Elan Reisin MD Facs LLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

0101239193 Issued in MD

Legal business name

ELAN REISIN MD FACS LLC

Practice address

6420 Rockledge Dr
Suite 2300
Bethesda, MD 20817-7837

Phone

(240) 560-5111

Fax

(240) 560-5110

NPI assigned

Jul 24, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Elan Reisin, MD

Title

Owner

Phone

(240) 560-5111

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1311465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311465600000",
    "number": "1104104280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 ROCKLEDGE DR",
            "address_2": "SUITE 2300",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208177837",
            "telephone_number": "240-560-5111",
            "fax_number": "240-560-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 ROCKLEDGE DR",
            "address_2": "SUITE 2300",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208177837",
            "telephone_number": "240-560-5111",
            "fax_number": "240-560-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELAN REISIN MD FACS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-24",
        "last_updated": "2011-07-24",
        "status": "A",
        "authorized_official_last_name": "REISIN",
        "authorized_official_first_name": "ELAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-560-5111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "MD",
            "license": "0101239193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Margaret Eitel, AU.D.
• Agerie Ejigu, CRNP-PMH
• Asanka B Ekanayake
• Laila El-Asmar, LCSW-C
• Elaine Klionsky, J.D., PH.D., Inc
• Eleni Alexiou, LCSW-C, LLC
• Mats Henrik Elenius, MD
• Kathryn Marie Eliasen, M.D.
• Shannon Marie Elie, OTR/L
• Jason M Elinoff, M.D.

• Plastic Surgery Physician in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Plastic Surgery Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.