Ellstrom Anesthesia PC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

260995 Issued in NY

Legal business name

ELLSTROM ANESTHESIA PC

Practice address

407 9TH St
Brooklyn, NY 11215-4101

Phone

(970) 331-5454

NPI assigned

Oct 3, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Steven J. Ellstrom, M.D.NPI 1427098623

Title

Owner

Phone

(970) 331-5454

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven Jordan Ellstrom, MD

  • Anesthesiology Physician
  • Denver, CO
  • NPI 1427098623
  NPD (past) Authorized official

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

{
    "created_epoch": "1349222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349222400000",
    "number": "1881946762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 270",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117620270",
            "telephone_number": "631-264-2035",
            "fax_number": "631-264-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 9TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112154101",
            "telephone_number": "970-331-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLSTROM ANESTHESIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-03",
        "last_updated": "2012-10-03",
        "status": "A",
        "authorized_official_last_name": "ELLSTROM",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-331-5454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "260995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellite Medico LLC
• Rachel Ellman
• Fraidy Ellner
• Valerie Ellois, PHD
• Lisa R. Ellrodt, L.M.S.W.
• Janice Ellsworth
• Krystal Rose Marie Ellsworth
• Elm Medical, PC
• Elm Pharmacy, Inc.
• Elm Pharmacy, Inc. (Elm Pharmacy)

• Anesthesiology Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Anesthesiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; 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.