Dr David A Ellis, MD | |
315 S Manning Blvd, Medical Imaging Department, Albany, NY 12208-1707 | |
(518) 525-1852 | |
(518) 525-1559 |
Full Name | Dr David A Ellis |
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Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 315 S Manning Blvd, Albany, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952393175 | NPI | - | NPPES |
00797791 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085N0904X | Radiology - Nuclear Radiology | 144672 (New York) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 144672 (New York) | Primary |
Entity Name | Northeast Medical Imaging Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396720140 PECOS PAC ID: 1153310727 Enrollment ID: O20040510000121 |
Entity Name | Albany Advanced Imaging Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871578898 PECOS PAC ID: 1153308820 Enrollment ID: O20040630000901 |
Entity Name | St. Peter's Health Partners Medical Associates, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750626834 PECOS PAC ID: 6103061189 Enrollment ID: O20130321000567 |
Mailing Address | Practice Location Address |
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Dr David A Ellis, MD 315 S Manning Blvd, Medical Imaging Department, Albany, NY 12208-1707 Ph: (518) 525-1852 | Dr David A Ellis, MD 315 S Manning Blvd, Medical Imaging Department, Albany, NY 12208-1707 Ph: (518) 525-1852 |
Robert A Belgam, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 113 Holland Ave, Stratton Va Medical Center, Albany, NY 12208 Phone: 518-626-6650 Fax: 518-626-6644 | |
Mr. Sreenivas Garla, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 47 New Scotland Ave, Radiology Dept, Albany, NY 12208 Phone: 518-262-3277 Fax: 518-262-4210 | |
David Jahangir, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 315 S Manning Blvd, Albany, NY 12208 Phone: 518-525-1401 | |
Dr. S Rao Aravapalli, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 47 New Scotland Ave, Dept. Of Radiology, Albany, NY 12208 Phone: 518-262-3277 Fax: 518-262-4210 | |
Dr. Heidi Dambach, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 47 New Scotland Ave, Albany, NY 12208 Phone: 518-262-3277 | |
Dr. Sheil Shah, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 315 S Manning Blvd, Albany, NY 12208 Phone: 518-525-1401 | |
Justin John Hungerford, MD Radiology Medicare: Medicare Enrolled Practice Location: 47 New Scotland Ave, Albany, NY 12208 Phone: 518-262-3277 Fax: 518-262-4210 |