SUZANNE E ELLISON (NPI# 1285620211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285620211 |
| Entity Type | Individual |
| Full Name | SUZANNE E ELLISON |
| Other Name | SUZANNE ELLISON MD PA |
| Credential | MD |
| Practice Address |
200 W Windcrest St Fredericksburg TX 78624-4408 |
| Practice Telephone | 8309970330 |
| Practice Fax Number | 8309977601 |
| Mailing Telephone | 8309970330 |
| Mailing Fax Number | 8309977601 |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2011-03-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | F6604 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBSTX | 8AQ211 | 01 |
| TX | 097503903 | 05 | |
| MEDICARE RR | P00628708 | 01 |
| Street Address |
200 W WINDCREST ST |
| City | FREDERICKSBURG |
| State | TX |
| Zip Code | 78624-4408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902156524 | Erika Broslat Benfield | Nurse Practitioner | 200 W Windcrest St, Cornerstone Clinic, Fredericksburg, TX 78624-4481 | 2012-09-11 |
| 1548447923 | Suzanne E Ellison Md Professional Association | Family Medicine | 200 W Windcrest St, Fredericksburg, TX 78624-4408 | 2008-01-28 |
| 1407033871 | John P Ramsay Professional Association | Family Medicine | 200 W Windcrest St, Fredericksburg, TX 78624-4408 | 2008-01-28 |
| 1619154093 | Matthew J Hoermann Md Pa | Family Medicine | 200 W Windcrest St, Fredericksburg, TX 78624-4408 | 2008-01-28 |
| 1417134891 | Kristi Ann Stafford Md Pa | Family Medicine | 200 W Windcrest St, Fredericksburg, TX 78624-4408 | 2008-01-28 |
| 1629276753 | Karen G Cornett Md Pa | Family Medicine | 200 W Windcrest St, Fredericksburg, TX 78624-4408 | 2007-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992357669 | Cynthia Hui Kim | Registered Nurse | 1020 S State, Tx-16, Fredericksburg, TX 78624 | 2019-07-12 |
| 1023515533 | Fredericksburg Eye Associates, Pllc | Ophthalmology | 755 S. Washington St., Fredericksburg, TX 78624 | 2018-04-11 |
| 1922503358 | Ave Maria Hospice of Fredericksburg, LLC | Hospice Care, Community Based | 204 S. Adams St. #a, Fredericksburg, TX 78624 | 2018-03-27 |
| 1225568546 | David Ronald Rickerhauser | Counselor | 400 Prairie View Trail, Fredericksurg, TX 78624 | 2017-06-19 |
| 1144629734 | Amy Taylor | Nurse Practitioner | 1020 Hwy 16, Fredericksburg, TX 78624 | 2014-08-19 |
| 1578836532 | James W. Harrington Jr. | Otolaryngology | 644 Red Oak Lane, Fredericksburg, TX 78624 | 2012-02-21 |
| 1366676447 | Pamela Elaine Hansen | Counselor | 607 Pesimmon Ct., Fredericksburg, TX 78624 | 2009-05-05 |
| 1457526048 | Celine Bicquart Ord | Radiology | 753 S Washington St Bldg D, Fredericksburg, TX 78624 | 2008-04-24 |
| 1669669024 | Rebecca S Prescott | Dentist | 408 N Milam St, Fredericksburg, TX 78624 | 2007-10-01 |
| 1407046626 | Charles Richard Massey Jr. | General Practice | 103 Goehmann Lane, Fredericksburg, TX 78624 | 2007-07-25 |
| Find all providers in zip 78624 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922579630 | Primary and Urgent Care LLC | Family Medicine | Primary and Urgent Care LLC, 2306 Plank Road Ste 100, Fredericksburg, VA 22401 | 2018-12-07 |
| 1477905784 | Metropolitan Health Care Providers, Inc | Family Medicine | 12702 Maxwell Ct, Fredericksburg, VA 22407-2272 | 2016-07-11 |
| 1497106504 | Centercare Family Practice, LLC | Family Medicine | 2565 Cowan Blvd, Fredericksburg, VA 22401-8440 | 2016-06-29 |
| 1477933851 | Hill Country Integrative Medicine | Family Medicine | 1603 E Main St Unit A, Fredericksburg, TX 78624-5450 | 2015-06-01 |
| 1043563174 | Primary and Urgent Care LLC | Family Medicine | 10009 South Point Parkway, Suite # 200, Fredericksburg, VA 22407 | 2012-10-26 |
| 1225322639 | Raymond Smith | Family Medicine | 608 Royal Oaks Loop, Fredericksburg, TX 78624-6663 | 2011-06-02 |
| 1649414137 | Donna Roxanne Richards | Family Medicine | 21 Dabney Ct, Fredericksburg, VA 22405-2173 | 2009-04-28 |
| 1235375007 | Nicquia Spain | Family Medicine | 4535 Spotsylvania Pkwy, Fredericksburg, VA 22408-7768 | 2008-12-30 |
| 1952520330 | Naeem Ahmad | Family Medicine | 4510 Plank Rd, Suite 200, Fredericksburg, VA 22407-0138 | 2007-04-24 |
| 1154545028 | Muhammad Jadoon | Family Medicine | 1000 Sam Perry Blvd, Fredericksburg, VA 22405 | 2007-04-12 |
| Find all providers in FREDERICKSBURG | ||||
| City | FREDERICKSBURG |
| Zip Code | 78624 |
Please comment or provide details below to improve the information on SUZANNE 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.