Ellen Rose Abellana, M.D.
Individual provider Active NPI Anesthesiology Physician · Orange Park, FL
NPI 1184867772 · NPPES record last updated Sep 3, 2015
Key facts
- NPI
- 1184867772
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- ME116195 (FL)
- Practice address
- 2001 Kingsley Ave
Orange Park, FL 32073-5148 - Phone
- (904) 215-7015
- NPI assigned
- Apr 12, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sunshine State Anesthesia Partners LLC
Practice addresses (Care Compare)
2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 276-8500
Hospital & facility affiliations
- HCA Florida Orange Park Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130827000410 | FL | Practitioner - Anesthesiology | 6305085044 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME116195 | FL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunshine State Anesthesia Partners LLC | Anesthesiology | Current |
Accepting new patients |
| Sheridan Healthcorp, Inc. | Anesthesiology | Current |
Accepting new patients |
| Sheridan Healthcorp, Inc. | Anesthesiology | Current |
Accepting new patients |
| Sheridan Healthcorp Inc | Anesthesiology | Current | Accepting new patients |
Locations
4500 Newberry Rd
Gainesville, FL 32607
Phone (352) 367-2310
14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929
2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015
60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000
4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145
1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502
9330 State Road 54
Trinity, FL 34655
Phone (727) 834-4000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | ME116195 | FL | Yes |
Addresses
Primary practice location
2001 Kingsley Ave
Orange Park, FL 32073-5148
Mailing address
1665 Kingsley Ave
Suite 105
Orange Park, FL 32073-4490
Phone (904) 215-7015
Other providers in Orange Park, FL
- Anthony Abate
- Judith Abbey
- Abcn Pain Management LLC
- Abdul Khalil Wallizada,MD
- Hanan Chadi Abdulwahed
- Mohammad Hassan Aboushaar
- Yairis Abreu Hernandez
- Kyle D Abshire
- Acacia Grove Assisted Living Facility LLC
- Cesar Doel Acevedo
All providers in Orange Park, FL · Anesthesiology Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.