Nicholas Ellyn (NPI# 1174626311, PAC ID# 7214035096) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1174626311 |
| PAC ID by PECOS | 7214035096 |
| Professional Enrollment ID | I20070601000040 |
| Full Name | Nicholas Ellyn |
| Organization Legal Name | RICHARD HUBERMAN M.D. AND ALAN J. POLLACK M.D., LTD. |
| Address |
4660 Kenmore Ave Suite 416 Alexandria VA 22304-1306 |
| Phone Number | 7037510700 |
| Gender | M |
| Credential | MD |
| Medical School | GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1975 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 6800978776 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4660 Kenmore Ave, Suite 416, Alexandria, VA 22304-1306 | 7037510700 | RICHARD HUBERMAN M.D. AND ALAN J. POLLACK M.D., LTD. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_2 | Syndromic Surveillance Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | RICHARD HUBERMAN M.D. AND ALAN J. POLLACK M.D., LTD. |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alan J Pollack | Ophthalmology | Richard Huberman M.d. and Alan J. Pollack M.d., Ltd. | 4660 Kenmore Ave, Suite 416, Alexandria, VA 22304-1306 |
| Street Address |
4660 KENMORE AVE SUITE 416 |
| City | ALEXANDRIA |
| State | VA |
| Zip | 22304-1306 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth Ahdoot | Obstetrics/gynecology | The Physician and Midwife Collaborative Practice | 4660 Kenmore Ave, Suite 902, Alexandria, VA 22304-1306 |
| Stefano F Agolini | General Surgery | 4660 Kenmore Ave, Suite 419, Alexandria, VA 22304-1306 | |
| Cheri Adgerson | Dermatology | Advanced Dermatology of Virginia Inc | 4660 Kenmore Ave, Suite 500, Alexandria, VA 22304-1300 |
| Samita Sally Goyal | Plastic and Reconstructive Surgery | Affiliates In Plastic Surgery, LLC | 4660 Kenmore Ave, Suite 220, Alexandria, VA 22304-1306 |
| Dodd A. Sims | Internal Medicine | Nv Healthcare Partners Inc | 4660 Kenmore Ave, Suite 710, Alexandria, VA 22304-1306 |
| Azra Ashraf | Plastic and Reconstructive Surgery | Affiliates In Plastic Surgery, LLC | 4660 Kenmore Ave, Suite 220, Alexandria, VA 22304-1306 |
| Tabitha Andre | Obstetrics/gynecology | The Physician and Midwife Collaborative Practice | 4660 Kenmore Ave, Suite 902, Alexandria, VA 22304-1306 |
| Soraia Dpm Refq | Podiatry | Abraham A Coster Dpm Ltd | 4660 Kenmore Ave, Suite 608, Alexandria, VA 22304-1306 |
| Nora Graham | Obstetrics/gynecology | The Physician and Midwife Collaborative Practice | 4660 Kenmore Ave, Suite 902, Alexandria, VA 22304-1306 |
| David Giammittorio | Obstetrics/gynecology | The Physician and Midwife Collaborative Practice | 4660 Kenmore Ave, Suite 902, Alexandria, VA 22304-1306 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marvin Chadab | Dermatology | Advanced Dermatology of Virginia Inc | 4660 Kenmore Ave, Suite 500, Alexandria, VA 22304-1300 |
| Ronald Barkin | Gastroenterology | Advanced Digestive Care LLC | 4660 Kenmore Ave, Suite 810, Alexandria, VA 22304-1300 |
| Carla E Ribeiro-bachtell | Podiatry | 4660 Kenmore Ave, Suite 602, Alexandria, VA 22304-1300 | |
| Joel M Temme | Internal Medicine | 4660 Kenmore Ave, Suite 604, Alexandria, VA 22304-1300 | |
| Bruce David Glassman | Dermatology | Advanced Dermatology of Virginia Inc | 4660 Kenmore Ave, Suite 500, Alexandria, VA 22304-1300 |
| Suresh K Malhotra | Gastroenterology | Advanced Digestive Care LLC | 4660 Kenmore Ave, Suite 810, Alexandria, VA 22304-1300 |
| Jeffrey L Graziano | Podiatry | Abraham A Coster Dpm Ltd | 4660 Kenmore Ave, Suite 608, Alexandria, VA 22304-1306 |
| Anne C Kisthardt | Obstetrics/gynecology | The Physician and Midwife Collaborative Practice | 4660 Kenmore Ave, Suite 902, Alexandria, VA 22304-1306 |
| Jeffrey R Rothman | Oral Surgery | Alexandria Oral Surgery, PC | 4660 Kenmore Ave, Suite 204, Alexandria, VA 22304-1306 |
| Maria Concepcion D Asesor | Internal Medicine | Nv Healthcare Partners Inc | 4660 Kenmore Ave, Suite 710, Alexandria, VA 22304-1306 |
| Find all physicians in zip 22304 | |||
| City | ALEXANDRIA |
| Zip Code | 22304 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | ALEXANDRIA + OPHTHALMOLOGY |
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| 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.