Ellen Donohue, | |
262 Danny Thomas Pl, Memphis, TN 38105-3678 | |
(888) 226-4343 | |
Not Available |
Full Name | Ellen Donohue |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 262 Danny Thomas Pl, Memphis, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700456910 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | R243740 (Maryland) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 31869 (Tennessee) | Primary |
Entity Name | American Anesthesiology Of Tennessee Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609822998 PECOS PAC ID: 9931001922 Enrollment ID: O20040713001364 |
Entity Name | Pediatric Anesthesiologists P A |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720087802 PECOS PAC ID: 0941109482 Enrollment ID: O20040826000464 |
Entity Name | Lifelinc Anesthesia Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801021464 PECOS PAC ID: 0941347447 Enrollment ID: O20091231000232 |
Entity Name | Lifelinc Anesthesia Ii, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821397233 PECOS PAC ID: 2668658493 Enrollment ID: O20110512000311 |
Entity Name | St Jude Childrens Research Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306335088 PECOS PAC ID: 7315133444 Enrollment ID: O20180821000139 |
Mailing Address | Practice Location Address |
---|---|
Ellen Donohue, 915 S Wolfe St Apt 106, Baltimore, MD 21231-3652 Ph: (860) 877-2880 | Ellen Donohue, 262 Danny Thomas Pl, Memphis, TN 38105-3678 Ph: (888) 226-4343 |
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