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ELLEN LOUISE SAKORNBUT MD NPI 1578567947


NPI Information

NPI: 1578567947
Provider Name: ELLEN LOUISE SAKORNBUT, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
220 W RIDGEWAY AVE
SUITE 106
WATERLOO, IA
ZIP 50701
Phone: (319) 226-4400
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Ellen Louise Sakornbut, MD is a family medicine in Waterloo, IA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Ellen Louise Sakornbut, MD NPI is 1578567947. 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:

220 W RIDGEWAY AVE
SUITE 106
WATERLOO, IA
ZIP 50701-200
Phone: (319) 226-4400
Fax: (319) 226-4401

The enumeration date for this NPI number is 6/13/2005 and was last updated on 7/9/2007.


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
1207Q00000XFamily Medicine34687IOWAYes

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
138764OTHERIOWAWELLMARK (BC/BS)
21268821MEDICAIDIOWA
3I15028MEDICARE ID-TYPE UNSPECIFIEDIOWAMEDICARE ID
4B26117MEDICARE UPINIOWA

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.