National Provider Identifier Database

SUSANNAH G ELLSWORTH, MD – NPI #1336283951
Radiation Oncology

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.


Contact Information

SUSANNAH G ELLSWORTH, MD
550 UNIVERSITY BLVD
INDIANAPOLIS, IN46202-5149
Phone: 317-944-2524
Fax:
Website:
Specialty Taxonomy Code
* Radiation Oncology 2085R0001X

* Indicates primary specialty

NPI Profile & details for SUSANNAH G ELLSWORTH

NPI Number 1336283951
Credentials MD
Entity Individual
Enumeration date 02/16/2007
Last updated 03/15/2016 - About 10 years ago
Sole proprietor1 No
Identifiers
  • IN License #: 01075059A
  • MD License #: D0071963
  • IN Medicaid: 201286120
  • MD Medicaid: 057572100
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for SUSANNAH G ELLSWORTH, MD

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