| Dr Ellyn Allyse Smith, MD | |
|
333 City Blvd W Ste 1600, Orange, CA 92868-5903 | |
| (714) 456-8598 | |
| Not Available |
| Full Name | Dr Ellyn Allyse Smith |
|---|---|
| Gender | Female |
| Speciality | Surgery |
| Location | 333 City Blvd W Ste 1600, Orange, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669887899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | MT206685 (Pennsylvania) | Secondary |
| 208600000X | Surgery | A160672 (California) | Primary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Entity Name | University Surgeons Of Orange A Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407806904 PECOS PAC ID: 6901705227 Enrollment ID: O20040106000614 |
| Entity Name | Anaheim Surgical Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598899718 PECOS PAC ID: 1658309588 Enrollment ID: O20050801000914 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ellyn Allyse Smith, MD 185 Roseberry St, Farley Bldg 2nd Floor, Phillipsburg, NJ 08865-1690 Ph: (908) 847-2621 | Dr Ellyn Allyse Smith, MD 333 City Blvd W Ste 1600, Orange, CA 92868-5903 Ph: (714) 456-8598 |
Xuan-binh D Pham, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1010 W La Veta Ave Ste 320, Orange, CA 92868 Phone: 714-598-1194 | |
Dr. Douglas Albert Brownell, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1140 W La Veta Ave Ste 850, Orange, CA 92868 Phone: 714-997-4961 Fax: 714-560-4455 | |
Shray Malik, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 3800 W Chapman Ave Ste 6200, Orange, CA 92868 Phone: 714-456-6262 | |
John Clifford German, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 396 S Main St Ste 200, Orange, CA 92868 Phone: 714-361-4480 Fax: 714-361-4490 | |
Michael J Stamos, MD Surgery Medicare: Medicare Enrolled Practice Location: Uci Medical Center, 101 The City Drive South, Orange, CA 92868 Phone: 714-456-8978 | |
Reed Ayabe, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 808-392-4919 | |
Dr. Eric James Kuncir, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 333 City Blvd W, Suite 1600, Orange, CA 92868 Phone: 714-456-5890 Fax: 714-456-6048 |