 2008-09-18 |
| 1184882011 | The Gettysburg Hospital-short Procedure | Clinic/Center | 450 South Washington St, Suite A, Gettysburg, PA 17325 | 2008-05-28 |
| 1619196227 | Susquehanna Optical Inc | Eyewear Supplier (Equipment, not the service) | 506 W. Middle St., Gettysburg, PA 17325 | 2007-04-24 |
| 1164542437 | John Martin Fidler | Prosthetic/Orthotic Supplier | 26 Baltimore St, Gettysburg, PA 17325 | 2007-03-30 |
| Find all providers in zip 17325 | ||||
| Taxonomy Code | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336338532 | Theresa Yankey Acquaah | Obstetrics & Gynecology | 450 S Washington St, Suite B, Gettysburg, PA 17325-2500 | 2007-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972922128 | Christine I Kansky | Obstetrics & Gynecology | 915 Old Fern Hill Rd Ste D600, West Chester, PA 19380-3421 | 2014-04-15 |
| 1386896405 | Carl A Lam | Obstetrics & Gynecology | 2743 Coventry Cir, Allentown, PA 18103-9271 | 2008-10-21 |
| 1831390095 | Leah Eboso Ahoya | Obstetrics & Gynecology | 130 Connecticut Ave, Sinking Spring, PA 19608-8616 | 2007-05-29 |
| 1720297047 | Hak R Kim | Obstetrics & Gynecology | 1205 Langhorne Newtown Road, Langhorne, PA 19047-1201 | 2007-05-22 |
| 1629290275 | Complete Womens Care PC | Obstetrics & Gynecology | 1650 Hungtondon Pike, Meadowbrook, PA 19046 | 2007-05-03 |
| 1780603837 | Susquehanna Physician Services | Obstetrics & Gynecology | 2134 W 4th St, Williamsport, PA 17701-4344 | 2006-07-19 |
| 1538188487 | Norman G. Rosenblum | Obstetrics & Gynecology | 100 E Lancaster Ave Ste 661, Wynnewood, PA 19096 | 2006-07-19 |
| 1386270767 | Madison Christine Rice | Obstetrics & Gynecology | 300 Halket St, Pittsburgh, PA 15213-3108 | 2020-03-18 |
| 1578109716 | Pinnacle Health Medical Services | Obstetrics & Gynecology | 18 North St, Hanover, PA 17331-2275 | 2019-11-22 |
| 1447801535 | St. Luke's Physician Group, Inc | Obstetrics & Gynecology | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2019-09-20 |
| Find all providers with the same taxonomy | ||||
| City | GETTYSBURG |
| Zip Code | 17325 |
Please comment or provide details below to improve the information on DR. BETTINA MARIE ELLSWORTH.
| 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.