Dr. Carolyn Ann Ellsworth
M.D. | Pediatric Adolescent Medicine | Female
Dr. Carolyn Ann Ellsworth, M.D. is a West Plains, Missouri based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Dr. Carolyn Ann Ellsworth is
312 N Kentucky St, West Plains, Missouri - 65775-2073. She can be contacted on phone at
417-257-7076 and fax number 417-257-1417.
Dr. Carolyn Ann Ellsworth is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Carolyn Ann Ellsworth is
1679570618 which was assigned by NPPES on 06 Jul, 2005 and it was last updated on 01 Nov, 2011.
Dr. Carolyn Ann Ellsworth license number is
102421 for Pediatrics Adolescent Medicine (2080A0000X) in Missouri.
Dr. Carolyn Ann Ellsworth specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Dr. Carolyn Ann Ellsworth basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Dr. Carolyn Ann Ellsworth |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Dr. Carolyn Ann Ellsworth address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 312 N Kentucky St
West Plains, MO, 65775-2073
United States |
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| Phone Number : | 417-257-7076 |
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| Fax Number : | 417-257-1417 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1679570618 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 06 Jul, 2005 |
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| Last Updated On : | 01 Nov, 2011 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Carolyn Ann Ellsworth are as mentioned. Primary taxonomy code for Dr. Carolyn Ann Ellsworth, M.D. is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 102421 | MO |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Carolyn Ann Ellsworth such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 123942001 | MEDICAID | AK | |
| 203592001 | MEDICAID | MO | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 312 N Kentucky St
West Plains, MO, 65775-2073
United States |
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| Phone Number : | 417-257-7076 |
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| Fax Number : | 417-257-1417 |
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Business Location:
Patients can refer following map for directions to
Dr. Carolyn Ann Ellsworth practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.