NICHOLAS ELLYN, M.D., P.C. (NPI# 1306006614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306006614 |
| Entity Type | Organization |
| Organization Name | NICHOLAS ELLYN, M.D., P.C. |
| Practice Address |
1707 Osage St Suite 205 Alexandria VA 22302-2607 |
| Practice Telephone | 7035780100 |
| Practice Fax Number | 7038248357 |
| Mailing Telephone | 7035780100 |
| Mailing Fax Number | 7038248357 |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2008-10-27 |
| Authorized Official Name | DR. NICHOLAS ELLYN (PHYSICIAN) |
| Authorized Official Telephone | 7035780100 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 0101027634 | VA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| INDIVIDUAL NPI | 1174626311 | 01 | |
| VA | 6380883 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861715435 | Nicholas Ellyn, M.d., P.C. | Specialist | 4660 Kenmore Ave, Suite 416, Alexandria, VA 22304-1313 | 2010-03-10 |
| Street Address |
1707 OSAGE ST SUITE 205 |
| City | ALEXANDRIA |
| State | VA |
| Zip Code | 22302-2607 |
| 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 |
| 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 |
| 1497885503 | Melanie Lynn Six | Chiropractor | 1707 Osage St, Ste 400, Alexandria, VA 22302-2611 | 2007-03-07 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710521257 | Karly Bauer | Specialist | 512 30th Ave E Ste 10, Alexandria, MN 56308-5096 | 2019-10-28 |
| 1063997724 | Women's Health Clinic, Inc | Specialist | 5999 Stevenson Ave Ste 403, Alexandria, VA 22304-3302 | 2018-09-28 |
| 1013458413 | Rebecca Walton | Specialist | 5936 Bangor Dr, Alexandria, VA 22303-2202 | 2017-03-17 |
| 1487107587 | Loudoun Medical Group PC | Specialist | 6355 Walker Ln Ste 303, Suite 303, Alexandria, VA 22310-3247 | 2016-07-26 |
| 1861866410 | Lea Hawkins-fisher | Specialist | 1024 3rd St, Suite 203, Alexandria, LA 71301-8343 | 2015-11-19 |
| 1639581408 | Denise Lee | Specialist | 6824 Deer Run Dr, Alexandria, VA 22306-1123 | 2014-05-28 |
| 1144645912 | Iris Jones | Specialist | 3654 Government St, Suite 7, Alexandria, LA 71302-3324 | 2014-03-03 |
| 1164705539 | Madeline Carmen Hernandez | Specialist | 5838 Brookview Dr, Alexandria, VA 22310-1817 | 2011-09-22 |
| 1134434046 | Gynecare Associates | Specialist | 2807 Duke St, Alexandria, VA 22314-4512 | 2010-08-16 |
| 1962737080 | Ariel O Antezana | Specialist | 3311 Prescott Rd Ste 216, Alexandria, LA 71301-3983 | 2009-10-07 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 22302 |
Please comment or provide details below to improve the information on NICHOLAS ELLYN, M.D., P.C..
| 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.