DR. ELLEN LIDE MITCHELL (NPI# 1952669186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952669186 |
Entity Type | Individual |
Full Name | DR. ELLEN LIDE MITCHELL |
Credential | MD |
Practice Address |
160 E Erie Ave Philadelphia PA 19134 |
Mailing Address |
1600 Rockland Rd Wilmington DE 19899 |
Practice Telephone | 2154276778 |
Practice Fax Number | 2154276782 |
Mailing Telephone | 3026514000 |
Enumeration Date | 2012-04-25 |
Last Update Date | 2018-06-29 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208000000X | Pediatrics | MD455417 | PA | Allopathic & Osteopathic Physicians |
Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
MD455417 | PA | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Address | Telephone Number | Fax Number |
---|---|---|
1600 Rockland Rd, Wilmington, DE 198033607 | 3026514000 | |
4401 Penn Ave, Pittsburgh, PA 152241334 | 4126925180 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134745235 | Ellen Mitchell | Physical Therapist | 265 N Willett St, Memphis, TN 38112-5117 | 2020-06-24 |
1144683731 | Ellen Catherine Mitchell | Physician Assistant | 48575 Joy Rd, Canton, MI 48187-1214 | 2016-03-31 |
1073781464 | Ellen Browne Mitchell | Ophthalmology | 4401 Penn Ave Main Hospital, Upmc Children's Hospital Eye Center 3rd Floor, Pittsburgh, PA 15224 | 2008-02-19 |
1497939250 | Ellen P Mitchell | Social Worker | 112 Oak Cove Dr, Columbia, SC 29229-7501 | 2007-12-28 |
1831317106 | Ellen Howard Mitchell | Registered Nurse | 2301 Davidsonville Rd, Crofton, MD 21114-1603 | 2007-04-23 |
1932273653 | Ellen L Mitchell | Occupational Therapist | 828 Valerie Pl, Valdosta, GA 31605-6426 | 2006-11-17 |
1003866559 | Ellen L Mitchell | Psychologist | 5932 Pulaski Ave, Philadelphia, PA 19144-3823 | 2006-05-12 |
1346670528 | Ellen Mitchell | Registered Nurse | 1 Long Wharf Dr, New Haven, CT 06511-5991 | 2013-11-25 |
1821316936 | Ellen Leah Mitchell | Occupational Therapist | 425 Divisadero St, Suite 300, San Francisco, CA 94117-2242 | 2010-05-13 |
1639264450 | Ellen K Mitchell | Family Medicine | 2500 Pocoshock Pl Ste 104, Richmond, VA 23235-6345 | 2006-10-04 |
Street Address |
160 E ERIE AVE |
City | PHILADELPHIA |
State | PA |
Zip Code | 19134 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114919040 | Gabriel Hauser | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2005-08-17 |
1932700150 | Alexandria Nicole Torrisi | Physician Assistant | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-11-04 |
1508466913 | Stc Pediatrics LLC | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-10-27 |
1548867476 | Stc Pediatrics LLC | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-10-05 |
1760009450 | Cassandra Anne Pantano | Nurse Practitioner | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-06-29 |
1366068488 | Stc Pediatrics LLC | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-06-24 |
1992326789 | Kerby Zeisloft | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-05-03 |
1467073353 | Neil Himanshu Patel | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-05-01 |
1629699665 | Rose B Bayer | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-04-30 |
1972124931 | Neha Jadhav | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-04-30 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871137208 | My Philadelphia Pharmacy Inc | Pharmacy | 2901 E Thompson St, Front Store, Philadelphia, PA 19134 | 2019-10-29 |
1588125793 | Bret Johnson | Student in an Organized Health Care Education/Training Program | Pediatric Residency Program, 160 East Erie Ave, Philadelphia, PA 19134 | 2019-03-29 |
1053881672 | Ana Y Almanzar | Psychologist | 3513 North Water Street, Philadelphia, PA 19134 | 2018-11-27 |
1861974206 | Stephanie C Curtis | Registered Nurse | St. Christopher's Hospital for Children 160 E Erie Ave, Philadelphia, PA 19134 | 2018-09-01 |
1700371978 | Kristi Ford | Nurse Practitioner | 160 E Erie Ave # 21542, Philadelphia, PA 19134 | 2018-06-28 |
1700370178 | Natalie Martinez | Case Manager/Care Coordinator | 3528 I St Ste 1, Philadelphia, PA 19134 | 2018-06-19 |
1205352309 | Personal Injury Clinic PC | Chiropractor | 2301 E Allegheny Ave Ste 305a, Philadelphia, PA 19134 | 2017-08-21 |
1306376280 | Port Richmond Counseling Practices | Clinic/Center | 3110 Aramingo Ave, Suite 1, Philadelphia, PA 19134 | 2017-06-14 |
1760864441 | Jason Roy Toews | Pediatrics | 160 East Eire Ave, St. Christopher's Hospital for Children, Philadelphia, PA 19134 | 2015-06-18 |
1376933291 | David Tanney Yusavitz | Nurse Practitioner | 160 E Erie Ave Ste 2015, Philadelphia, PA 19134 | 2015-01-30 |
Find all providers in zip 19134 |
Taxonomy Code | 2080P0206X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Gastroenterology |
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619198769 | David A Blanco | Pediatrics | Erie Ave At Fron St - Scpa Gastroenterology, Nelson Pavilion Ste 2045, Philadelphia, PA 19134 | 2007-05-02 |
1053496133 | Joan S. Dipalma | Pediatrics | Dupont At Jefferson-chestnut, 1015 Chestnut Street Suite 601, Philadelphia, PA 19107-4306 | 2006-10-26 |
1689759789 | Sheeja K. Abraham | Pediatrics | 1015 Chestnut Street Suite 601, Nemours Childrens Clinic, Philadelphia, Philadelphia, PA 19107-4306 | 2006-10-26 |
1134763535 | Stc Pediatrics LLC | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2019-10-30 |
1942724190 | Jessica Breton | Pediatrics | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2017-07-31 |
1710417480 | Antonietta D'urso | Pediatrics | 3401 Civic Center Blvd, Department of Pediatric Gastroenterology, Philadelphia, PA 19104-4319 | 2017-06-15 |
1912438037 | Naomi Elaine Butler Tjaden | Pediatrics | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2017-03-21 |
1093160475 | Sharon Wolfson | Pediatrics | 3401 Civic Center Blvd, Division of Gastroenterology, Philadelphia, PA 19104 | 2016-05-04 |
1346604147 | Eliana Shaul | Pediatrics | 3401 Civic Center Blvd, Department of Pediatric Gastroenterology, Philadelphia, PA 19104 | 2016-04-07 |
1467816413 | Noor Nema | Pediatrics | 3401 Civic Center Blvd, Division of Gastroenterology, Philadelphia, PA 19104 | 2016-04-06 |
Find all providers in PHILADELPHIA |
City | PHILADELPHIA |
Zip Code | 19134 |
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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.