ERICA RYU ELLSWORTH CCP
NPI 1457970972
Perfusionist in San Antonio, TX

Active since April 14, 2020
14603 HUEBNER RD BLDG 28, SAN ANTONIO, TX 78230(210) 614-7074 Get Directions Write a Review

NPPES record last updated: February 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 2, 2021, Apr 14, 2020 (2 updates tracked since 2020).

About Erica Ryu Ellsworth Ccp NPPES

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

ERICA RYU ELLSWORTH CCP (NPI 1457970972) is an individual perfusionist provider in San Antonio, Texas, licensed in Texas (FPF02000139) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1457970972
Entity TypeIndividualFemale
Primary Taxonomy242T00000X
Provider Legal NameERICA RYU ELLSWORTHCredential: CCP
Location Address14603 HUEBNER RD BLDG 28San Antonio, TX 78230-5497
Mailing Address14603 Huebner Rd Bldg 28San Antonio, TX 78230-5497 · (210) 614-7074
Sole ProprietorNo
Enumeration DateApril 14, 2020
Last NPPES UpdateFebruary 2, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2021
NPI 1457970972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPerfusionistTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code242T00000X
License Licensed in TX · FPF02000139
Definition
A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient's circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the appropriate equipment and techniques to be used.
14603 HUEBNER RD BLDG 28, San Antonio, TX 78230

Other Providers at the Same Location NPPES 3

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

Specialist/Technologist Cardiovascular
14603 HUEBNER RD BLDG 28
SAN ANTONIO, TX 78230
Perfusionist
14603 HUEBNER RD BLDG 28, STE. 28101
SAN ANTONIO, TX 78230
Perfusionist
14603 HUEBNER RD BLDG 28, STE. 28101
SAN ANTONIO, TX 78230

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 Erica Ellsworth's NPI number?

The NPI number for Erica Ellsworth is 1457970972. It was assigned to this individual provider in the NPPES registry on April 14, 2020.

Where is Erica Ellsworth located?

Erica Ellsworth practices at 14603 Huebner Rd Bldg 28, San Antonio, TX 78230. The listed phone number is (210) 614-7074.

What is Erica Ellsworth's specialty?

The primary specialty registered for this NPI is Perfusionist with taxonomy code 242T00000X.

When was this NPI record last updated?

The NPPES record for Erica Ellsworth was last updated on February 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.