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Contact Information

SUSANNAH G ELLSWORTH, MD
550 UNIVERSITY BLVD
INDIANAPOLIS, IN46202-5149
 Phone: 317-944-2524
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for SUSANNAH G ELLSWORTH · (Female)

NPI Number 1336283951
Status Active
Credentials MD
Entity Individual
Enumeration date 02/16/2007
Last updated 03/15/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01075059A
  • MD License # D0071963
  • IN Medicaid 201286120
  • MD Medicaid 057572100
Hospital affiliation(s)
  • UPMC PRESBYTERIAN SHADYSIDE - (Acute Care)
    200 LOTHROP STREET
    PITTSBURGH, PA 15213
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.

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