Active NPIIndividual provider

Stephen R Ellin, MD

Radiology, Diagnostic Radiology in North Providence, Rhode Island

NPI Number1073532545
Practice location
200 High Service Ave, Radiology Department, North Providence, RI 02904-5113
Fax
401-456-3019
Last updated
October 19, 2011

Stephen R Ellin is a Radiology, Diagnostic Radiology based in North Providence, RI. Stephen R Ellin practices in North Providence, RI and has the professional credentials of MD. The NPI Number for Stephen R Ellin is 1073532545 and holds a License No. MD04990 (RI). The current practice location address for Stephen R Ellin is 200 High Service Ave, Radiology Department, North Providence, RI 02904-5113 and can be reached out via phone at 401-456-4215 and via fax at 401-456-3019.

Provider Profile Details

NPI Number
1073532545
Provider Name
Stephen R Ellin
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
200 High Service Ave, Radiology Department, North Providence, RI 02904-5113
Phone Number
401-456-4215
Fax Number
401-456-3019
Primary Taxonomy
Radiology, Diagnostic Radiology · 2085R0202X
Sole Proprietor
No
Provider Enumeration Date
July 18, 2006
Last Update Date
October 19, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
200 High Service Ave
Radiology Department
North Providence, RI 02904-5113
Zip
02904-5113
Phone Number
401-456-4215
Fax Number
401-456-3019
North Providence, RI 02904Get directions →

Provider Business Mailing Address Details

Address
21 Peace St
Suite 251 East
Providence, RI 02907-1510
City
Providence
State
RI
Zip
02907-1510
Phone Number
401-456-4215
Fax Number
401-456-3019

License Information

License Number
MD04990
License State
RI
Taxonomy
Radiology, Diagnostic Radiology · 2085R0202X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Stephen R Ellin, MD?

The NPI number of Stephen R Ellin, MD is 1073532545. It was assigned on July 18, 2006 and is currently active in the NPPES registry.

What is the specialty of Stephen R Ellin, MD?

Stephen R Ellin, MD is registered under the primary taxonomy Radiology, Diagnostic Radiology (code 2085R0202X), licensed in RI under license number MD04990.

Where does Stephen R Ellin, MD practice?

The practice location is 200 High Service Ave, Radiology Department, North Providence, RI 02904-5113. The office can be reached at 401-456-4215 (phone) or 401-456-3019 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073532545 directly on the NPPES registry website.

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