NICHOLAS ELLYN (NPI# 1174626311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174626311 |
| Entity Type | Individual |
| Full Name | NICHOLAS ELLYN |
| Credential | M.D. |
| Practice Address |
1707 Osage St Suite 205 Alexandria VA 22302-2611 |
| Practice Telephone | 7035780100 |
| Practice Fax Number | 7038248357 |
| Mailing Telephone | 7035780100 |
| Mailing Fax Number | 7038248357 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2010-05-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 0101027634 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1174626311 | 05 | |
| VA | 006380883 | 05 |
| Street Address |
1707 OSAGE ST SUITE 205 |
| City | ALEXANDRIA |
| State | VA |
| Zip Code | 22302-2611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427036599 | Richard C Rhame | Urology | 1707 Osage St, Suite 301, Alexandria, VA 22302-2607 | 2006-01-09 |
| 1689910556 | Grove Dental Clinic | Dentist | 1707 Osage St, Suite Number 402, Alexandria, VA 22302-2607 | 2012-12-21 |
| 1407126824 | Sixchiro LLC | Chiropractor | 1707 Osage St, Suite 400, Alexandria, VA 22302-2607 | 2012-01-02 |
| 1306006614 | Nicholas Ellyn, M.d., P.C. | Specialist | 1707 Osage St, Suite 205, Alexandria, VA 22302-2607 | 2008-06-10 |
| 1376717454 | Dennis T. Cozzens, Md., Ltd | Psychoanalyst | 1707 Osage St, Suite 404, Alexandria, VA 22302-2607 | 2008-04-18 |
| 1639341522 | Family Psychiatraic Associates | Social Worker | 1707 Osage St, Suite 404, Alexandria, VA 22302-2607 | 2008-03-31 |
| 1851570899 | Michael C Trahos | Family Medicine | 1707 Osage St, Suite 203, Alexandria, VA 22302-2607 | 2007-10-26 |
| 1033304670 | Kimberly Jo Carr | Social Worker | 1707 Osage St, 404, Alexandria, VA 22302-2607 | 2007-09-06 |
| 1275655607 | David A Sayles Md, Pllc | Psychiatry & Neurology | 1707 Osage St, Suite 404, Alexandria, VA 22302-2607 | 2007-04-05 |
| 1518091453 | Dean J Storer Md PC | Psychiatry & Neurology | 1707 Osage St, Suite 404, Alexandria, VA 22302-2607 | 2007-03-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245708288 | Jessica Frances Porzel | Nurse Practitioner | 4700 King St # 100, Alexandria, VA 22302 | 2018-11-07 |
| 1649696584 | Tiffany Edwards | General Acute Care Hospital | 3430 Larchmont Avenue Apt 541, Alexandria, VA 22302 | 2014-03-17 |
| 1396051744 | Cyndi Chan Lam | Pharmacist | 3614 King Street, Alexandria, VA 22302 | 2010-08-24 |
| 1871746206 | Carol Anne Burgess | Nurse Anesthetist, Certified Registered | 4216 King St, Alexandria, VA 22302 | 2008-10-29 |
| 1497907711 | Stephen Xavier Giunta | Plastic Surgery | 4216 King Street, King Street West Office Park, Alexandria, VA 22302 | 2008-10-17 |
| 1386892800 | Dr. Catherine P. Nguyen P.C. | Dentist | 5142 Leesburg Pike, Alexandria, VA 22302 | 2008-09-09 |
| 1013172972 | Dr. Tarek Ashmawy Dds | Clinic/Center | 5136 Leesburg Pike, Chantilly, VA 22302 | 2008-07-21 |
| 1346363769 | Robert Bregman | Pediatrics | 4480 King St., Alex Health Dept, Alexandria, VA 22302 | 2007-04-09 |
| 1356460331 | Integrated Medical Care and Rehab.,pc | Physical Medicine & Rehabilitation | 4600 King Street, Suite 4r, Alexandria, VA 22302 | 2007-03-28 |
| 1205917200 | Roma White Farge | Social Worker | 2202 Minor Street, Alexandria, VA 22302 | 2006-10-17 |
| Find all providers in zip 22302 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184077976 | Loudoun Medical Group PC | Ophthalmology | 1901 N Beauregard St, Suite 100, Alexandria, VA 22311-1738 | 2016-07-18 |
| 1699103507 | Nadim Habash | Ophthalmology | 2181 Jamieson Ave Unit 605, Alexandria, VA 22314-5749 | 2013-10-31 |
| 1851666143 | Edward Chay | Ophthalmology | 8101 Hinson Farm Rd Ste 203, Alexandria, VA 22306-3405 | 2012-03-20 |
| 1952697773 | Sundeep K Kasi | Ophthalmology | 6354 Walker Ln Fl 1, Alexandria, VA 22310-3229 | 2011-06-20 |
| 1689811531 | George Edward Marak | Ophthalmology | 6320 Fort Hunt Rd, Alexandria, VA 22307-1343 | 2009-01-14 |
| 1639351174 | Jerald J. Littlefield, Md, PC | Ophthalmology | 428 S Washington St, Alexandria, VA 22314-3630 | 2007-11-27 |
| 1073734323 | Lisso Nachman | Ophthalmology | 4315 Willowick Blvd, Alexandria, LA 71303 | 2007-05-02 |
| 1689755357 | Jay E. Katzen | Ophthalmology | 4900 Seminary Rd, Suite 350, Alexandria, VA 22311-1860 | 2006-10-18 |
| 1629165873 | Richard Huberman M.d. & Alan J. Pollack M.d., Ltd. | Ophthalmology | 4660 Kenmore Ave Ste 416, Alexandria, VA 22304-1306 | 2006-10-09 |
| 1760403240 | Mohammed Elbash | Ophthalmology | 2849 Duke St, Alexandria, VA 22314-4512 | 2006-07-21 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 22302 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.