Mazen Elyan (NPI# 1104978048, PAC ID# 3173621620) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RHEUMATOLOGY.
| Nation Provider ID (NPI) | 1104978048 |
| PAC ID by PECOS | 3173621620 |
| Professional Enrollment ID | I20131021001763 |
| Full Name | Mazen Elyan |
| Organization Legal Name | SUMMIT MEDICAL GROUP, INC. |
| Address |
1640 Flossie Dr Greendale IN 47025-8424 |
| Phone Number | 8552774230 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1998 |
| Primary Specialty | RHEUMATOLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 2163326240 |
| Number of Group Practice Members | 511 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180035 | ST ELIZABETH EDGEWOOD |
| 180045 | ST ELIZABETH FLORENCE |
| 180001 | ST ELIZABETH FT THOMAS |
| Address | Phone | Organization |
|---|---|---|
| 651 Centre View Boulvard, Crestview Hills, KY 41017-5419 | 8593316466 | SUMMIT MEDICAL GROUP, INC. |
| 1640 Flossie Dr, Greendale, IN 47025-8424 | 8552774230 | SUMMIT MEDICAL GROUP, INC. |
| Organization Legal Name | SUMMIT MEDICAL GROUP, INC. |
| Physicians | 487 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Caroline Elmer-lyon | Urology | Summit Medical Group, Inc. | 610 Medical Village Dr, Edgewood, KY 41017-3416 |
| James Schack | Family Medicine | Summit Medical Group, Inc. | 79 Country Club Dr, Butler, KY 41006-8704 |
| Balaji Kalyanaraman | Urology | Summit Medical Group, Inc. | 7370 Turfway Rd, Florence, KY 41042-4895 |
| Abraham Llapitan Tacang | Rheumatology | Summit Medical Group, Inc. | 651 Centre View Boulvard, Crestview Hills, KY 41017-5419 |
| Rani L. Clark | Nurse Practitioner | Summit Medical Group, Inc. | 2885 Alexandria Way, Highland Heights, KY 41076-1511 |
| Gabriel Ymalay | Internal Medicine | Summit Medical Group, Inc. | 135 Courthouse Xing, Independence, KY 41051-2509 |
| Ashley Nicole Minton | Family Medicine | Summit Medical Group, Inc. | 300 Commerical Circle, Alexandria, KY 41001-0001 |
| Saadeddine Dughman | Cardiovascular Disease (cardiology) | Summit Medical Group, Inc. | 900 Medical Village Dr, Edgewood, KY 41017-3422 |
| James Michael Morrow | Podiatry | Summit Medical Group, Inc. | 525 Alexandria Pike, Suite 230, Southgate, KY 41071-3243 |
| Brandon A Cowan | Hospitalist | Summit Medical Group, Inc. | 1 Medical Village Dr, Edgewood, KY 41017-3403 |
| Street Address |
1640 FLOSSIE DR |
| City | GREENDALE |
| State | IN |
| Zip | 47025-8424 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kyung M Noh | Diagnostic Radiology | Radiology Associates of Northern Kentucky Pllc | 1640 Flossie Dr, Greendale, IN 47025-8424 |
| Mary A Gallaway | Family Medicine | Summit Medical Group, Inc. | 1640 Flossie Dr, Greendale, IN 47025-8424 |
| Lidia I Lamot-wasik | Family Medicine | Summit Medical Group, Inc. | 1640 Flossie Dr, Greendale, IN 47025-8424 |
| John A Botsford | Diagnostic Radiology | Radiology Associates of Northern Kentucky Pllc | 1640 Flossie Dr, Greendale, IN 47025-8424 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph Nealon Shaughnessy | Radiation Oncology | Oncology Hematology Care Inc | 606 Wilson Creek Rd, Suite 130, Lawrenceburg, IN 47025-1035 |
| Joseph Bonomini | Physician Assistant | Health Services Corporation of Southeastern Indiana | 606 Wilson Creek Rd, Lawrenceburg, IN 47025-1035 |
| Leslie H Glick | Internal Medicine | Health Services Corporation of Southeastern Indiana | 606 Wilson Creek Rd, Suite 420, Lawrenceburg, IN 47025-1035 |
| Robert Barriger | Radiation Oncology | Oncology Hematology Care Inc | 606 Wilson Creek Rd, Suite 130, Lawrenceburg, IN 47025-1035 |
| Ivan D Bedoya-apraez | Hematology/oncology | St Elizabeth Medical Center, Inc | 606 Wilson Creek Rd, Suite 130, Lawrenceburg, IN 47025-1035 |
| Sheri A Swaisgood | Nurse Practitioner | Health Services Corporation of Southeastern Indiana | 606 Wilson Creek Rd, Lawrenceburg, IN 47025-1035 |
| Daniel B Flora | Hematology/oncology | St Elizabeth Medical Center, Inc | 606 Wilson Creek Rd, Suite 130, Lawrenceburg, IN 47025-1035 |
| David L Kirlin | Hematology/oncology | Oncology Hematology Care Inc | 606 Wilson Creek Rd, Suite 130, Lawrenceburg, IN 47025-1035 |
| Loren Cohen | Internal Medicine | Nephrology Associates of Greater Cincinnati LLC | 606 Wilson Creek Rd, Lawrenceburg, IN 47025-1035 |
| Frans Geeraerts | Psychiatry | Community Mental Health Center Inc. | 285 Bielby Rd, Lawrenceburg, IN 47025-1055 |
| Find all physicians in zip 47025 | |||
| City | GREENDALE |
| Zip Code | 47025 |
| Specialty | RHEUMATOLOGY |
| City + Specialty | GREENDALE + RHEUMATOLOGY |
Please comment or provide details below to improve the information on Mazen Elyan.
| 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.