DR. BRUCE E ELLISON (NPI# 1912932849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912932849 |
| Entity Type | Individual |
| Full Name | DR. BRUCE E ELLISON |
| Credential | M.D. |
| Practice Address |
2940 Whipple Ave Suite E Redwood City CA 94062-2857 |
| Practice Telephone | 6503664585 |
| Practice Fax Number | 6503663896 |
| Mailing Telephone | 6503664585 |
| Mailing Fax Number | 6503663896 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | A84392 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD PROVIDER ID # | 00A843920 | 01 |
| Street Address |
2940 WHIPPLE AVE SUITE E |
| City | REDWOOD CITY |
| State | CA |
| Zip Code | 94062-2857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922031376 | Bruce E. Ellison, Md A Medical Corporation | Orthopaedic Surgery | 2940 Whipple Ave, Suite E, Redwood City, CA 94062-2857 | 2006-07-09 |
| 1417490970 | University Healthcare Alliance | Internal Medicine | 2940 Whipple Ave, Suite B, Redwood City, CA 94062-2857 | 2016-11-30 |
| 1841313293 | William Richard Dorrance | Internal Medicine | 2940 Whipple Ave, Ste C, Redwood City, CA 94062-2857 | 2007-04-09 |
| 1669518189 | Fred S Marcus, M.d. A Professional Corporation | Internal Medicine | 2940 Whipple Ave, Suite B, Redwood City, CA 94062-2857 | 2007-01-30 |
| 1871657601 | David Ladd Dorrance | Internal Medicine | 2940 Whipple Ave, Ste. C., Redwood City, CA 94062-2857 | 2006-12-19 |
| 1336245984 | Sidney M. Marchasin | Internal Medicine | 2940 Whipple Ave, Suite C, Redwood City, CA 94062-2857 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063051803 | Birch Clinic Corporation | Acupuncturist | 39b Birch St, Redwood City, CA 94062 | 2019-12-26 |
| 1376084459 | Sneha Kadkol | Physical Therapist | 2944 Broadway Street, Redwood City, CA 94062 | 2017-03-09 |
| 1376081166 | B. Annye Rothenberg | Psychologist | 3943 Jefferson Ave., Emerald Hills, CA 94062 | 2017-02-01 |
| 1922410406 | Sheree Campbell | Psychologist | 40a Corto Ln, Woodside, CA 94062 | 2014-06-02 |
| 1902188832 | Delmar J Smith | Physician Assistant | 2900 Whipple Ave Ste 132, Redwood City, CA 94062 | 2011-09-16 |
| 1902192974 | Mariana Garcia | Counselor | 500 Allerton Street, Redwood City, CA 94062 | 2011-06-28 |
| 1386938264 | Julie Freschi | Physical Therapist | 3674 Sand Hill Rd, Woodside, CA 94062 | 2011-06-08 |
| 1669763702 | Jacqueline M Phillips | Pediatrics | 2979 Woodside Road, Woodside, CA 94062 | 2011-04-24 |
| 1396041208 | Arch Street Medical Associates | General Practice | 143 Birch Street, Redwood City, CA 94062 | 2011-02-10 |
| 1174843916 | Priyasheelta Nand | Internal Medicine | 2950 Whipple Avenue, Suite 3, Redwood City, CA 94062 | 2010-06-03 |
| Find all providers in zip 94062 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295071876 | Neal M Berger | Orthopaedic Surgery | 2900 Whipple Ave Ste 210, Redwood City, CA 94062-2851 | 2012-12-30 |
| 1245529775 | Lisa Huynh | Orthopaedic Surgery | 450 Broadway St # Mc6342, Redwood City, CA 94063-3132 | 2011-04-05 |
| 1861713000 | Stephen J Huffaker | Orthopaedic Surgery | 450 Broadway St. Mc: 6342, Stanford University School of Medicine, Dept of Ortho, Redwood City, CA 94063-3132 | 2010-06-22 |
| 1083933535 | Gannon Daniel Kennedy | Orthopaedic Surgery | 500 Arguello St Ste 100, Redwood City, CA 94063-1567 | 2010-05-24 |
| 1740504638 | Daniel Jason Holtzman | Orthopaedic Surgery | 1400 Veterans Blvd., 1st Floor, Department of Orthopaedic Surgery, Redwood City, CA 94063 | 2010-03-21 |
| 1134386576 | Derek Fakhredean Amanatullah | Orthopaedic Surgery | 450 Broadway Street, Mc6342, Pavilion C, 4th Floor, Redwood City, CA 94063-3132 | 2008-05-22 |
| 1518033356 | Joseph Patrick Donahue | Orthopaedic Surgery | 450 Broadway St # A, Redwood City, CA 94063-3132 | 2006-11-24 |
| 1922031376 | Bruce E. Ellison, Md A Medical Corporation | Orthopaedic Surgery | 2940 Whipple Ave, Suite E, Redwood City, CA 94062-2857 | 2006-07-09 |
| 1336514975 | Chin Tat Lim | Orthopaedic Surgery | 450 Broadway St Fl C4, Department of Orthopaedic Surgery, Redwood City, CA 94063-3132 | 2015-12-08 |
| 1982083887 | Alexander Manuel Crespo | Orthopaedic Surgery | 450 Broadway St, Redwood City, CA 94063-3132 | 2015-05-26 |
| Find all providers in REDWOOD CITY | ||||
| City | REDWOOD CITY |
| Zip Code | 94062 |
Please comment or provide details below to improve the information on DR. BRUCE E ELLISON.
| 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.