Ellen Elizabeth Michalowski, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

014320 Issued in ME

Practice address

142 W Main St
Fort Kent, ME 04743-1230

Phone

(207) 834-1161

Fax

(207) 834-3285

NPI assigned

Jul 15, 2006

Last updated

Oct 24, 2007By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Horizons Health Services

  • Health Service Clinic/Center
  • Presque Isle, ME
  • NPI 1356676977
  NPD (past)

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193184000000",
    "number": "1548286156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 E MAIN ST",
            "city": "FORT KENT",
            "state": "ME",
            "postal_code": "047431428",
            "telephone_number": "207-834-1161",
            "fax_number": "207-834-3285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 W MAIN ST",
            "city": "FORT KENT",
            "state": "ME",
            "postal_code": "047431230",
            "telephone_number": "207-834-1161",
            "fax_number": "207-834-3285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHALOWSKI",
        "first_name": "ELLEN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2007-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "ME",
            "license": "014320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maritime Radiology Associates PC
• David Joshua Mayich, MD, FAAOS
• Paul H. McBreairty, MD
• Connie L. McLellan, R.D., L.D.
• Michael a. Nissenbaum, MD, PA
• Matthew Michaud, P.T.
• Monique Emma Michaud, RN
• Rebecca Michaud, RN-BSN
• Sara Kay Michaud, MS, LATC
• Stephanie Lynne Michaud, FNP-C

• Obstetrics & Gynecology Physician in Fort Kent, ME
• Providers in Fort Kent, ME by specialty
• Obstetrics & Gynecology Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.