Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANDREW R ELLSWORTH, MD
ActiveFamily Medicine · BROOKINGS, SD
Registration Details
- NPI Number
- 1568690758
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 25, 2009 (16.84761683607 yrs)
- Last Updated
- Sep 19, 2012
- License
-
8575 (SD)
Practice Information
- Address
-
400 22ND AVEBROOKINGS, SD, 570062497Browse SD providers · Browse ZIP 57006
- Phone
- 6056979500
- Fax
- 6056976939
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in BROOKINGS, SD
| Name | Credential | NPI |
|---|---|---|
| DR. JENNIFER LEA OLSON | MD | 1285623439 |
| DR. DEBRA J. RODEGHIERO JOHNSTON | MD | 1043268063 |
| DR. RICHARD S. HIEB | MD | 1801844824 |
| DR. MERRITT G. WARREN | MD | 1497705461 |
| DR. RICHARD A. WAKE | MD | 1053361014 |
| DR. REBECCA VANDE KOP | MD | 1669422606 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.