Individual
DR. ELLSWORTH J STAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1625 N GEORGE MASON DR, PATHOLOGY DEPT, ARLINGTON, VA 22205-3683
(703) 558-6541
(502) 456-4440
Mailing address
PO BOX 7308, ARLINGTON, VA 22207-0308
(800) 292-1387
(502) 456-4440
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0101-029766
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006601782
—
VA
05
—
033007700
—
DC
01
—
1022-0004
CAREFIRST BLUE CROSS DC
DC
01
—
11-00210
UNITED HEALTHCARE
—
01
—
1305167
UNITED MINE WORKERS
—
01
—
16699
GEORGE WASHINGTON UNIV
—
01
—
220017496
RAILROAD MEDICARE
—
01
—
240523
ANTHEM BLUE CROSS BS
VA
01
—
339836
OPTIMUM CHOICE
—
01
—
490050CC62678
SECTION 1011 MEDICARE
—
01
—
506849
NATIONAL CAPITAL PPO
—
05
—
879500200
—
MD
01
—
96-2465316
WORKERS COMP DC
DC
Enumeration date
07/08/2006
Last updated
09/12/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us