Provider Demographics
NPI:1043204159
Name:FLANDERS, ELAINE LIZABETH (MD)
Entity Type:Individual
Prefix:DR
First Name:ELAINE
Middle Name:LIZABETH
Last Name:FLANDERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5468
Mailing Address - Street 2:
Mailing Address - City:MARTINSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24115-5468
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5801 BREMO RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226-1907
Practice Address - Country:US
Practice Address - Phone:804-281-8100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-02
Last Update Date:2011-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101044673207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA181669OtherANTHEM-CENTERPOINT RD.
VA010096901Medicaid
P00150492OtherRAILROAD MEDICARE
VA145086OtherANTHEM-ATLEE RD.
VA010096928Medicaid
VA145085OtherANTHEM-BREMO RD.
VA181669OtherANTHEM-CENTERPOINT RD.
E99909Medicare UPIN