Susan Tillman Elliott

Primary specialty

SpecialistTaxonomy code 174400000X

License

18955 Issued in DC

Legal business name

SUSAN TILLMAN ELLIOTT

Doing business as

Foxhall Dermatology

Practice address

4910 Massachusetts Ave.,NW
Suite 308
Washington, DC 20016-4382

Phone

(202) 695-1000

Fax

(202) 503-1791

NPI assigned

Jul 21, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Susan Tillman Elliott, M.D.

Title

President

Phone

(202) 695-1000

Specialties & licenses 1

Addresses

Other names 1

• Foxhall Dermatology Doing business as

Locations

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

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314662400000",
    "number": "1316225550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 MASSACHUSETTS AVE.,NW",
            "address_2": "SUITE 308",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200164382",
            "telephone_number": "202-695-1000",
            "fax_number": "202-503-1791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 MASSACHUSETTS AVE.,NW",
            "address_2": "SUITE 308",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200164382",
            "telephone_number": "202-695-1000",
            "fax_number": "202-503-1791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN TILLMAN ELLIOTT",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-21",
        "last_updated": "2011-08-30",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "TILLMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-695-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "DC",
            "license": "18955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foxhall Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Survivor to Thriver
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• Susan J Mann
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• Lewis Suskiewicz, M.D.
• Rosemary Magdalen Suss, NNP-BC
• Melissa Aron Susser, LICSW

• Specialist in Washington, DC
• Providers in Washington, DC by specialty
• Specialist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.