Provider Demographics
NPI:1689853756
Name:HELENE A. EMSELLEM, MD, PC
Entity Type:Organization
Organization Name:HELENE A. EMSELLEM, MD, PC
Other - Org Name:THE CENTER FOR SLEEP AND WAKE DISORDERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CCO
Authorized Official - Prefix:
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-528-2609
Mailing Address - Street 1:5454 WISCONSIN AVE STE 1335
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-6955
Mailing Address - Country:US
Mailing Address - Phone:301-654-0209
Mailing Address - Fax:301-654-5658
Practice Address - Street 1:5454 WISCONSIN AVE STE 1335
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-6955
Practice Address - Country:US
Practice Address - Phone:301-654-0209
Practice Address - Fax:301-654-5658
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-25
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder DiagnosticGroup - Multi-Specialty
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
G02280Medicare PIN