Stephen R Ellin, MD - Radiology in North Providence, RI

Stephen R Ellin, MD is a Radiology - Diagnostic Radiology physician based in North Providence, Rhode Island. Stephen R Ellin is licensed to practice in Rhode Island (license number MD04990) and his current practice location is 200 High Service Ave, Radiology Department, North Providence, Rhode Island. He can be reached at his office (for appointments etc.) via phone at (401) 456-4215.

NPI number for Stephen R Ellin is 1073532545 and his current mailing address is 21 Peace St, Suite 251 East, Providence, Rhode Island. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1073532545.

Contact Information

Stephen R Ellin, MD
200 High Service Ave, Radiology Department,
North Providence, RI 02904-5113
(401) 456-4215
(401) 456-3019



Physician's Profile

Full NameStephen R Ellin
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location200 High Service Ave, North Providence, Rhode Island
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1073532545
  • Provider Enumeration Date: 07/18/2006
  • Last Update Date: 10/19/2011

Medical Identifiers

Medical identifiers for Stephen R Ellin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073532545NPI-NPPES
0097753MedicaidRI
2097478MedicaidMA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology MD04990 (Rhode Island)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stephen R Ellin is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Stephen R Ellin, MD
21 Peace St, Suite 251 East,
Providence, RI 02907-1510

Ph: (401) 456-4215
Stephen R Ellin, MD
200 High Service Ave, Radiology Department,
North Providence, RI 02904-5113

Ph: (401) 456-4215

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› Verified 2 days ago


Radiology Doctors in North Providence, RI

Abdol Hamid Shahinfar, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 200 High Service Ave, Radiology Department, North Providence, RI 02904
Phone: 413-456-4215    Fax: 401-456-3019
James F Aiken, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 200 High Service Ave, Radiology Department, North Providence, RI 02904
Phone: 401-456-4215    Fax: 401-456-3019
Steven Weisblatt, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 200 High Service Avenue, North Providence, RI 02904
Phone: 401-572-3120    Fax: 401-572-3351
Warren W Bovie, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 200 High Service Ave, Radiology Department, North Providence, RI 02904
Phone: 401-456-4215    Fax: 401-456-3019
Nicholas D Iannuccilli, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1515 Smith St, Ste 6, North Providence, RI 02911
Phone: 401-353-1600    

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