Stefanie S Gefroh Ellison, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

9688 Issued in ND

Practice address

3000 32ND Ave S
Fargo, ND 58103-6132

Phone

(701) 364-8000

Fax

(701) 364-8078

NPI assigned

Jul 10, 2006

Last updated

Oct 10, 2011By the provider in NPPES

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 11

Other names 1

• Stefanie S Ghazi Former name

Medicare fee-for-service enrollment

Enrolled in ND, MN2 enrollments

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 2

Specialty

Obstetrics/Gynecology

Education

University of North Dakota School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Innovis Health LLCGroup PAC ID 9931298155, 561 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Essentia Health Hospital, Fargo, ND, CCN 350070

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FAHCDA

All facility ownership & control disclosures 24

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 24

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Bridges Medical Center

  dba Essentia Health Ada

  • Critical Access Hospital
  • Ada, MN
  • NPI 1306836598

  Corporate Officer

  CMS ownership
• Bridges Medical Center

  dba Essentia Health Ada

  • Medicare Defined Swing Bed Hospital Unit
  • Ada, MN
  • NPI 1316374978

  Corporate Officer

  CMS ownership
• Bridges Medical Center

  dba Essentia Health Ada Clinic

  • Rural Health Clinic/Center
  • Ada, MN
  • NPI 1366886186

  Corporate Officer

  CMS ownership
• First Care Medical Services

  dba Essentia Health Oklee Clinic

  • Rural Health Clinic/Center
  • Oklee, MN
  • NPI 1174812465

  Corporate Officer

  CMS ownership
• First Care Medical Services

  dba First Care Living Center

  • Skilled Nursing Facility
  • Fosston, MN
  • NPI 1447333984

  Corporate Officer

  CMS ownership
• First Care Medical Services

  dba Essentia Health Fosston

  • Critical Access Hospital
  • Fosston, MN
  • NPI 1497850119

  Corporate Officer

  CMS ownership
• First Care Medical Services

  dba Essentia Health Bagley Clinic

  • Rural Health Clinic/Center
  • Bagley, MN
  • NPI 1790861649

  Corporate Officer

  CMS ownership
• First Care Medical Services

  dba Essentia Health Fosston

  • Medicare Defined Swing Bed Hospital Unit
  • Fosston, MN
  • NPI 1942409545

  Corporate Officer

  CMS ownership
• Graceville Health Center

  dba Essentia Health - Graceville Clinic

  • Rural Health Clinic/Center
  • Graceville, MN
  • NPI 1013976281

  Corporate Officer

  CMS ownership
• Graceville Health Center

  dba Essentia Health - Holy Trinity Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Graceville, MN
  • NPI 1134188907

  Corporate Officer

  CMS ownership
• Graceville Health Center

  dba Essentia Health - Grace Home

  • Skilled Nursing Facility
  • Graceville, MN
  • NPI 1699744128

  Corporate Officer

  CMS ownership
• Graceville Health Center

  dba Essentia Health - Holy Trinity Hospital

  • Critical Access Hospital
  • Graceville, MN
  • NPI 1982673620

  Corporate Officer

  CMS ownership

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.

• Innovis Health, LLC

  dba Essentia Health Fargo

  • General Acute Care Hospital
  • Fargo, ND
  • NPI 1215125463
  Medicare reassignment Care Compare group NPD
• St. Marys Regional Health Center

  dba Essentia Health St. Mary's- Detroit Lakes

  • Rural Acute Care Hospital
  • Detroit Lakes, MN
  • NPI 1679561088
  Medicare reassignment NPD
• St Mary's Regional Health Center

  dba Essentia Health St. Mary's-Frazee Clinic

  • Rural Health Clinic/Center
  • Frazee, MN
  • NPI 1902364482
  NPD
• Comprehensive Healthcare for Women, PA

  • Obstetrics & Gynecology Physician
  • Woodbury, MN
  • NPI 1841235595
  NPD (past)
• First Care Medical Services

  dba Essentia Health Fosston Clinic

  • Critical Access Hospital Clinic/Center
  • Fosston, MN
  • NPI 1073638565
  NPD (past)
• Minnesota Women's Care, P.a.

  • Obstetrics & Gynecology Physician
  • Maplwood, MN
  • NPI 1518221779
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Innovis Health, LLC

  dba Essentia Health Fargo

  • General Acute Care Hospital
  • Fargo, ND
  • NPI 1215125463
  Care Compare affiliation

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318204800000",
    "number": "1326072232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6001",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581086001",
            "telephone_number": "701-364-8000",
            "fax_number": "701-364-8078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 32ND AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581036132",
            "telephone_number": "701-364-8000",
            "fax_number": "701-364-8078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEFROH ELLISON",
        "first_name": "STEFANIE",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2011-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "ND",
            "license": "9688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13112",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE #",
            "identifier": "137094",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICA'S PPO/ARAZ #",
            "identifier": "2155911",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LHS #",
            "identifier": "34894",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA #",
            "identifier": "0704093",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NDBS #",
            "identifier": "24613",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE #",
            "identifier": "DA9011041661",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS #",
            "identifier": "HP44194",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA #",
            "identifier": "0704094",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MNBS #",
            "identifier": "850S5GE",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "856410800",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEFANIE",
            "last_name": "GHAZI",
            "middle_name": "S",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mark Ryan Geerdes, PT, DPT
• Brittany Kay Geffre
• Jordyn Lea Irene Geffre
• Lois Carol Geffre, RN, BSN, CDCES
• Madelyn Gefre
• Breyleigh Gegelman, DC
• Michaela Gegelman
• Ashley Jeanine Gehrig
• Jesse T Gehrig
• Travis Geier, MD

• Obstetrics & Gynecology Physician in Fargo, ND
• Providers in Fargo, ND by specialty
• Obstetrics & Gynecology Physician in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.