SUE A ELLWOOD (NPI# 1720044621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720044621 |
| Entity Type | Individual |
| Full Name | SUE A ELLWOOD |
| Credential | CNP |
| Practice Address |
1740 Cleveland Rd Wooster OH 44691-2204 |
| Practice Telephone | 3302874850 |
| Practice Fax Number | 3302649804 |
| Mailing Telephone | 3302874500 |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2010-03-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | NP05864 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | RN168210 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2652713 | 05 |
| Street Address |
1740 CLEVELAND RD |
| City | WOOSTER |
| State | OH |
| Zip Code | 44691-2204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629069133 | Jeffery Reynold Kontak | Family Medicine | 1740 Cleveland Rd, Wooster, OH 44691-2204 | 2005-11-03 |
| 1659903821 | Keti Sulaj Dubow | Pharmacist | 1740 Cleveland Rd, Wooster, OH 44691-2204 | 2020-02-06 |
| 1184100372 | Kristen Stout | Physician Assistant | 1740 Cleveland Rd, Wooster, OH 44691-2204 | 2018-07-11 |
| 1952812968 | Jamie George | Nurse Practitioner | 1740 Cleveland Rd, Wooster, OH 44691-2204 | 2017-10-17 |
| 1619496486 | Julie Podlogar | Nurse Practitioner | 1740 Cleveland Rd, Wooster, OH 44691-2204 | 2017-09-13 |
| 1396286506 | Jesse James Cecil | Nurse Practitioner | 1740 Cleveland Rd, Wooster, OH 44691-2204 | 2017-03-20 |
| 1366894214 | Kathy Praisler Wood | Nurse Practitioner | 1740 Cleveland Rd, Wooster, OH 44691-2204 | 2016-07-04 |
| 1841692597 | Rayanne Robinson | Physician Assistant | 1740 Cleveland Rd, Wooster, OH 44691-2204 | 2014-09-24 |
| 1720412356 | Sondra Lee Vetovitz | Physician Assistant | 1740 Cleveland Rd, Wooster, OH 44691-2204 | 2013-08-30 |
| 1871934372 | Stephanie Strausbaugh | Nurse Practitioner | 1740 Cleveland Rd, Wooster, OH 44691-2204 | 2013-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285296426 | Teddi Lynn Beun | Home Health Aide | 337 West North Street, Suite 1, Wooster, OH 44691 | 2019-07-08 |
| 1285102418 | Samantha M Rodman | Case Manager/Care Coordinator | 2858 Back Orrville Road, Wooster, OH 44691 | 2018-11-06 |
| 1205347028 | Progressive Wooster LLC | Skilled Nursing Facility | 1700 E Smithville Wester Rd, Wooster, OH 44691 | 2017-10-19 |
| 1619357563 | Michelle L Morton | Counselor | 439 N Market St Ste B, Wooster, OH 44691 | 2015-06-05 |
| 1003295502 | Walter Blair Geho | Internal Medicine | 533 Beechwood Street, Wooster, OH 44691 | 2015-05-29 |
| 1578960589 | Beth Gaubatz | Psychologist | 375 South Smyser Road, Wooster, OH 44691 | 2014-11-20 |
| 1184039729 | Diane Woodruff | Licensed Practical Nurse | 1605 Lemar Dr, Wooster, OH 44691 | 2014-06-23 |
| 1003257312 | Stacy Marie Scheibert | Licensed Practical Nurse | 639 Robinson Road, Wooster, OH 44691 | 2013-07-15 |
| 1487905972 | Judy Kropf | Counselor | 104 Spink Street, Wooster, OH 44691 | 2012-09-25 |
| 1295080752 | Brittany J Mowrer | Home Health Aide | 3570 W Smithville Western Rd, Wooster, OH 44691 | 2012-07-19 |
| Find all providers in zip 44691 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609493022 | Joy Anna Older | Nurse Practitioner | 1438 Gasche St, Wooster, OH 44691-3019 | 2020-07-01 |
| 1851869564 | Hannah Morrison | Nurse Practitioner | 3562 Commerce Pkwy Ste B, Wooster, OH 44691-7128 | 2018-11-12 |
| 1588062202 | Ellen Hockenberry | Nurse Practitioner | 3373 Commerce Pkwy Ste 3, Wooster, OH 44691-7130 | 2014-12-11 |
| 1730252016 | Holly Marie Anderson | Nurse Practitioner | 128 E Milltown Rd Ste 209, Wooster, OH 44691-1276 | 2006-11-16 |
| 1831727452 | Paul W Aslanides | Nurse Practitioner | 1761 Beall Ave, Wooster, OH 44691-2342 | 2020-03-30 |
| 1548560477 | Melissa J Stoudmire | Nurse Practitioner | 1740 Cleveland Rd, Wooster, OH 44691-2204 | 2010-10-26 |
| 1699731919 | Debra J Jones | Nurse Practitioner | 1740 Cleveland Rd, Wooster, OH 44691-2204 | 2006-04-25 |
| 1780647511 | Darby Elizabeth Carpenter | Nurse Practitioner | 1740 Cleveland Rd, Wooster, OH 44691-2204 | 2006-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407497 | Brooke Ashley Sforza | Nurse Practitioner | 7518 Linnville Rd, Newark, OH 43056-9340 | 2020-11-03 |
| 1295335289 | Ipsa Patel | Nurse Practitioner | 3143 Elora Ln, Fairfield Township, OH 45011-0532 | 2020-10-28 |
| 1043810476 | Rylee Fishman | Nurse Practitioner | 5492 Crossbridge Dr, West Chester, OH 45069-1682 | 2020-10-26 |
| 1467051318 | Tylyn Bova | Nurse Practitioner | 26550 Hoop Rd, Freeport, OH 43973-9013 | 2020-10-21 |
| 1558960674 | Alicia Walls-holler | Nurse Practitioner | 5947 S Jay Rd, West Milton, OH 45383-7722 | 2020-10-20 |
| 1184223513 | Ryan Matthew Costlow | Nurse Practitioner | 5605 Madrid Dr, Austintown, OH 44515-4136 | 2020-10-16 |
| 1699373886 | Erin Lea Williams | Nurse Practitioner | 5828 Winshire Dr, Canal Winchester, OH 43110-8791 | 2020-10-11 |
| 1063010338 | Lauren Crook | Nurse Practitioner | 1381 Fox Fire Ct, Lebanon, OH 45036-4032 | 2020-10-09 |
| 1972100287 | Emily Ann Harper | Nurse Practitioner | 6905 Hospital Dr Ste 200a, Dublin, OH 43016-1690 | 2020-10-08 |
| 1780281337 | Lisa Cowles | Nurse Practitioner | 9200 Worthington Rd Ste 300, Westerville, OH 43082-7240 | 2020-10-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SUE A ELLWOOD.
| 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.