DR. SUSAN TILLMAN ELLIOTT (NPI# 1659306157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659306157 |
| Entity Type | Individual |
| Full Name | DR. SUSAN TILLMAN ELLIOTT |
| Credential | M.D. |
| Practice Address |
4910 Massachusetts Ave Nw Suite 308 Washington DC 20016-4300 |
| Mailing Address |
4910 Massachusetts Ave.,nw Suite 308 Washington DC 20016-4382 |
| Practice Telephone | 2026351000 |
| Practice Fax Number | 2025031791 |
| Mailing Telephone | 2026951000 |
| Mailing Fax Number | 2025031791 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2019-01-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | MD18955 | DC | Allopathic & Osteopathic Physicians |
| N | 207N00000X | Dermatology | 0101046205 | VA | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | MD18955 | DC | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 0101046205 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPPO INS | 371029 | 01 | |
| AETNA INS | 4115128 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659616282 | Susan Kay Elliott | Speech-Language Pathologist | 1810 Presidents Dr, Lawrenceville, GA 30043-7187 | 2012-12-08 |
| 1679694186 | Susan Auguste Elliott | Psychologist | 53 Hemlock Road, East Calais, VT 05650 | 2007-04-02 |
| 1679536395 | Susan Corene Elliott | Licensed Practical Nurse | 4350 Mariners Cir, Oconomowoc, WI 53066-4565 | 2006-04-11 |
| 1740802891 | Susan Elliott | Counselor | 5 Brook St Ste 1a, Darien, CT 06820-4549 | 2020-05-12 |
| 1407323132 | Susan Jane Elliott | Nurse Practitioner | 3691 Rutger St, Saint Louis, MO 63110-2515 | 2018-10-31 |
| 1912435900 | Susan E Elliott | Nurse Practitioner | 463 Sam Ridley Pkwy W, Smyrna, TN 37167-5626 | 2017-06-02 |
| 1609044254 | Susan Elliott | Nurse Practitioner | 920 2nd Ave S, Suite 400, Minneapolis, MN 55402-3318 | 2008-02-18 |
| 1831315126 | Susan Elliott | Social Worker | 162 Federal St, Salem, MA 01970-3248 | 2007-04-17 |
| 1699807230 | Susan Carter Elliott | Counselor | 2 Graves Ave, Guilford, CT 06437-2626 | 2007-03-09 |
| 1922061381 | Susan Nehrenz Elliott | Nurse Practitioner | 101 E Wood St, Spartanburg, SC 29303-3040 | 2006-04-07 |
| Street Address |
4910 MASSACHUSETTS AVE NW SUITE 308 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20016-4300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023011095 | Elise Ney | Audiologist | 4910 Massachusetts Ave Nw, Ste 29, Washington, DC 20016-4382 | 2005-05-24 |
| 1720462229 | Grace Allison Beers | Physician Assistant | 4910 Massachusetts Ave Nw, Washington, DC 20016-4300 | 2015-07-14 |
| 1922395581 | Mmg - Georgetown Family Practice LLC | General Practice | 4910 Massachusetts Ave Nw, Suite 115, Washington, DC 20016-4300 | 2011-07-05 |
| 1306131172 | Kourtney Osorio | Family Medicine | 4910 Massachusetts Ave Nw, Washington, DC 20016-4300 | 2011-06-09 |
| 1265742118 | Ney Associates Inc. | Audiologist-Hearing Aid Fitter | 4910 Massachusetts Ave Nw, Suite 29, Washington, DC 20016-4300 | 2010-10-13 |
| 1265666291 | Shawna Leigh Hawk | Dentist | 4910 Massachusetts Ave Nw, Suite 210, Washington, DC 20016-4300 | 2009-05-05 |
| 1013155654 | Comprehensive Cardiac Care Pllc | Internal Medicine | 4910 Massachusetts Ave Nw, Suite 302, Washington, DC 20016-4388 | 2009-02-03 |
| 1548406218 | Sanjay M Patel | Physical Therapist | 4910 Massachusetts Ave Nw, Mid-atlantic Podiatry Associates- Suite 315, Washington, DC 20016-4300 | 2008-12-30 |
| 1811215098 | Suzanne French | Nurse Practitioner | 4910 Massachusetts Ave Nw, Suite 308, Washington, DC 20016-4300 | 2008-08-06 |
| 1497931745 | Roya B Pilcher | Dentist | 4910 Massachusetts Ave Nw, Suite 311, Washington, DC 20016-4300 | 2008-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790390144 | Julie Marcus | Nurse Practitioner | 4200 Wisconsin Avenue Nw, 4th Floor, Washington, DC 20016 | 2020-09-12 |
| 1669080289 | Rachel Mary Lipman | Student in an Organized Health Care Education/Training Program | 5185 Macarthur Blvd, Washington, DC 20016 | 2020-07-20 |
| 1285253484 | Shawn Anthony Haupt | Student in an Organized Health Care Education/Training Program | 4200 Wisconsin Ave, 4th Floor, Dept of Pediatrics, Washington, DC 20016 | 2020-04-09 |
| 1457991176 | Joseph Stephen Driscoll | Specialist/Technologist | St. Albans School / Mount St, Alban, 3001 Wisconsin Ave, Washington, DC 20016 | 2020-01-10 |
| 1164063293 | Christine Ju | Dietitian, Registered | 3517 Ordway St Nw, Washington, DC 20016 | 2019-09-30 |
| 1376191072 | Carlitta Theresa Harris | Registered Nurse | 501 School Street Suite, Suite 200, Sw, DC 20016 | 2019-08-27 |
| 1295399384 | People's Lactation LLC | Registered Nurse | 3022 Wisconsin Ave Nw Apt 208, Washington, DC 20016 | 2019-04-24 |
| 1578057428 | Itzhak Brook | General Practice | 4431 Albemarle St. Nw, Washington, DC 20016 | 2018-06-14 |
| 1093211724 | Hannah Elise Sterling | Student in an Organized Health Care Education/Training Program | 4200 Wisconsin Ave Nw 4th Floor, Department of Pediatrics, Washington, DC 20016 | 2018-04-02 |
| 1447755616 | Michele Elizabeth Zaragoza | Student in an Organized Health Care Education/Training Program | 4200 Wisconsin Ave Nw, 4th Floor, Dept of Pediatrics, Washington, DC 20016 | 2018-03-28 |
| Find all providers in zip 20016 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699305540 | Epiarx | Dermatology | 4712 Windom Pl Nw, Washington, DC 20016-2406 | 2020-01-20 |
| 1922460906 | Caroline Michaux Lewis Stovall | Dermatology | 2153 California St Nw Apt 602, Washington, DC 20008-1852 | 2016-03-28 |
| 1871950105 | Integrated Dermatology of I Street, LLC | Dermatology | 1712 I St Nw Ste 712, Washington, DC 20006-3747 | 2016-01-18 |
| 1538554951 | Stephen Suah | Dermatology | 4910 Massachusetts Ave Nw Ste 308, Washington, DC 20016-4382 | 2015-04-02 |
| 1194163063 | Casey Marie Chern | Dermatology | 400 8th St Nw Apt 1301, Washington, DC 20004-2126 | 2013-06-12 |
| 1013351436 | Lauren Mckelroy | Dermatology | 2141 K St Nw Ste 307, Washington, DC 20037-1873 | 2013-04-29 |
| 1336583426 | Huonggiang Nguyen | Dermatology | 1520 16th St Nw Apt 302, Washington, DC 20036-1440 | 2013-04-19 |
| 1457694010 | Thomas Leeney Adrian | Dermatology | 3301 New Mexico Ave Nw Ste 240, Washington, DC 20016-3610 | 2013-04-02 |
| 1801166467 | Integrated Dermatology of 19th Street LLC | Dermatology | 1145 19th St Nw Ste 301, Washington, DC 20036-3718 | 2012-01-12 |
| 1255668356 | Ecu Physicians Washington Office | Dermatology | 1240 Cowell Farm Rd, Washington, NC 27889-3440 | 2009-11-10 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20016 |
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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.