DR. PATRICK MICHAEL ELLISON


Address: 8415 Bayshore Blvd, Tampa, FL 33621-1607
Phone: 8138279548

DR. PATRICK MICHAEL ELLISON (NPI# 1619081155) 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) 1619081155
Entity Type Individual
Full Name DR. PATRICK MICHAEL ELLISON
Credential M.D.
Practice Address 8415 Bayshore Blvd
Tampa
FL 33621-1607
Mailing Address 1329 Lusitana St 501
Honolulu
HI 96813-2412
Practice Telephone 8138279548
Practice Fax Number 8138285731
Mailing Telephone 8085211102
Mailing Fax Number 8085211103
Enumeration Date 2006-08-19
Last Update Date 2015-10-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ND0101X Dermatology
Specialization: MOHS-Micrographic Surgery
MD-18276 HI Allopathic & Osteopathic Physicians

Other Providers PATRICK ELLISON

NPI Name Taxonomy Address Enumeration
1184626244 Patrick K Ellison Urology 1532 Lone Oak Rd, Suite 310, Paducah, KY 42003-7913 2005-06-02

Office Location

Street Address 8415 BAYSHORE BLVD
City TAMPA
State FL
Zip Code 33621-1607

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972597375 Sylvan Howard Riker Family Medicine 8415 Bayshore Blvd, 6mdg, Tampa, FL 33621-1607 2005-08-31
1144451857 John Dallas Leeah Spec/Tech, Pathology 8415 Bayshore Blvd, Tampa, FL 33621-1607 2009-07-29
1023248275 Thomas Stuart Herman Otolaryngology 8415 Bayshore Blvd, Mdos/sgosl, Tampa, FL 33621-1607 2009-07-22
1538397898 Nicole Gonzalez Military Health Care Provider 8415 Bayshore Blvd, Tampa, FL 33621-1607 2009-06-25
1184851529 Angela Noel Messer Military Health Care Provider 8415 Bayshore Blvd, Tampa, FL 33621-1607 2009-06-12
1508091778 Cynthia Marie Milanese Military Health Care Provider 8415 Bayshore Blvd, Tampa, FL 33621-1607 2009-05-18
1184868861 Christopher Lawson Military Health Care Provider 8415 Bayshore Blvd, Tampa, FL 33621-1607 2009-04-27
1083850135 Adrian Lee Avalos Physician Assistant 8415 Bayshore Blvd, Family Practice - Patriot Clinic, Tampa, FL 33621-1607 2008-12-19
1164675070 6 Medical Group Military Hospital 8415 Bayshore Blvd, Macdill Base, Tampa, FL 33621 2008-10-23
1396941597 Ernestine R Harris Counselor 8415 Bayshore Blvd, Tampa, FL 33621-1607 2007-06-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134644750 Kwanza Lincoln Military Health Care Provider 3520 Zemke Ave, Tampa, FL 33621 2017-08-04
1922407659 Michelle Lind Social Worker 8126 Hangar Loop Dr, 927the Arw - Bldg 296, Room 231, Tampa, FL 33621 2014-08-19
1588932768 Katherine Holmes Physician Assistant 6th Medical Group, 3250 Zemke Ave, Macdill Afb, FL 33621 2011-12-02
1558378273 Graeme Charles Bicknell Social Worker 4815 Bayshore Blvd, 6th Medical Group, Tampa, FL 33621 2006-08-02
1659346146 Laura Umfer Psychologist 4515 Bayshore Blvd, Tampa, FL 33621 2006-02-20
1205808516 Kenneth Joseph Baron Physician Assistant 3250 Zemke Ave #1078, 6th Medical Group, Macdill Afb, FL 33621 2006-02-02
1760478044 Michael Glenn Hodges Family Medicine 3250 Zerkle Avenue, Macdill Afb, FL 33621 2005-09-22
1003801242 Heather Ann Newman Nurse Anesthetist, Certified Registered 6th Medical Group/sghc, 8415 Bayshore Blvd, Macdill Afb, FL 33621 2005-09-14
1861486789 Daniel N. Park Physician Assistant Ussocom Clinic, 3250 Zemke Ave, Macdill Afb, FL 33621 2005-09-07
1811374002 Sara Bender Social Worker 3250 Zemke Ave, Tampa, FL 33621 2015-04-27
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Taxonomy Information

Taxonomy Code 207ND0101X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology
Specialization MOHS-Micrographic Surgery

Taxonomy Definition

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558378141 Paul Herschel Bowman Md Dermatology 5379 Primrose Lake Circle, Tampa, FL 33647 2006-08-03
1508812983 Steven Al Proper Dermatology 14521 University Point Pl, Tampa, FL 33613-5424 2006-05-26
1184670903 Paul H Bowman Dermatology 5379 Primrose Lake Cir, Tampa, FL 33647-3521 2006-05-25
1063779072 Jennifer Michelle Divine Dermatology 12901 Bruce B Downs Blvd, Mdc 41, Tampa, FL 33612-4742 2012-04-15
1275854614 Nicole Marie Howe Dermatology 15416 N Florida Ave, Tampa, FL 33613-1244 2010-06-21
1649438144 Leavitt Medical Associates of Florida Inc Dermatology 6919 N Dale Mabry Hwy, Ste 325, Tampa, FL 33614-3972 2008-05-30
1538119722 Academic Alliance In Dermatology, Inc. Dermatology 5210 Webb Rd, Tampa, FL 33615-4518 2006-05-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1144827577 Onspot-fl LLC. Dermatology 16461 Domestic Ave, Fort Myers, FL 33912-6008 2020-10-08
1942855150 International Dermatology Research, Inc. Dermatology 8370 W Flagler St Ste 200, Miami, FL 33144-2038 2019-08-05
1154815546 Forefront Dermatology, S.c. Dermatology 7720 Us Highway 98 W Ste 240, Miramar Beach, FL 32550-7232 2018-06-19
1437517802 Total Vein and Skin LLC Dermatology 10383 Hagen Ranch Road, Ste 100, Boynton Beach, FL 33437-3732 2016-02-01
1861812851 Anand Haryani Dermatology 8745 N Us Highway 1, Sebastian, FL 32958-7524 2014-04-17
1164841797 Michael Montuno Dermatology 38135 Market Sq Ste 108, Zephyrhills, FL 33542-7505 2014-04-10
1861813719 Hillcrest Dermatology and Plastic Surgery P.a. Dermatology 733 Highway 466, Lady Lake, FL 32159-6340 2013-12-19
1922355957 Florida Medical Specialists Dermatology 4351 Cortez Rd W, Suite 101, Bradenton, FL 34210 2012-08-09
1619232501 Alliant Dermatology Pa Dermatology 8620 E County Road 466, The Villages, FL 32162-3670 2012-07-07
1114218328 Leavitt Medical Assocaittes of Florida Inc Dermatology 1426 E Bloomindale Ave, Valrico, FL 33596 2011-04-21
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Competitor

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City TAMPA
Zip Code 33621

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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