STEFANIE S GEFROH ELLISON MD NPI 1326072232

NPI Information

NPI: 1326072232
Provider Name: STEFANIE S GEFROH ELLISON, MD
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
3000 32ND AVE S
FARGO, ND
ZIP 58103
Phone: (701) 364-8000
Get Directions

Stefanie S Gefroh Ellison, MD is an obstetrics gynecology in Fargo, ND with 24 years of experience. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Stefanie S Gefroh Ellison, MD NPI is 1326072232. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduation Year:2000

The provider's business location address is:

3000 32ND AVE S
FARGO, ND
ZIP 58103-132
Phone: (701) 364-8000
Fax: (701) 364-8078

The NPI 1326072232 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/10/2006 and was last updated on 10/10/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207V00000X	Obstetrics & Gynecology		9688	NORTH DAKOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2155911	OTHER	NORTH DAKOTA	AMERICA'S PPO/ARAZ #
2	24613	MEDICARE ID-TYPE UNSPECIFIED	NORTH DAKOTA	ND MEDICARE #
3	13112	MEDICAID	NORTH DAKOTA
4	0704094	OTHER	NORTH DAKOTA	MEDICA #
5	HP44194	OTHER	NORTH DAKOTA	HEALTHPARTNERS #
6	I10050	MEDICARE UPIN	NORTH DAKOTA
7	P00219035	MEDICARE ID-TYPE UNSPECIFIED	NORTH DAKOTA	RR MEDICARE #
8	34894	OTHER	NORTH DAKOTA	LHS #
9	N711328	MEDICARE OSCAR/CERTIFICATION	NORTH DAKOTA
10	N711328	MEDICARE PIN	NORTH DAKOTA
11	CF8850	MEDICARE PIN
12	850S5GE	OTHER	NORTH DAKOTA	MNBS #
13	715703	MEDICARE PIN	NORTH DAKOTA
14	0704093	OTHER	NORTH DAKOTA	MEDICA #
15	137094	OTHER	NORTH DAKOTA	UCARE #
16	N714398	MEDICARE OSCAR/CERTIFICATION	NORTH DAKOTA
17	856410800	MEDICAID	NORTH DAKOTA
18	N714398	MEDICARE PIN	NORTH DAKOTA
19	DA9011041661	OTHER	NORTH DAKOTA	PREFERRED ONE #
20	24613	OTHER	NORTH DAKOTA	NDBS #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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