Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stephen R Ellin, MD

Individual provider Diagnostic Radiology Physician · NPI 1073532545

Stephen R Ellin, MD is a Diagnostic Radiology Physician in North Providence, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2006.

Licensed in
RI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

200 High Service Ave Radiology Dept
North Providence, RI 02904-5113
Phone: (401) 456-4215
Fax: (401) 456-3019
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence MD04990 (RI)

Record details

NPI number1073532545
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 18, 2006
Last updated in NPPESOctober 19, 2011
Mailing address21 Peace St, Suite 251 East, Providence, RI 02907-1510

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