Active NPI
Ellen Lorraine Dore, MD
- Emergency Medicine Physician
- Saint Paul, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 70272
- Practice address
- 640 Jackson St
Saint Paul, MN 55101-2502 - Phone
- (651) 254-5091
- NPI assigned
- May 16, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 70272 | MN | Primary |
Addresses
Primary practice location
640 Jackson St
Saint Paul, MN 55101-2502
Mailing address
PO Box 113171
Anchorage, AK 99511-3171
Phone (907) 947-2155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK, WI, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.68 of 100
- Quality
- 84.45
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alaska Emergency Medicine Associates | Emergency Medicine | Current | Accepting new patients |
| Hudson Hospital, Inc. | Current | Accepting new patients | |
| South Peninsula Hospital, Inc | Current | Accepting new patients | |
| Amery Regional Medical Center, Inc. | Current | Accepting new patients | |
| South Peninsula Hospital, Inc. | Emergency Medicine | Current | Accepting new patients |
| South Peninsula Hospital, Inc | Current | Accepting new patients | |
| Maniilaq Association | Current | Accepting new patients | |
| Amery Regional Medical Center, Inc. | Current | Accepting new patients | |
| Maniilaq Association | Current | Accepting new patients | |
| Westfields Hospital, Inc | Current | Accepting new patients | |
| Maniilaq Association | Current | Accepting new patients | |
| Hudson Hospital, Inc. | Current | Accepting new patients | |
| Westfields Hospital, Inc. | Current | Accepting new patients | |
| Group Health, Inc. | Past | Accepting new patients |
Locations
3200 Providence Dr
Anchorage, AK 99508
Phone (907) 261-3111
4300 Bartlett St
Homer, AK 99603
Phone (907) 235-0369
640 Jackson St
#11102F
Saint Paul, MN 55101
Phone (651) 254-3456
640 Jackson St
Saint Paul, MN 55101
Phone (651) 221-2164
927 Churchill St W
Stillwater, MN 55082
Phone (651) 430-4529
265 Griffin St E
Amery, WI 54001
Phone (715) 268-0301
405 Stageline Rd
Hudson, WI 54016
Phone (715) 531-6000
535 Hospital Rd
New Richmond, WI 54017
Phone (651) 292-2013
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/sphosp-0c203fcf
Organizations & group practices 14
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.
-
- Emergency Medicine Physician
- Anchorage, AK
- NPI 1568450476
-
- Critical Access Hospital
- Amery, WI
- NPI 1093763518
-
- Critical Access Hospital
- Hudson, WI
- NPI 1396849303
-
- Critical Access Hospital
- Homer, AK
- NPI 1093968372
-
- Critical Access Hospital
- New Richmond, WI
- NPI 1881640183
-
- Rural Health Clinic/Center
- Luck, WI
- NPI 1851345268
-
- Critical Access Hospital
- Hudson, WI
- NPI 1255532875
-
- Federal Public Health Clinic/Center
- Kiana, AK
- NPI 1255608998
-
- Critical Access Hospital
- Kotzebue, AK
- NPI 1316995210
-
- Home Health Agency
- Homer, AK
- NPI 1164400750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646956800000",
"number": "1780240523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 113171",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995113171",
"telephone_number": "907-947-2155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 JACKSON ST",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551012502",
"telephone_number": "651-254-5091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORE",
"first_name": "ELLEN",
"middle_name": "LORRAINE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-16",
"last_updated": "2022-03-11",
"certification_date": "2022-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MN",
"license": "70272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; 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.
- 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.