DOUGLAS DAVID DALTON II (NPI# 1255300109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255300109 |
| Entity Type | Individual |
| Full Name | DOUGLAS DAVID DALTON II |
| Credential | PA-C |
| Practice Address |
603 Campus Dr Suite 100 Abingdon VA 24210-9700 |
| Practice Telephone | 2767398010 |
| Practice Fax Number | 2766281410 |
| Mailing Telephone | 2767398010 |
| Mailing Fax Number | 2766281410 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2017-02-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0110001236 | VI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1255300109 | 05 | |
| TN | Q008299 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275759326 | Douglas Mark Dalton | Registered Nurse | 15065 Primrose Ln, Middlefield, OH 44062-9022 | 2007-04-17 |
| 1043288210 | Douglas Dalton | Physician Assistant | 2600 Wilson St, Miles City, MT 59301-5094 | 2006-03-14 |
| Street Address |
603 CAMPUS DR SUITE 100 |
| City | ABINGDON |
| State | VA |
| Zip Code | 24210-9700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326462805 | Daniel Farmer | Nurse Practitioner | 603 Campus Dr, Suite 100, Abingdon, VA 24210-9700 | 2014-02-05 |
| 1770864670 | Blue Ridge Medical Management Corporation | Clinic/Center | 603 Campus Dr, Suite 100, Abingdon, VA 24210-9700 | 2011-09-06 |
| 1770764789 | Melissa Lynn Hartwell | Physician Assistant | 603 Campus Dr, Suite 100, Abingdon, VA 24210-9700 | 2007-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184192890 | Clinton Samuel Steve Webb | Nurse Practitioner | 406 W Main St Ste 100, Abingdon, VA 24210 | 2018-11-12 |
| 1528565801 | Crossroads Treatment Center of Petersburg, PC | Clinic/Center | 301 Falls Dr Nw Ste 353, Abingdon, VA 24210 | 2018-04-12 |
| 1780189035 | Vickie Lynne Beam | Speech-Language Pathologist | Washington County Public Schools, 812 Thompson Drive, Abingdon, VA 24210 | 2018-03-28 |
| 1093235814 | Meagan R Compton | Speech-Language Pathologist | 18596 Lee Hwy Suite B, Abingdon, VA 24210 | 2017-06-22 |
| 1710433404 | Highlands Community Pharmacy Inc | Pharmacy | 16400 Jeb Stuart Highway, Abingdon, VA 24210 | 2016-09-01 |
| 1548632417 | Lauren Irene Esposito | Audiologist | 319 Falls Drive, Abingdon, VA 24210 | 2015-10-30 |
| 1073909784 | Michael Justice | Pharmacist | 1 Food City Circle, Abingdon, VA 24210 | 2015-04-09 |
| 1245574177 | Watauga Medical Group | Family Medicine | 300 Valley St, Ne, Abingdon, VA 24210 | 2012-11-15 |
| 1083908883 | Kimberly Regina Mullins | Occupational Therapy Assistant | 17575 Havens Rest Rd., Abingdon, VA 24210 | 2011-06-09 |
| 1902131170 | Sara Jeannette Creekmore | Family Medicine | 328-a Cummings St., Abingdon, VA 24210 | 2009-10-06 |
| Find all providers in zip 24210 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366058232 | Carah Grace Whichard | Physician Assistant | 18778 Grahams Dr, Abingdon, VA 24211-7096 | 2020-09-16 |
| 1417505876 | Sara Fox Thead | Physician Assistant | 26208 Lee Hwy, Abingdon, VA 24211-7504 | 2019-08-29 |
| 1154724607 | Jessica L. Pionk | Physician Assistant | 16000 Johnston Memorial Dr, Suite 100, Abingdon, VA 24211-7664 | 2014-09-29 |
| 1629321021 | Mark Samuel Smith | Physician Assistant | 16000 Johnston Memorial Dr, Fourth Floor, Abingdon, VA 24211-7659 | 2012-10-23 |
| 1750634267 | James Todd Mccloskey | Physician Assistant | 3445 Box Hill Corporate Center Dr Ste E, Abingdon, MD 21009-1223 | 2012-10-22 |
| 1104171826 | Blue Ridge Medical Management Corporation | Physician Assistant | 16000 Johnston Memorial Dr, Fourth Floor, Abingdon, VA 24211-7664 | 2012-07-18 |
| 1063671329 | Alison Maria Mueller | Physician Assistant | 3445 E Box Hill Corporate Center Drive, Suite 108, Abingdon, MD 21009 | 2008-06-03 |
| 1396871877 | Donald Christopher Lindauer | Physician Assistant | 100 Walter Ward Blvd Ste 300, Abingdon, MD 21009-1286 | 2007-02-26 |
| 1205900974 | Wiley R Kent II | Physician Assistant | 16000 Johnston Memorial Dr, Fourth Floor, Abingdon, VA 24211-7664 | 2006-11-17 |
| 1033120191 | Cathy Ann Hopkins | Physician Assistant | 16000 Johnston Memorial Dr, Abingdon, VA 24211 | 2006-08-11 |
| Find all providers in ABINGDON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.