Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Patrick Michael Ellison, MD

Individual provider MOHS-Micrographic Surgery Physician · NPI 1619081155

Dr. Patrick Michael Ellison, MD is a Dermatology in Tampa, Florida. Graduated from Uniformed Services Uhs Fe Hebert School of Med in 2000, 26 years ago. Practices with John D. Boyer, MD Inc, a 3-clinician group and accepts Medicare assignment. Licensed in Hawaii.

Years since qualifying
26
Trained at
Uniformed Services Uhs Fe Hebert School of Med
Licensed in
HI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

8415 Bayshore Blvd
Tampa, FL 33621-1607
Phone: (813) 827-9548
Fax: (813) 828-5731
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence MD-18276 (HI)

Record details

NPI number1619081155
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 19, 2006
Last updated in NPPESOctober 26, 2015
Mailing address1329 Lusitana St 501, Honolulu, HI 96813-2412

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolUNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Graduated 2000 (26 years in practice)
Group practice John D. Boyer, M.D. Inc. — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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