ELLEN PROEUNG PA
NPI 1083019764
Physician Assistant in Boston, MA

Active since October 24, 2014
75 FRANCIS ST, BOSTON, MA 02115(617) 632-3206 Get Directions Write a Review

NPPES record last updated: October 24, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ellen Proeung Pa NPPES

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

ELLEN PROEUNG PA (NPI 1083019764) is an individual physician assistant in Boston, Massachusetts, licensed in Massachusetts (PA5162) and active in the NPI registry since October 2014.

NPPES Registry Identity

NPI1083019764
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameELLEN PROEUNGCredential: PA
Location Address75 FRANCIS STBoston, MA 02115-6110
Mailing Address75 Francis StBoston, MA 02115-6110
Sole ProprietorNo
Enumeration DateOctober 24, 2014
NPI 1083019764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MA · PA5162
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
75 FRANCIS ST, Boston, MA 02115

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Gastroenterology)
75 FRANCIS ST
BOSTON, MA 02115
Neurological Surgery
75 FRANCIS ST
BOSTON, MA 02115
Student in an Organized Health Care Education/Training Program
75 FRANCIS ST
BOSTON, MA 02115
Radiology (Diagnostic Radiology)
75 FRANCIS ST, DEPARTMENT OF RADIOLOGY
BOSTON, MA 02115
Surgery (Vascular Surgery)
75 FRANCIS ST, BRIGHAM AND WOMEN'S HOSPITAL
BOSTON, MA 02115
Internal Medicine (Infectious Disease)
75 FRANCIS ST
BOSTON, MA 02115
Emergency Medicine
75 FRANCIS ST, BWH DEPT. OF EMERGENCY MEDICINE
BOSTON, MA 02115
Physician Assistant
75 FRANCIS ST
BOSTON, MA 02115

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ellen Proeung's NPI number?

The NPI number for Ellen Proeung is 1083019764. It was assigned to this individual provider in the NPPES registry on October 24, 2014.

Where is Ellen Proeung located?

Ellen Proeung practices at 75 Francis St, Boston, MA 02115. The listed phone number is (617) 632-3206.

What is Ellen Proeung's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Ellen Proeung was last updated on October 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.