ELLEN B RODMAN DO - NPI 1033149273 - Pediatrics in Pensacola, FL

Q: What is Ellen Rodman's NPI number?

The NPI number for Ellen Rodman is 1033149273. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Q: What is Ellen Rodman's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Q: When was this NPI record last updated?

The NPPES record for Ellen Rodman was last updated on August 16, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Ellen B Rodman Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELLEN B RODMAN DO (NPI 1033149273) is an individual pediatric emergency medicine provider in Pensacola, Florida, licensed in Massachusetts (1019935) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1033149273

Entity TypeIndividualFemale

Primary Taxonomy2080P0204X

Provider Legal NameELLEN B RODMANCredential: DO

Location Address5151 N 9TH AVE # ERPensacola, FL 32504-8721

Mailing AddressPo Box 2699, Attn: Shmg/hpePensacola, FL 32513-2699 · (850) 416-7000 · Fax (850) 475-4781

Phone(850) 416-7000

Fax(850) 475-4781

Sole ProprietorNo

Enumeration DateJuly 4, 2006

Last NPPES UpdateAugust 16, 20242 updates tracked since enumeration

NPPES CertifiedAugust 16, 2024

✔ NPI 1033149273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0204X

License✔ Licensed in MA · 1019935

Definition

A pediatrician who has special qualifications to manage emergencies in infants and children.

Also ListedEmergency MedicineTaxonomy 207P00000X · License OS0007797 (FL)

5151 N 9TH AVE # ER, Pensacola, FL 32504

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Secondary Practice Locations 2

Location 1300 Longwood AveBoston, MA 02115-5724 · Phone (617) 355-6000

Location 255 Fogg RdS Weymouth, MA 02190-2432 · Phone (781) 624-8000

Other Identifiers 2

Medicaid256279100FL

Other46616FL · Bcbs

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ellen B Rodman Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.