Mazin A Y Ellias (NPI# 1770500431, PAC ID# 2567353337) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL PAIN MANAGEMENT.
| Nation Provider ID (NPI) | 1770500431 |
| PAC ID by PECOS | 2567353337 |
| Professional Enrollment ID | I20040322001295 |
| Full Name | Mazin A Y Ellias |
| Organization Legal Name | MEDICAL XRAY CONSULTANTS LTD |
| Address |
201 W Northland Ave Suite A Appleton WI 54911-2600 |
| Phone Number | 9209960724 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1979 |
| Primary Specialty | INTERVENTIONAL PAIN MANAGEMENT |
| Secondary Specialties | ANESTHESIOLOGY |
| Group Practice PAC ID | 3274447313 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 521317 | CALUMET MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 201 W Northland Ave, Suite A, Appleton, WI 54911-2600 | 9209960724 | MEDICAL XRAY CONSULTANTS LTD |
| 614 Memorial Dr, Chilton, WI 53014-1568 | 9208492386 | ASCENSION CALUMET HOSPITAL INC |
| Organization Legal Name | MEDICAL XRAY CONSULTANTS LTD |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark R Southard | Diagnostic Radiology | Medical Xray Consultants Ltd | 900 W Clairemont Ave, Eau Claire, WI 54701-6122 |
| Mark A Augustyn | Diagnostic Radiology | Medical Xray Consultants Ltd | 900 W Clairemont Ave, Eau Claire, WI 54701-6122 |
| Karl Edwin Stien | Diagnostic Radiology | Medical Xray Consultants Ltd | 900 W Clairemont Ave, Eau Claire, WI 54701-6122 |
| Peter S Hanson | Diagnostic Radiology | Medical Xray Consultants Ltd | 1200 Grant Blvd W, St Elizabeths Hospital, Wabasha, MN 55981-1042 |
| Benjamin M Whitis | Diagnostic Radiology | Medical Xray Consultants Ltd | 1200 Grant Blvd W, St Elizabeths Hospital, Wabasha, MN 55981-1042 |
| James J Geraghty | Diagnostic Radiology | Medical Xray Consultants Ltd | 900 W Clairemont Ave, Eau Claire, WI 54701-6122 |
| Wells I Mangrum | Diagnostic Radiology | Medical Xray Consultants Ltd | 900 W Clairemont Ave, Eau Claire, WI 54701-6122 |
| John C Stien | Diagnostic Radiology | Medical Xray Consultants Ltd | 900 W Clairemont Ave, Eau Claire, WI 54701-6122 |
| Jacques C Tham | Interventional Radiology | Medical Xray Consultants Ltd | 900 W Clairemont Ave, Eau Claire, WI 54701-6122 |
| Jan Stauss | Diagnostic Radiology | Medical Xray Consultants Ltd | 1200 Grant Blvd W, St Elizabeths Hospital, Wabasha, MN 55981-1042 |
| Street Address |
201 W NORTHLAND AVE SUITE A |
| City | APPLETON |
| State | WI |
| Zip | 54911-2600 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cynthia F Susedik | Emergency Medicine | Ascension Medical Group-fox Valley Wisconsin, Inc | 3329 N Richard St, Appleton, WI 54911-1063 |
| Kenneth A Geller | Cardiovascular Disease (cardiology) | Ascension Medical Group-fox Valley Wisconsin, Inc | 3329 N Richmond St, Appleton, WI 54911-1063 |
| Christopher W Wagener | Obstetrics/gynecology | Ascension Medical Group-fox Valley Wisconsin, Inc | 3329 N Richard St, Appleton, WI 54911-1063 |
| Lance A Grammont | Family Medicine | Ascension Medical Group-fox Valley Wisconsin, Inc | 3329 N Richard St, Appleton, WI 54911-1063 |
| Nicole Gutman | Nurse Practitioner | Ascension Medical Group-fox Valley Wisconsin, Inc | 3329 N Richard St, Appleton, WI 54911-1063 |
| Charles M Miller | Family Medicine | Ascension Medical Group-fox Valley Wisconsin, Inc | 3329 N Richard St, Appleton, WI 54911-1063 |
| Gunmeet K Kaleka | Family Medicine | Ascension Medical Group-fox Valley Wisconsin, Inc | 3329 N Richard St, Appleton, WI 54911-1063 |
| Kathryn M Meyer | Obstetrics/gynecology | Ascension Medical Group-fox Valley Wisconsin, Inc | 3329 N Richard St, Appleton, WI 54911-1063 |
| John T Siebers | Nurse Practitioner | Ascension Medical Group-fox Valley Wisconsin, Inc | 3329 N Richard St, Appleton, WI 54911-1063 |
| Wesley R Meyer | Optometry | Ascension Medical Group-fox Valley Wisconsin, Inc | 3329 N Richard St, Appleton, WI 54911-1063 |
| Find all physicians in zip 54911 | |||
| City | APPLETON |
| Zip Code | 54911 |
| Specialty | INTERVENTIONAL PAIN MANAGEMENT |
| City + Specialty | APPLETON + INTERVENTIONAL PAIN MANAGEMENT |
Please comment or provide details below to improve the information on Mazin A Y Ellias.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.