ELLEN B CROWE


Address: 115 Los Padres Dr, Thousand Oaks, CA 91361-1317
Phone: 8053803313

ELLEN B CROWE (NPI# 1245296250) 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) 1245296250
Entity Type Individual
Full Name ELLEN B CROWE
Credential MD
Practice Address 115 Los Padres Dr
Thousand Oaks
CA 91361-1317
Practice Telephone 8053803313
Practice Fax Number 8054490091
Mailing Telephone 8053803313
Mailing Fax Number 8054490091
Enumeration Date 2006-04-26
Last Update Date 2012-04-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207PE0004X Emergency Medicine
Specialization: Emergency Medical Services
01036964 IN Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine G89024 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN ANTHEM 000000365275 01
IN RAIL ROAD MEDICARE P00608083 01
MI 104748978 05
IN 200072690 05

Office Location

Street Address 115 LOS PADRES DR
City THOUSAND OAKS
State CA
Zip Code 91361-1317

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Taxonomy Information

Taxonomy Code 207PE0004X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine
Specialization Emergency Medical Services

Taxonomy Definition

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine.

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Competitor

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City THOUSAND OAKS
Zip Code 91361

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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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