Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michael R Ellwood, MS, PA-C

Individual provider Physician Assistant · NPI 1073726691

Michael R Ellwood, MS, PA-C is a Physician Assistant in Springfield, Virginia. Practices as a sole proprietor. Licensed in Connecticut.

Licensed in
CT
In the registry since
2007
What do these letters mean?
MS — Master of Science
A graduate science degree.
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

6030 Selwood Pl
Springfield, VA 22152-1412
Phone: (703) 569-1451
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 000547 (CT)

Record details

NPI number1073726691
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , PA-C
Sole proprietorYes
NPI enumeratedMay 8, 2007
Last updated in NPPESJuly 8, 2007

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