| Phyllis R Elinson, MD | |
| 1775 Delco Park Drive, Kettering, OH 45420 | |
| (937) 299-2587 | |
| (937) 299-0124 | 
| Full Name | Phyllis R Elinson | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics | 
| Location | 1775 Delco Park Drive, Kettering, Ohio | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1033203542 | NPI | - | NPPES | 
| 2369468 | Medicaid | OH | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 35.080390 (Ohio) | Primary | 
| Entity Name | The Cleveland Clinic Foundation | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1679525919 PECOS PAC ID: 1850203555 Enrollment ID: O20031103000049 | 
| Entity Name | Fairview Hospital | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1407953706 PECOS PAC ID: 4688571730 Enrollment ID: O20031216000909 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Phyllis R Elinson, MD 1775 Delco Park Drive, Kettering, OH 45420 Ph: (937) 299-2587 | Phyllis R Elinson, MD 1775 Delco Park Drive, Kettering, OH 45420 Ph: (937) 299-2587 | 
| Ragheed Katkhuda, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-752-2304 Fax: 937-522-7620 | |
| Dr. Loren Ann Nallu, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-752-2304 Fax: 937-522-7620 | |
| Jennifer Marie Conlon, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5450 Far Hills Ave Ste 110, Kettering, OH 45429 Phone: 937-436-2866 Fax: 937-436-1468 | |
| Wendy L Blumberg, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1775 Delco Park Drive, Kettering, OH 45420 Phone: 937-299-2587 Fax: 937-299-0124 | |
| James A. Bryant, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1775 Delco Park Drive, Kettering, OH 45420 Phone: 937-299-2587 Fax: 937-299-0124 | |
| Dr. Angela Lynne Isbel, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-752-2304 Fax: 937-395-8814 |