Provider Demographics
NPI:1760845549
Name:MAGRANS, ELENA LUCY (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:ELENA
Middle Name:LUCY
Last Name:MAGRANS
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:DR
Other - First Name:ELENA
Other - Middle Name:MAGRANS
Other - Last Name:CASTLEBERRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, MPH
Mailing Address - Street 1:11100 EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44106-1716
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:400 N STATE OF FRANKLIN RD
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37604-6035
Practice Address - Country:US
Practice Address - Phone:423-431-6111
Practice Address - Fax:423-431-2910
Is Sole Proprietor?:No
Enumeration Date:2016-03-30
Last Update Date:2019-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101266878207P00000X
TN59397207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine