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Contact Information

ELLSWORTH J STAY, MD
1625 N GEORGE MASON DR
PATHOLOGY DEPT
ARLINGTON, VA22205-3683
 Phone: 703-558-6541
 Fax: 502-456-4440
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for ELLSWORTH J STAY · (Male)

NPI # 1083647531
Status Active
Credentials MD
Entity Individual
Enumeration date 07/08/2006
Last updated 09/12/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0101-029766
  • DC Medicaid 033007700
  • MD Medicaid 879500200
  • VA Medicaid 006601782
  • Other 16699 GEORGE WASHINGTON UNIV
  • Other 339836 MAMSI
  • Other 339836 MDIPA
  • Other 506849 NATIONAL CAPITAL PPO
  • Other 339836 OPTIMUM CHOICE
  • Other 220017496 RAILROAD MEDICARE
  • Other 490050CC62678 SECTION 1011 MEDICARE
  • Other 11-00210 UNITED HEALTHCARE
  • Other 1305167 UNITED MINE WORKERS
  • DC Other 1022-0004 CAREFIRST BLUE CROSS DC
  • DC Other 96-2465316 WORKERS COMP DC
  • VA Other 240523 ANTHEM BLUE CROSS BS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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