Michael R Ellwood in Springfield - Physician Assistant

Michael R Ellwood - NPI 1073726691

Michael R Ellwood is a Physician Assistant in Springfield, Virginia. Michael R Ellwood practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Michael R Ellwood is 1073726691. The last update date is 2007-07-08.

Michael R Ellwood's current location address is 6030 Selwood Pl, Springfield, Virginia. You can contact this provider via phone number 7035691451. The mailing address for Michael R Ellwood is 6030 Selwood Pl, Springfield, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael R Ellwood
Address 6030 Selwood Pl, Springfield, Virginia
Phone Number 7035691451
Fax Number
Sole Proprietor Y
Credentials MS, PA-C

NPI Number Detail

NPI Number 1073726691
Provider Enumeration Date 2007-05-08
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 6030 Selwood Pl
City Springfield
State Virginia (VA)
Post Code 221521412
Phone Number 7035691451
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 547
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Michael R Ellwood

What is the Michael R Ellwood's unique identification number?

The Michael R Ellwood has been assigned the NPI (National Provider Identifier) Number 1073726691 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Michael R Ellwood's facilities are situated?

The facilities of Michael R Ellwood are physically located at the following address: 6030 Selwood Pl, Springfield, VA, 221521412.

What is Michael R Ellwood's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Michael R Ellwood is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1073726691 to Michael R Ellwood?

The Michael R Ellwood received its 1073726691 assignment from the Centers for Medicare & Medicaid Services on 2007-05-08.

When was the information related to Michael R Ellwood most recently updated or refreshed?

The details pertaining to the Michael R Ellwood, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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