DR. PAMELA I ELLSWORTH


Address: 13535 Nemours Pkwy, Orlando, FL 32827-7402
Phone: 4075674000

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
FL 018993600 05
MA 3158667 05
RI PE45993 05
RI BLUE SHIELD 31017 01

Office Location

Street Address 13535 NEMOURS PKWY
City ORLANDO
State FL
Zip Code 32827-7402

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2088P0231X
Grouping Allopathic & Osteopathic Physicians
Classification Urology
Specialization Pediatric Urology

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City ORLANDO
Zip Code 32827

Improve Information

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Dataset Information

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.

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