Individual
CRAIG M ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4660 KENMORE AVE, SUITE #305, ALEXANDRIA, VA 22304-1313
(703) 751-5763
(703) 370-8704
Mailing address
PO BOX 17334, BALTIMORE, MD 21297-1334
(703) 443-6717
(703) 443-8643
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0101234566
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932254083
—
VA
01
—
P00777103
RR MEDICARE
DC
Enumeration date
01/25/2007
Last updated
01/09/2015
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