ELLEN BARNETT M.D. NPI 1184778094

NPI Information

NPI: 1184778094
Provider Name: ELLEN BARNETT, M.D.
Classification: General Practice - 208D00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
175 CONCOURSE BLVD
SANTA ROSA, CA
ZIP 95403
Phone: (707) 284-9206
Get Directions

Ellen Barnett, M.D. is a general practice in Santa Rosa, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Ellen Barnett, M.D. NPI is 1184778094. 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:

175 CONCOURSE BLVD
SANTA ROSA, CA
ZIP 95403-217
Phone: (707) 284-9206
Fax: (707) 284-9254

The NPI 1184778094 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 1/22/2007 and was last updated on 11/3/2011.

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	208D00000X	General Practice		A368950	CALIFORNIA	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	A368950	OTHER	CALIFORNIA	LICENSE #
2	00A368951	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	MEDICARE #
3	680452627	OTHER	CALIFORNIA	TAX ID#
4	A28213	MEDICARE UPIN	CALIFORNIA

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: 5/5/2024

NPI Synchronization or Removal

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