Provider Demographics
NPI:1952333007
Name:ELWELL, DANIEL ROBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:ROBERT
Last Name:ELWELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1922 THOMSON DR
Mailing Address - Street 2:SUITE D
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24501-1009
Mailing Address - Country:US
Mailing Address - Phone:434-845-7392
Mailing Address - Fax:434-845-1099
Practice Address - Street 1:1922 THOMSON DR
Practice Address - Street 2:SUITE D
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24501-1009
Practice Address - Country:US
Practice Address - Phone:434-845-7392
Practice Address - Fax:434-845-1099
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2008-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101239604207L00000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010283051Medicaid
VAP00340077OtherRAILROAD MEDICARE
VA197549OtherANTHEM BLUE CROSS BLUE SHIELD
VA197549OtherANTHEM BLUE CROSS BLUE SHIELD
VAP00340077OtherRAILROAD MEDICARE