DR. ELLYN FRANCES THEOPHILOPOULOS (NPI# 1285964239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285964239 |
| Entity Type | Individual |
| Full Name | DR. ELLYN FRANCES THEOPHILOPOULOS |
| Other Name | DR. ELLYN FRANCES PALERMO |
| Credential | MD |
| Practice Address |
4150 Woodlands Pkwy Ste B Palm Harbor FL 34685-3495 |
| Mailing Address |
150 N Spring Blvd Tarpon Springs FL 34689-3247 |
| Practice Telephone | 7277721452 |
| Mailing Telephone | 7279469062 |
| Enumeration Date | 2010-01-13 |
| Last Update Date | 2010-01-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | ME0068251 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 377708100 | 05 |
| Street Address |
4150 WOODLANDS PKWY STE B |
| City | PALM HARBOR |
| State | FL |
| Zip Code | 34685-3495 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093791949 | Amy Nicole Zitiello | Pediatrics | 4150 Woodlands Pkwy Ste B, Palm Harbor, FL 34685-3495 | 2005-12-21 |
| 1427323526 | Rebekah Joy Soto | Pediatrics | 4150 Woodlands Pkwy Ste B, Palm Harbor, FL 34685 | 2012-03-21 |
| 1164616975 | Jennifer Lee Leal | Nurse Practitioner | 4150 Woodlands Pkwy Ste B, Palm Harbor, FL 34685-3495 | 2007-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427663376 | Laura Ashley Birch Williams | Physical Therapy Assistant | 4168 Woodlands Pkwy # A, Palm Harbor, FL 34685 | 2020-09-08 |
| 1356993398 | Gary Barbosa | Podiatrist | 3182 Edgemoore Drive, Palm Harbor, FL 34685 | 2019-07-10 |
| 1093277162 | Raza Zaidi | Student in an Organized Health Care Education/Training Program | 3818 Ambassador Dr, Palm Harbor, FL 34685 | 2019-04-05 |
| 1366965063 | Crestar Labs Fl LLC | Clinical Medical Laboratory | 4714 Ayron Terrace, Palm Harbor, FL 34685 | 2017-07-25 |
| 1497284038 | Jacquelle Davis | Social Worker | 1261 Bay Harbor Dr Apt 201, Palm Harbor, FL 34685 | 2017-06-07 |
| 1649693888 | Marliss Rae Jones | Social Worker | 1107 Mainsail Circle, Palm Harbor, FL 34685 | 2014-01-23 |
| 1427489152 | Best At Home Care LLC | In Home Supportive Care | 1801 East Lake Rd, #3a, Palm Harbor, FL 34685 | 2013-12-05 |
| 1457622292 | Dennis Hamilton | Pharmacist | 3420 East Lake Rd, Palm Harbor, FL 34685 | 2012-01-25 |
| 1275770448 | Amy Beach Harcourt | Physical Therapist | 3488 East Lake Rd, Suite 302, Palm Harbor, FL 34685 | 2009-01-09 |
| 1225223589 | Carolyn Kim Puckett | Physical Therapist | 800 Tarpon Woods Blvd., Suite F1, Palm Harbor, FL 34685 | 2007-09-10 |
| Find all providers in zip 34685 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063600161 | Beatriz Arvelo Sankey | Pediatrics | 31860 Us 19 North, Palm Harbor, FL 34684 | 2007-10-15 |
| 1801959077 | Palm Harbor Pediatrics Pa | Pediatrics | 2595 Sr 584, Suite W, Palm Harbor, FL 34684 | 2006-12-19 |
| 1376649251 | Christine B Armstrong | Pediatrics | 31860 Us Highway 19 N, Palm Harbor, FL 34684-3713 | 2006-09-16 |
| 1205816840 | Michael Couzens Jordan | Pediatrics | 4150 Woodlands Pkwy, Suite B, Palm Harbor, FL 34685-3495 | 2006-01-19 |
| 1093791949 | Amy Nicole Zitiello | Pediatrics | 4150 Woodlands Pkwy Ste B, Palm Harbor, FL 34685-3495 | 2005-12-21 |
| 1548713480 | Arroyo Palm Harbor Pediatrics | Pediatrics | 2595 Tampa Rd, Suite W, Palm Harbor, FL 34684-3152 | 2016-07-27 |
| 1659778231 | St Mary's Pediatric Care Pllc | Pediatrics | 2626 Tampa Rd, Suite 101, Palm Harbor, FL 34684-3155 | 2014-11-26 |
| 1609205566 | Pediatric Associates of Tampa Bay, Inc | Pediatrics | 2595 Tampa Rd, Suite W, Palm Harbor, FL 34684-3152 | 2013-11-01 |
| 1427323526 | Rebekah Joy Soto | Pediatrics | 4150 Woodlands Pkwy Ste B, Palm Harbor, FL 34685 | 2012-03-21 |
| 1295922797 | Magda Fawzy Salib | Pediatrics | 2626 Tampa Rd, Ste 101, Palm Harbor, FL 34684-3155 | 2007-09-27 |
| Find all providers in PALM HARBOR | ||||
| City | PALM HARBOR |
| Zip Code | 34685 |
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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.