ELLEN B STEVENSON (NPI# 1043246838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043246838 |
| Entity Type | Individual |
| Full Name | ELLEN B STEVENSON |
| Credential | MD |
| Practice Address |
2801 N Gantenbein Ave Department of Pediatrics, Legacy Emanuel Hospital Portland OR 97227-1623 |
| Mailing Address |
2801 N Gantenbein Ave Department of Pediatrics, Legacy Emanuel Hospital Portland OR 97227 |
| Practice Telephone | 5034132402 |
| Practice Fax Number | 5034132566 |
| Mailing Telephone | 5034132402 |
| Mailing Fax Number | 5034132566 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2009-06-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208M00000X | Hospitalist | MD27853 | OR | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 046652 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 270994 | 05 | |
| WA | 8155160 | 05 | |
| GA | 000917936K | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427111855 | Ellen M Stevenson | Psychiatry & Neurology | 3 E 65th St, Suite 1c, New York, NY 10021-6527 | 2006-12-18 |
| 1750894093 | Ellen Marie Stevenson | Occupational Therapist | 1 Arbor Ter, Fenton, MO 63026-3900 | 2017-11-08 |
| Street Address |
2801 N GANTENBEIN AVE DEPARTMENT OF PEDIATRICS, LEGACY EMANUEL HOSPITAL |
| City | PORTLAND |
| State | OR |
| Zip Code | 97227-1623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124027198 | James P Mccord | Pediatrics | 2801 N Gantenbein Ave, Portland, OR 97227-1623 | 2005-07-20 |
| 1225639040 | Lina Rossetti-grulich | Nurse Practitioner | 2801 N Gantenbein Ave, Portland, OR 97227-1623 | 2020-11-06 |
| 1033722673 | Karen Bronson | Pharmacist | 2801 N Gantenbein Ave, Portland, OR 97227-1623 | 2020-08-24 |
| 1356969331 | Sandy Hammer | Pharmacist | 2801 N Gantenbein Ave, Portland, OR 97227-1623 | 2020-07-07 |
| 1225673999 | Odaisa Igwe | Pharmacist | 2801 N Gantenbein Ave, Portland, OR 97227-1623 | 2019-11-16 |
| 1952945578 | Julie Lorine Hoover | Pharmacist | 2801 N Gantenbein Ave, Portland, OR 97227-1623 | 2019-11-06 |
| 1285278648 | Kate Harrell Unterberger | Pharmacist | 2801 N Gantenbein Ave, Portland, OR 97227-1623 | 2019-10-29 |
| 1780227082 | Keegan Carly Fritzke | Pharmacist | 2801 N Gantenbein Ave, Portland, OR 97227-1623 | 2019-10-21 |
| 1578106860 | Corinne Frohlick | Pharmacist | 2801 N Gantenbein Ave, Portland, OR 97227-1623 | 2019-10-20 |
| 1386287662 | Aimee Breitfelder Reddy | Pharmacist | 2801 N Gantenbein Ave, Portland, OR 97227-1623 | 2019-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466574 | Jessica Michelle Simonetti | Psychologist | Portland Psychotherapy Clinic, Research and Training Ce, 3700 N Williams Ave, Portland, OR 97227 | 2020-10-29 |
| 1447812268 | Maksim Yefimov | Physician Assistant | 2800 N Vancouver Ave Ste 130, Portland, OR 97227 | 2019-07-01 |
| 1851955975 | Erin Marie Staples | Student in an Organized Health Care Education/Training Program | 2800 N. Vancouver Ave;, Suite 230, Portland, OR 97227 | 2019-04-24 |
| 1922588508 | Melanie Grace Mix | Physician Assistant | 501 N Graham St Ste 420, Portland, OR 97227 | 2018-08-14 |
| 1730615071 | Mehran Giblin | Student in an Organized Health Care Education/Training Program | 2800 N. Vancouver Ave, Suite 230, Legacy Clinic Emanuel, Portland, OR 97227 | 2017-05-05 |
| 1730623687 | Christina Grace Belter | Optometrist | 300 N Graham St Ste 300, Portland, OR 97227 | 2016-12-12 |
| 1407300205 | Jenna Abernathy | Counselor | 3537 N Williams Ave, Portland, OR 97227 | 2016-08-09 |
| 1215390760 | Tanya Marie Woods | Massage Therapist | 3808 N. Williams Ave., Portland, OR 97227 | 2016-04-01 |
| 1033596853 | Eric Allen Martin | Counselor | 2054 N. Vancouver Ave, Portland, OR 97227 | 2015-04-30 |
| 1285040436 | Berk Neurosurgical LLC | Neurological Surgery | 501 N Graham St Ste 500, Portland, OR 97227 | 2014-07-09 |
| Find all providers in zip 97227 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700235512 | Samuel Woodworth | Hospitalist | 22 Bramhall St Rm 2227, Portland, ME 04102-3134 | 2016-06-13 |
| 1659547677 | Bassel Beitinjaneh | Hospitalist | 4984 Sw Oleson Rd, 27, Portland, OR 97225-1462 | 2008-04-30 |
| 1972697522 | Mark Helfand | Hospitalist | Portland Vamc P3med, 3710 Sw Us Veterans Hospital Road, Portland, OR 97239 | 2006-10-03 |
| 1558468322 | Peter Damian Sullivan | Hospitalist | 3181 Sw Sam Jackson Park Rd # Bte119, Portland, OR 97239-3011 | 2006-09-20 |
| 1457461279 | Thomas William Barrett | Hospitalist | 3710 Sw Us Va Hospital Rd, Portland Vamc (p3med), Portland, OR 97207-1034 | 2006-08-30 |
| 1033777362 | John Mladucky | Hospitalist | 144 State St, Portland, ME 04101-3776 | 2019-06-01 |
| 1215406491 | Cathern Zweifel | Hospitalist | 22 Bramhall St, Portland, ME 04102-3134 | 2018-11-18 |
| 1891227658 | Matthew Andrew O'donnell | Hospitalist | 3181 Sw Sam Jackson Park Rd # L-579, Portland, OR 97239-3011 | 2017-03-31 |
| 1396277117 | Rebecca Bystrom | Hospitalist | 22 Bramhall St, Portland, ME 04102-3134 | 2017-03-30 |
| 1821520883 | Kelsi Manley | Hospitalist | 3181 Sw Sam Jackson Park Rd, L-579, Portland, OR 97239-3011 | 2017-03-29 |
| Find all providers in PORTLAND | ||||
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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.