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THOMASENA L ELLISON MD FACOG NPI 1114000403


NPI Information

NPI: 1114000403
Provider Name: THOMASENA L ELLISON, MD FACOG
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
100 LIVINGSTON STREET
3RD FLOOR
BROOKLYN, NY
ZIP 11201
Phone: (718) 222-0393
Get Directions

Thomasena L Ellison, MD FACOG is an obstetrics gynecology in Brooklyn, NY with 36 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. Thomasena L Ellison, MD FACOG NPI is 1114000403. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: MOREHOUSE SCHOOL OF MEDICINE
Graduation Year:1988

The provider's business location address is:

100 LIVINGSTON STREET
3RD FLOOR
BROOKLYN, NY
ZIP 11201
Phone: (718) 222-0393
Fax: (718) 222-3653

The NPI 1114000403 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory (HCPCS:Q0091)
  • Cervical or vaginal cancer screening; pelvic and clinical breast examination (HCPCS:G0101)

The enumeration date for this NPI number is 10/23/2006 and was last updated on 7/2/2014.


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
1207V00000XObstetrics & Gynecology1802491NEW YORKYes

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
1112619613EL02OTHERCARE PLUS
2N323923OTHERWELL CARE
330310POTHERHIP
4P406658OTHEROXFORD
5T4XOTHERETIN
679J911MEDICARE ID-TYPE UNSPECIFIED
70202017OTHERGHI
8ET0249OTHERATLANTIS
93C1694OTHERHEALTHNET
10255780401OTHERHEALTH PLUS
11F94880MEDICARE UPIN

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.