Provider Demographics
NPI:1598260580
Name:RHODES, ELLEN ROWE (MD)
Entity Type:Individual
Prefix:DR
First Name:ELLEN
Middle Name:ROWE
Last Name:RHODES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ELLEN
Other - Middle Name:CHRISTINE
Other - Last Name:ROWE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:9733 HEALTHWAY DR
Mailing Address - Street 2:
Mailing Address - City:BERLIN
Mailing Address - State:MD
Mailing Address - Zip Code:21811-1156
Mailing Address - Country:US
Mailing Address - Phone:302-564-0004
Mailing Address - Fax:302-564-0005
Practice Address - Street 1:37464 LION DRIVE
Practice Address - Street 2:UNIT 2
Practice Address - City:SELBYVILLE
Practice Address - State:DE
Practice Address - Zip Code:19975
Practice Address - Country:US
Practice Address - Phone:302-564-0004
Practice Address - Fax:302-564-0005
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-29
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101268386207Q00000X
MDD90833207Q00000X
VA390200000X
DEC1-0024085207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program