Andrew Ellsworth (NPI# 1568690758, PAC ID# 6507015724) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1568690758 |
| PAC ID by PECOS | 6507015724 |
| Professional Enrollment ID | I20121003000820 |
| Full Name | Andrew Ellsworth |
| Organization Legal Name | CITY OF BROOKINGS |
| Address |
300 22nd Ave Brookings SD 57006-2480 |
| Phone Number | 6056926351 |
| Gender | M |
| Medical School | UNIVERSITY OF SOUTH DAKOTA SCHOOL OF MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1052307105 |
| Number of Group Practice Members | 52 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 430008 | BROOKINGS HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 300 22nd Ave, Brookings, SD 57006-2480 | 6056926351 | CITY OF BROOKINGS |
| Organization Legal Name | CITY OF BROOKINGS |
| Physicians | 53 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark D Mayer | Orthopedic Surgery | City of Brookings | 400 22nd Ave, Brookings, SD 57006-2450 |
| Christopher E Wangsness | Family Practice | City of Brookings | 310 22nd Ave, Brookings, SD 57006-2474 |
| Tonya D Buchholz | Nurse Practitioner | City of Brookings | 104 W Birch St, Arlington, SD 57212-5801 |
| Amy L Bakker | Physician Assistant | City of Brookings | 300 22nd Ave, Brookings, SD 57006-2480 |
| Kirstin R Sholes | Obstetrics/gynecology | City of Brookings | 300 22nd Ave, Brookings, SD 57006-2480 |
| Catherine A Leadabrand | Hospitalist | City of Brookings | 300 22nd Ave, Brookings, SD 57006-2480 |
| Tara A Heinze | Physician Assistant | City of Brookings | 300 22nd Ave, Brookings, SD 57006-2480 |
| Mark A Vossler | Emergency Medicine | City of Brookings | 300 22nd Ave, Brookings, SD 57006-2480 |
| Jonathan W Mellema | Otolaryngology | City of Brookings | 400 22nd Ave, Brookings, SD 57006-2450 |
| Clinton C Bresee | Certified Registered Nurse Anesthetist (crna) | City of Brookings | 300 22nd Ave, Brookings, SD 57006-2480 |
| Street Address |
300 22ND AVE |
| City | BROOKINGS |
| State | SD |
| Zip | 57006-2480 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy L Bakker | Physician Assistant | City of Brookings | 300 22nd Ave, Brookings, SD 57006-2480 |
| Kirstin R Sholes | Obstetrics/gynecology | City of Brookings | 300 22nd Ave, Brookings, SD 57006-2480 |
| Catherine A Leadabrand | Hospitalist | City of Brookings | 300 22nd Ave, Brookings, SD 57006-2480 |
| Tara A Heinze | Physician Assistant | City of Brookings | 300 22nd Ave, Brookings, SD 57006-2480 |
| Mark A Vossler | Emergency Medicine | City of Brookings | 300 22nd Ave, Brookings, SD 57006-2480 |
| Clinton C Bresee | Certified Registered Nurse Anesthetist (crna) | City of Brookings | 300 22nd Ave, Brookings, SD 57006-2480 |
| Elizabeth L Niemeyer | Nurse Practitioner | City of Brookings | 300 22nd Ave, Brookings, SD 57006-2480 |
| Cory L Kirby | Certified Registered Nurse Anesthetist (crna) | City of Brookings | 300 22nd Ave, Brookings, SD 57006-2480 |
| Jennifer A Mendel | Certified Registered Nurse Anesthetist (crna) | City of Brookings | 300 22nd Ave, Brookings, SD 57006-2480 |
| Nazir Delawar | Family Medicine | City of Brookings | 300 22nd Ave, Brookings, SD 57006-2480 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Grant M Anderson | Chiropractic | 223 6th St, Suite 4, Brookings, SD 57006-1406 | |
| Trisha Jean Morehouse | Optometry | Cp Twitero, PC | 2425 6th St, Brookings, SD 57006-1733 |
| Clayton P Twitero | Optometry | Cp Twitero, PC | 2425 6th St, Brookings, SD 57006-1733 |
| Michael L Moeller | Psychiatry | East Central Mental Health and Chemical Dependency Center | 211 4th St, Brookings, SD 57006-1917 |
| Madeline T Carroll-schaal | Physician Assistant | East Central Mental Health and Chemical Dependency Center | 211 4th St, Brookings, SD 57006-1917 |
| Brennan Thompson | Clinical Social Worker | East Central Mental Health and Chemical Dependency Center | 211 4th St, Brookings, SD 57006-1917 |
| Dennis J Willert | Chiropractic | 405 Main Ave, Brookings, SD 57006-1935 | |
| Sarah A Kenyon | Chiropractic | Willert Enterprises PC | 405 Main Ave, Brookings, SD 57006-1935 |
| Brenda L Johnson | Nurse Practitioner | 306 4th St, Suite G, Brookings, SD 57006-1940 | |
| Isaiah Andrew Crevier | Chiropractic | 430 5th St, Brookings, SD 57006-2007 | |
| Find all physicians in zip 57006 | |||
| City | BROOKINGS |
| Zip Code | 57006 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BROOKINGS + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Andrew Ellsworth.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.