DR. KELLY ERIN MCELROY (NPI# 1184007312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184007312 |
| Entity Type | Individual |
| Full Name | DR. KELLY ERIN MCELROY |
| Credential | D.D.S. |
| Practice Address |
576 Jefferson Ave Fort Eustis VA 23604-1373 |
| Mailing Address |
4650 Taylor Rd C/o Medical Staff Services Bethesda MD 20889-5600 |
| Practice Telephone | 7573147932 |
| Mailing Telephone | 3013198923 |
| Mailing Fax Number | 3012955928 |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2020-10-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
15877 | MD | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548631401 | Kelly Michelle Mcelroy | Dietitian, Registered | 5741 Arrowhead Rd, Fort Benning, GA 31905-1951 | 2015-10-16 |
| 1922000686 | Kelly Rae Mcelroy | Nurse Practitioner | 5859 W Talavi Blvd, Suite 100, Glendale, AZ 85306-1869 | 2005-08-12 |
| Street Address |
576 JEFFERSON AVE |
| City | FORT EUSTIS |
| State | VA |
| Zip Code | 23604-1373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861498545 | Laura Ellen Higdon | Family Medicine | 576 Jefferson Ave, Fort Eustis, VA 23604-1602 | 2005-06-27 |
| 1497278733 | Honora Nicolai Francis | Radiologic Technologist | 576 Jefferson Ave, Fort Eustis, VA 23604 | 2017-07-19 |
| 1629444153 | Joshua Tobin Sigler | Emergency Medicine | 576 Jefferson Ave, Fort Eustis, VA 23604-1373 | 2015-08-19 |
| 1104207877 | Mcdonald Army Health Care Center | Rehabilitation Unit | 576 Jefferson Ave, Fort Eustis, VA 23604-1373 | 2015-06-17 |
| 1477934867 | Sabrina Rebekah Szabo | Dermatology | 576 Jefferson Ave, Fort Eustis, VA 23604-1373 | 2015-06-11 |
| 1013325679 | Adam Edward Lang | Pharmacist | 576 Jefferson Ave, Mcdonald Army Health Center, Fort Eustis, VA 23604-5548 | 2014-07-28 |
| 1861807703 | Mcdonald Army Health Center | Military/U.S. Coast Guard Pharmacy | 576 Jefferson Ave, Fort Eustis, VA 23604-1373 | 2014-06-30 |
| 1245657329 | Stephany Anne Cockrum | Social Worker | 576 Jefferson Ave, Fort Eustis, VA 23604-1373 | 2014-03-26 |
| 1104165257 | Paula Trinchell Moore | Pharmacist | 576 Jefferson Ave, Fhc, Fort Eustis, VA 23604-1373 | 2013-02-10 |
| 1770827164 | Virginia A Glover | Clinical Exercise Physiologist | 576 Jefferson Ave, Fort Eustis, VA 23604-1373 | 2012-11-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194375188 | Vincent Nevin Lattanzi | Dental Assistant | 576 Fort Eustis Blvd, Fort Eustis, VA 23604 | 2019-09-12 |
| 1730531872 | Steven Mansion | Dental Assistant | Bldg 669 Monroe Ave, Fort Eustis, VA 23604 | 2016-07-12 |
| 1497106140 | Cindy Delapena | Dental Hygienist | 577 Sternberg Avenue, Usa Dental Activity Headquarters, Fort Eustis, VA 23604 | 2016-06-23 |
| 1073990131 | Usv Optical Inc | Eyewear Supplier (Equipment, not the service) | 1386 Washington Blvd, Fort Eustis, VA 23604 | 2015-04-28 |
| 1548529985 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | Bldg. 1386, Fort Eustis, VA 23604 | 2012-05-04 |
| 1073708335 | Heather Dawn Guntherberg | Pharmacist | Mcdonald Army Health Clinic, Bldg 576 Jefferson Ave, Fpo, AE 23604 | 2007-09-10 |
| 1659577534 | Mcdonald Army Health Center | Clinic/Center | Building 576 Stemberg Avenue, Fort Eustis, VA 23604 | 2007-06-26 |
| 1508062779 | Mcdonald Army Health Center | Clinic/Center | Building 669 Monroe Avenue, Fort Eustis, VA 23604 | 2007-06-25 |
| 1922161157 | Kimberly Sue Strubhar | Licensed Practical Nurse | Harrison Loop, Building 2792a, Fort Eustiis, VA 23604 | 2006-12-19 |
| 1972666287 | Nkechi Trudy Ekwueme | Licensed Practical Nurse | Bldg 576 Jefferson Ave, Fort Eustis, VA 23604 | 2006-12-18 |
| Find all providers in zip 23604 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366058604 | Sherwood Oral Surgery | Dentist | 174b Executive Dr, Danville, VA 24541-4100 | 2020-09-22 |
| 1295348720 | Virginia Plastic Surgery Institute | Dentist | 1016 N Highland St Ste 131b, Arlington, VA 22201-2112 | 2020-08-25 |
| 1487271334 | Moonlight Oral Surgery Pllc | Dentist | 1210 S Glebe Rd Unit 40580, Arlington, VA 22204-0282 | 2020-06-26 |
| 1942826524 | Mira Dental At Tysons Corner Pllc | Dentist | 8201 Greensboro Dr Ste 710, Mc Lean, VA 22102-3818 | 2020-06-19 |
| 1285296814 | South Riding Oral and Implant Surgery | Dentist | 24805 Pinebrook Rd # 318, Chantilly, VA 20152-4126 | 2019-07-03 |
| 1053971861 | Jennifer Rose Van Hook | Dentist | Vcuhs Dept of Omfs Residency, 980566, 1250 E. Marshall Street, Richmond, VA 23298-0566 | 2019-06-14 |
| 1174093835 | Patriot Oral and Facial Surgery Pllc | Dentist | 121 Bulifants Blvd Ste B, Williamsburg, VA 23188-5736 | 2018-11-26 |
| 1881163699 | Loudoun Center for Oral Surgery, Pllc | Dentist | 46161 Westlake Dr Ste 200, Sterling, VA 20165-5871 | 2018-11-21 |
| 1235628991 | Michael Jonathan Theiss | Dentist | 1250 E Marshall St # 980566, Richmond, VA 23298-5051 | 2018-05-08 |
| 1871957043 | Goodwin Oral & Facial Surgery Pllc | Dentist | 3200 Peoples Dr, Ste 210, Harrisonburg, VA 22801-7631 | 2016-04-13 |
| Find all providers with the same taxonomy | ||||
| City | FORT EUSTIS |
| Zip Code | 23604 |
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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.