DR. PAMELA I ELLSWORTH (NPI# 1417948647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417948647 |
| Entity Type | Individual |
| Full Name | DR. PAMELA I ELLSWORTH |
| Credential | M.D. |
| Practice Address |
13535 Nemours Pkwy Orlando FL 32827-7402 |
| Mailing Address |
10140 Centurion Pkwy N Jacksonville FL 32256-0532 |
| Practice Telephone | 4075674000 |
| Practice Fax Number | 4075675924 |
| Mailing Telephone | 9046974127 |
| Mailing Fax Number | 9046975102 |
| Enumeration Date | 2005-11-05 |
| Last Update Date | 2018-01-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208800000X | Urology | 150422 | MA | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | MD11894 | RI | Allopathic & Osteopathic Physicians |
| Y | 2088P0231X |
Urology Specialization: Pediatric Urology |
ME129642 | FL | Allopathic & Osteopathic Physicians |
| N | 2088P0231X |
Urology Specialization: Pediatric Urology |
150422 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 018993600 | 05 | |
| MA | 3158667 | 05 | |
| RI | PE45993 | 05 | |
| RI | BLUE SHIELD | 31017 | 01 |
| Street Address |
13535 NEMOURS PKWY |
| City | ORLANDO |
| State | FL |
| Zip Code | 32827-7402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568454924 | Mary Bratovich Toth | Internal Medicine | 13535 Nemours Pkwy, Orlando, FL 32827-7402 | 2005-08-21 |
| 1619597424 | Sarah Mullinax | Social Worker | 13535 Nemours Pkwy, Orlando, FL 32827-7402 | 2020-04-22 |
| 1255976734 | Aubrei Blumberg | Behavior Technician | 13535 Nemours Pkwy, Orlando, FL 32827-7402 | 2019-11-08 |
| 1770128258 | Zindia Figueroa | Nurse Anesthetist, Certified Registered | 13535 Nemours Pkwy, Orlando, FL 32827-7402 | 2019-11-08 |
| 1871135632 | Erin Armstrong | Registered Nurse | 13535 Nemours Pkwy, Orlando, FL 32827-7402 | 2019-10-14 |
| 1699322677 | Daisy Jareidy Ocasio | Behavior Technician | 13535 Nemours Pkwy, Orlando, FL 32827-7402 | 2019-08-23 |
| 1720635709 | Tatiana Paola Lozada | Behavior Technician | 13535 Nemours Pkwy, Orlando, FL 32827-7402 | 2019-08-23 |
| 1144876772 | Ashley Patricia Shuler | Behavioral Analyst | 13535 Nemours Pkwy, Orlando, FL 32827-7402 | 2019-08-09 |
| 1730731415 | Julio Cesar Patino Legge | Nurse Practitioner | 13535 Nemours Pkwy, Orlando, FL 32827-7402 | 2019-07-12 |
| 1215589098 | Candace Marie Deluca | Pediatrics | 13535 Nemours Pkwy, Orlando, FL 32827-7402 | 2019-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710515408 | Guru Nandha Raja Chinnaraj | Student in an Organized Health Care Education/Training Program | 6850 Lake Nona Boulevard, Orlando, FL 32827 | 2020-03-30 |
| 1669030037 | Makris Dental LLC | Dentist | 13250 Narcoossee Road, Orlando, FL 32827 | 2019-05-31 |
| 1174016265 | Heather Marinello | Audiologist | Orlando Va Medical Center- Audiology Department, 13800 Veterans Way, Orlando, FL 32827 | 2018-06-13 |
| 1316445471 | Adventist Health System/sunbelt Inc. | Clinic/Center | 9637 Lake Nona Village Pl., Orlando, FL 32827 | 2018-01-24 |
| 1578077335 | Seyla Counseling Inc | Psychologist | 6900 Tanrsrock Lake Blvd Suite 400, Orlando, FL 32827 | 2017-11-30 |
| 1013426188 | Valerie Anne Farrell | Social Worker | 13800 Veteran's Way, Bldg 9, Orlando, FL 32827 | 2017-09-21 |
| 1568981256 | Aneal Ansar Ahmed | Pharmacist | 6550 Sanger Road, University of Florida, Orlando, FL 32827 | 2017-09-13 |
| 1083132575 | Lindey Christine Bartolucci | Psychologist | 13800 Veterans Way Fl 2, Orlando, FL 32827 | 2017-09-05 |
| 1396299087 | Leah Sheehey-hampton | Counselor | 600 Tavistock Lakes Blvd, Suite 400, Orlando, FL 32827 | 2016-08-10 |
| 1972919272 | Scott Sakowitz | Dentist | 9161 Narcoossee Rd Ste 105b, Orlando, FL 32827 | 2014-07-08 |
| Find all providers in zip 32827 | ||||
| Taxonomy Code | 2088P0231X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| Specialization | Pediatric Urology |
| Surgeons who can diagnose, treat, and manage children’s urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele). |
| Notes: Source: American Academy of Pediatrics [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376834820 | Diana Cardona-grau | Urology | 1725 Cook Ave, Orlando, FL 32806-2911 | 2011-05-02 |
| 1225007875 | Richard P Abramson | Urology | 1717 S Orange Ave, Suite 100, Orlando, FL 32806-2944 | 2006-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053357913 | Andrew S Labbie | Urology | 3200 Sw 60th Ct Ste 104, Miami, FL 33155-4069 | 2006-06-21 |
| 1407842701 | Mark E Kolligian | Urology | 4712 N Armenia Ave, Suite 200, Tampa, FL 33603-2611 | 2005-09-22 |
| 1295277911 | Florida Urology Specialists LLC | Urology | 1 S School Ave, Suite 200, Sarasota, FL 34237-6014 | 2016-11-11 |
| 1225438666 | Mariarita Salvitti | Urology | 3200 Sw 60th Ct, Suite 104, Miami, FL 33155-4000 | 2014-09-03 |
| 1851717151 | Alireza Alam | Urology | 3200 Sw 60th Ct Ste 104, Miami, FL 33155-4069 | 2014-03-11 |
| 1659718989 | George Ransford | Urology | 3100 Sw 62nd Ave, Miami, FL 33155 | 2013-05-28 |
| 1487951554 | Natalia Ballesteros | Urology | 3100 Sw 62nd Ave, Miami, FL 33155-3009 | 2011-02-24 |
| 1588965909 | Karl Sturge M.d. P.a. | Urology | 9299 Sw 152nd Street, Suite 205, Miami, FL 33157 | 2010-11-17 |
| 1295049138 | John P Adams Md Pa | Urology | 200 Doctors Dr, Panama City, FL 32405-4559 | 2010-08-03 |
| 1396060596 | Kristin Ann Kozakowski | Urology | 3200 Sw 60th Ct Ste 104, Miami, FL 33155-4069 | 2010-03-30 |
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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.