Dawn Marie Ellison, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

37114 Issued in MN

Practice address

3521 Settlers Way
Stillwater, MN 55082-3453

Phone

(612) 839-4662

NPI assigned

Dec 15, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dawn M Ellison Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393891200000",
    "number": "1013993799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3521 SETTLERS WAY",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550823453",
            "telephone_number": "612-839-4662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3521 SETTLERS WAY",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550823453",
            "telephone_number": "612-839-4662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLISON",
        "first_name": "DAWN",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-15",
        "last_updated": "2014-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "37114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "ELLISON",
            "middle_name": "M",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Alaa Elkomy, RPH
• Joanne K Eller, PA
• Elizabeth Ellingson, OTR/L
• Aaron Elliott, MSW, LGSW, LADC
• Tiffany Elliott, OTR/L
• Eleanor Emond
• Sharon A Engdahl, MSW LICSW
• Kelsey Elizabeth Engelbart, OD
• Brian Michael Engelen, LPCC
• Kathleen Engh, MA, LPCC

• Emergency Medicine Physician in Stillwater, MN
• Providers in Stillwater, MN by specialty
• Emergency Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.