Ellen Beth Ozolins, MD

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

EO065676 Issued in MI

Practice address

44050 W 12 Mile Rd
Novi, MI 48377-2612

Phone

(248) 735-3800

Fax

(248) 308-2155

NPI assigned

Jun 28, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Mrs. Ellen Beth Ozolins-Travis Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: eozolins531521@direct.hfhs.org

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

• Ellen B Ozolins MD PC

  • Plastic Surgery Physician
  • Birmingham, MI
  • NPI 1194730747
  NPD (past)

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1760489348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44050 W 12 MILE RD",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772612",
            "telephone_number": "248-735-3800",
            "fax_number": "248-308-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44050 W 12 MILE RD",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772612",
            "telephone_number": "248-735-3800",
            "fax_number": "248-308-2155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 Southfield Rd",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "MI",
            "postal_code": "480091620",
            "country_code": "US",
            "telephone_number": "248-644-0670",
            "fax_number": "248-644-2619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OZOLINS",
        "first_name": "ELLEN",
        "middle_name": "BETH",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-28",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2082S0099X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "MI",
            "license": "EO065676",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MI",
            "license": "EO065676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104422349",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "OZOLINS-TRAVIS",
            "middle_name": "BETH",
            "prefix": "MRS.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Keierra Owens
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• Mercy Owhor
• Mary Owusu
• Mondana M Ozbeki
• P & a of Farmington Hills, PC
• Carolyn Paavo
• Kayla Paavola
• Kyiesha Pace
• Stefanie Pace

• Plastic and Reconstructive Surgery Physician in Novi, MI
• Providers in Novi, MI by specialty
• Plastic and Reconstructive Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.