Russell C Ellenberg, MD | |
2201 E Main St, Richmond, VA 23223-7071 | |
(804) 643-3061 | |
(804) 643-3817 |
Full Name | Russell C Ellenberg |
---|---|
Gender | Male |
Speciality | Internal Medicine - Nephrology |
Location | 2201 E Main St, Richmond, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275592776 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | 0101041671 (Virginia) | Primary |
Entity Name | Mid-atlantic Kidney Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700855228 PECOS PAC ID: 7113821513 Enrollment ID: O20031126000043 |
Mailing Address | Practice Location Address |
---|---|
Russell C Ellenberg, MD 2201 E Main St, Richmond, VA 23223-7071 Ph: (804) 643-3061 | Russell C Ellenberg, MD 2201 E Main St, Richmond, VA 23223-7071 Ph: (804) 643-3061 |
Dr. Amy Samantha May Paul, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 1250 E Marshall St, Dept. Of Internal Medicine/geriatric Medicine, Richmond, VA 23298 Phone: 804-254-3500 Fax: 804-254-1616 | |
Dr. Clifton Linwood Parker, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 8300 Fulham Drive, Richmond, VA 23227 Phone: 804-264-5901 | |
Dr. Michael A Mistretta, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 6600 W Broad St Ste 300, Richmond, VA 23230 Phone: 804-320-4243 Fax: 804-622-0552 | |
Patricia J Sime, MD Nephrology Medicare: Medicare Enrolled Practice Location: 9000 Stony Point Pkwy, Richmond, VA 23235 Phone: 804-560-8921 Fax: 804-560-8992 | |
Dr. Katherine Lavan Smallwood, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 6900 Forest Ave, Suite 300, Richmond, VA 23230 Phone: 804-346-1515 Fax: 804-270-2888 | |
Walid G. Abou Assi, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 7605 Forest Ave, Suite 109, Richmond, VA 23229 Phone: 804-285-6390 Fax: 804-285-6393 | |
Dr. Paulina Essah, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 719 N 25th St, Richmond, VA 23223 Phone: 804-253-1963 Fax: 804-780-0862 |