MRS. MARY ILEEN ELLIFF (NPI# 1245313477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245313477 |
| Entity Type | Individual |
| Full Name | MRS. MARY ILEEN ELLIFF |
| Credential | CRNFA |
| Practice Address |
76 Brookwood Ave Santa Rosa Ambulatory Surgery Center Santa Rosa CA 95404 |
| Mailing Address |
Po Box 1288 Healdsburg CA 95448 |
| Practice Telephone | 5109705000 |
| Mailing Telephone | 7074336279 |
| Mailing Fax Number | 7074336279 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WR0006X |
Registered Nurse Specialization: Registered Nurse First Assistant |
321165 | CA | Nursing Service Providers |
| Street Address |
76 BROOKWOOD AVE SANTA ROSA AMBULATORY SURGERY CENTER |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083050041 | James E O'dorisio Md A Professional Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 76 Brookwood Ave, Santa Rosa, CA 95404-4312 | 2013-05-17 |
| 1659674653 | Peter B A Pappas Md Inc | Specialist | 76 Brookwood Ave, Santa Rosa, CA 95404-4312 | 2010-12-13 |
| 1457563819 | James Dean Mays | Specialist | 76 Brookwood Ave, Santa Rosa, CA 95404-4312 | 2007-05-05 |
| 1598820219 | James Edward O'dorisio | Surgery | 76 Brookwood Ave, Santa Rosa, CA 95404-4312 | 2006-12-22 |
| 1003980566 | Peter Bernard Albert Pappas | Orthopaedic Surgery | 76 Brookwood Ave, Santa Rosa, CA 95404-4312 | 2006-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442217 | David Lee Dutton | Counselor | 201 S. E Street, Santa Rosa, CA 95404 | 2020-09-16 |
| 1114492162 | Jesse Earl Rathbun Jr. | Ophthalmology | 1920 Grace Dr., Santa Rosa, CA 95404 | 2018-10-05 |
| 1568958437 | Bianca Avina | Marriage & Family Therapist | 95 Montgomery Dr. #112, Santa Rosa, CA 95404 | 2018-07-03 |
| 1366940504 | New Leaf Counseling and Psychotherapy | Marriage & Family Therapist | 1030 2n Street, Suite B, Santa Rosa, CA 95404 | 2018-01-23 |
| 1659884864 | Jessica Vargas Lopez | Counselor | 3333 Chanate Road, Santa Rosa, CA 95404 | 2017-11-09 |
| 1982135992 | Gaea Keridwyn Coon | Marriage & Family Therapist | 884 Third Street, Suite D, Santa Rosa, CA 95404 | 2017-03-22 |
| 1376084699 | Empire Traditional Chinese Medicine | Acupuncturist | 1030 Second St, Santa Rosa, CA 95404 | 2017-03-20 |
| 1356888705 | Webster Surgery Center, Lp | Clinic/Center | 730 Bennett Valley Road, Santa Rosa, CA 95404 | 2017-01-24 |
| 1205295979 | Sandra Lee Krikorian | Social Worker | 101 E Street, Suite 312, Santa Rosa, CA 95404 | 2016-02-23 |
| 1396134615 | The Center for Body Oriented Psychotherapy & Wellness | Psychologist | 1626 Fourth Street, Santa Rosa, CA 95404 | 2015-01-12 |
| Find all providers in zip 95404 | ||||
| Taxonomy Code | 163WR0006X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Registered Nurse First Assistant |
| A perioperative registered nurse who works in collaboration with the surgeon and other health care team members to achieve optimal outcomes. The RNFA has acquired the necessary knowledge, judgment, and skills specific to the expanded role of RNFA clinical practice. Intraoperatively, the RNFA assists the surgeon. |
| Notes: Source: AORN Official Statement on RNFAs ratified by the AORN House of Delegates in 2004. [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003193665 | Suzetta Richmond | Registered Nurse | 1739 Fourth Street, Santa Rosa, CA 95404-3601 | 2011-11-10 |
| 1427119668 | Rebecca Ann Althoff | Registered Nurse | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760006514 | Rudhel Agtang Baniaga | Registered Nurse | 401 E Wren Ave, Visalia, CA 93291-2103 | 2020-06-07 |
| 1306492541 | Sinath Prom | Registered Nurse | 1642 Trieste Ct, San Jose, CA 95122-3833 | 2019-08-14 |
| 1467014142 | Amber Michelle Packer | Registered Nurse | 22 Corporate Plaza Dr Ste 150, Newport Beach, CA 92660-7999 | 2019-07-02 |
| 1861056194 | Dean A Hopkins Cnor Rnfa | Registered Nurse | 1643 Palatia Dr, Roseville, CA 95661-7751 | 2019-04-22 |
| 1841758075 | Christine Andres Jose | Registered Nurse | 5341 Aspen St, Dublin, CA 94568-7676 | 2019-03-06 |
| 1215406996 | Alfredo Pastor | Registered Nurse | 9510 Lake Superior Dr, Bakersfield, CA 93312-6246 | 2018-11-25 |
| 1457839953 | Gabriel Valdez Perez | Registered Nurse | 38 Terrace Dr, Concord, CA 94518-2045 | 2018-08-06 |
| 1639660483 | Shelly Lynn Hill | Registered Nurse | 7050 N Recreation Ave Ste 103, Fresno, CA 93720-8001 | 2018-05-27 |
| 1518455765 | Harjet Kaur | Registered Nurse | 12064 Roswell Ave, Chino, CA 91710-1550 | 2018-04-24 |
| 1972091270 | Staci Ann Mckee | Registered Nurse | 1559 Beacon Ridge Way, Corona, CA 92883-0726 | 2018-04-23 |
| Find all providers with the same taxonomy | ||||
| City | SANTA ROSA |
| Zip Code | 95404 |
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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.