Individual
ELLYN GABRIELLE DORNSEIF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
701 OSTRUM ST, SUITE 603, FOUNTAIN HILL, PA 18015-1155
(484) 526-3990
(610) 868-2915
Mailing address
701 OSTRUM ST STE 603, FOUNTAIN HILL, PA 18015-1184
(484) 526-3990
(610) 868-2915
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA057837
PA
363AM0700X
Medical Physician Assistant
Primary
MA057837
PA
363AS0400X
Surgical Physician Assistant
MA057837
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007307530136
—
PA
01
—
71812
MEDICARE
PA
Enumeration date
11/12/2015
Last updated
10/15/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us