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DR. PAMELA I ELLSWORTH M.D. NPI 1417948647


NPI Information

NPI: 1417948647
Provider Name: DR. PAMELA I ELLSWORTH, M.D.
Classification: Urology - 2088P0231X
Entity Type: Individual

Specialization: Pediatric Urology

PECOS Registration: Yes

Address:
13535 NEMOURS PKWY
ORLANDO, FL
ZIP 32827
Phone: (407) 567-4000
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DR. Pamela I Ellsworth, M.D. is a pediatric urology urology in Orlando, FL. The provider is surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele). DR. Pamela I Ellsworth, M.D. NPI is 1417948647. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

13535 NEMOURS PKWY
ORLANDO, FL
ZIP 32827-402
Phone: (407) 567-4000
Fax: (407) 567-5924

The NPI 1417948647 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 11/5/2005 and was last updated on 1/13/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrologyMD11894RHODE ISLANDNo
2208800000XUrology150422MASSACHUSETTSNo
32088P0231XUrologyPediatric Urology150422MASSACHUSETTSNo
42088P0231XUrologyPediatric UrologyME129642FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1018993600MEDICAIDFLORIDA
231017OTHERRHODE ISLANDBLUE SHIELD
33158667MEDICAIDMASSACHUSETTS
4PE45993MEDICAIDRHODE ISLAND

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.