ERICA RYU ELLSWORTH (NPI# 1457970972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457970972 |
| Entity Type | Individual |
| Full Name | ERICA RYU ELLSWORTH |
| Practice Address |
14603 Huebner Rd Bldg 28 San Antonio TX 78230-5497 |
| Practice Telephone | 2106147074 |
| Mailing Telephone | 2106147074 |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2020-04-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 242T00000X | Perfusionist | TX | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
14603 HUEBNER RD BLDG 28 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78230-5497 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265554414 | Robert Matthew Browne | Perfusionist | 14603 Huebner Rd Bldg 28, Ste. 28101, San Antonio, TX 78230-5497 | 2007-04-06 |
| 1134612567 | Milandri Elizabeth Kriel | Spec/Tech, Cardiovascular | 14603 Huebner Rd Bldg 28, San Antonio, TX 78230-5497 | 2018-06-11 |
| 1891168860 | Daniel Perales | Perfusionist | 14603 Huebner Rd Bldg 28, Ste. 28101, San Antonio, TX 78230-5497 | 2015-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184224834 | Natasha Bakunda | Nurse Practitioner | Fountainhead One Tower, 8200 Ih-10 West, Ste 317, San Antonio, TX 78230 | 2020-10-30 |
| 1154930568 | James Cory Vasquez | Pharmacist | 9900 Wurzbach Road, San Antonio, TX 78230 | 2020-07-31 |
| 1861033144 | Aspasia Amtsberg | Licensed Practical Nurse | 7710 W I-10, San Antonio, TX 78230 | 2019-10-08 |
| 1841840212 | Allison Danielle Davidson | Licensed Vocational Nurse | 7710 West, I-10, San Antonio, TX 78230 | 2019-09-17 |
| 1063062800 | Dalisa Kelly Bacon | Nurse's Aide | 7710 West I 10, San Antonio, TX 78230 | 2019-09-13 |
| 1952878134 | Yvette Turner | Licensed Practical Nurse | 4951 Woodstone Dr, Apt 615 Face 2, San Antonio, TX 78230 | 2018-10-25 |
| 1396226270 | Tammy Lynn Saldana | Registered Nurse | 7710 W I10, San Antonio, TX 78230 | 2018-08-28 |
| 1891275699 | Nina Lum Fru Baumgarten | Counselor | 7710 W1h 10, San Antonio, TX 78230 | 2018-08-21 |
| 1952880833 | Rebecca N Khorram | Speech-Language Pathologist | I-10 W 10609 Frontage Rd, 105, San Antonio, TX 78230 | 2018-08-10 |
| 1770071540 | Michael Allen Kent | Counselor | Northwest Atrium, 11550 West I-10, Suite 235, San Antonio, TX 78230 | 2018-04-27 |
| Find all providers in zip 78230 | ||||
| Taxonomy Code | 242T00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Perfusionist |
| A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient’s circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the appropriate equipment and techniques to be used. |
| Notes: Source: Health Professions Career and Education Directory, American Medical Association [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356865109 | Dauvon Lamar Mccormick | Perfusionist | 14603 Huebner Rd. Blg 28, Ste 28101, San Antonio, TX 78203 | 2017-08-02 |
| 1649653288 | Regina Giannola | Perfusionist | 6742 Manor Hill Dr., San Antonio, TX 78247 | 2015-07-01 |
| 1386064202 | Sandra Powell Melchor | Perfusionist | 8518 Shooting Quail, San Antonio, TX 78250-4613 | 2014-04-17 |
| 1891065793 | Haven Allan Young | Perfusionist | 1331 S Flores St, 308, San Antonio, TX 78204-1655 | 2012-01-09 |
| 1336455039 | Shelby Mcneel Miller | Perfusionist | 210 Halcyon Pl, San Antonio, TX 78209-3825 | 2010-08-19 |
| 1124202767 | Alaeddin M. Taher | Perfusionist | 622 Mathis Mdw, San Antonio, TX 78251-4344 | 2007-12-18 |
| 1265554414 | Robert Matthew Browne | Perfusionist | 14603 Huebner Rd Bldg 28, Ste. 28101, San Antonio, TX 78230-5497 | 2007-04-06 |
| 1467074674 | Tyrone Lamar Crews | Perfusionist | 14603 Huebner Rd Ste 28101, San Antonio, TX 78230-5497 | 2020-05-11 |
| 1164042776 | Amy Jo Walker | Perfusionist | 14603 Huebner Rd Ste 28101, San Antonio, TX 78230-5497 | 2020-04-23 |
| 1306475579 | Justin Manley | Perfusionist | 14603 Huebner Rd Ste 28101, San Antonio, TX 78230-5497 | 2020-04-08 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78230 |
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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.