Ellen Marie Schurman, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

222730 Issued in NY

Practice address

3448 State Route 31
Baldwinsville, NY 13027-9231

Phone

(315) 622-6595

Fax

(315) 622-3298

NPI assigned

Apr 28, 2006

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 identifiers 1

Other names 1

• Ellen M Pisters Former name

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: eschurman6051@direct.upstate.edu

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pediatric Service Group

  • Pediatrics Physician
  • Syracuse, NY
  • NPI 1770539066
  Medicare reassignment NPD

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347580800000",
    "number": "1053378489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3448 STATE ROUTE 31",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130279231",
            "telephone_number": "315-622-6595",
            "fax_number": "315-622-3298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3448 STATE ROUTE 31",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130279231",
            "telephone_number": "315-622-6595",
            "fax_number": "315-622-3298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHURMAN",
        "first_name": "ELLEN",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-28",
        "last_updated": "2012-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "222730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02187768",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "PISTERS",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rodolfo Jose Sapp, PTA
• Marie C Sardo, NP
• Angela Saturno, MS, BCBA
• Michael A Schardt, TAXI DRIVER
• Michelle Scheiwiller, PT
• Jillian Nicole Sciuto
• Michele Seeber, MA, CCC-SLP/L
• Self-Direct Inc.
• Self-Direct, Inc.
• David Greer Selover, ATP

• Pediatrics Physician in Baldwinsville, NY
• Providers in Baldwinsville, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.