MRS. CRYSTAL CALDWELL BARKSDALE


Address: 1930 Braeburn Cir, Salem, VA 24153-7388
Phone: 4504448100

MRS. CRYSTAL CALDWELL BARKSDALE (NPI# 1255305785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255305785
Entity Type Individual
Full Name MRS. CRYSTAL CALDWELL BARKSDALE
Credential PA
Practice Address 1930 Braeburn Cir
Salem
VA 24153-7388
Mailing Address 1906 Belleview Ave Se
Roanoke
VA 24014-1838
Practice Telephone 4504448100
Mailing Telephone 5409817000
Enumeration Date 2006-02-13
Last Update Date 2020-01-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 0110006501 VA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
VA 004945263 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
1906 Belleview Ave Se, Roanoke, VA 240141838 5409817000
301 Elm Ave Sw, Roanoke, VA 240164001 5403459841 5405272900

Office Location

Street Address 1930 BRAEBURN CIR
City SALEM
State VA
Zip Code 24153-7388

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215936943 Garry Bayliss Internal Medicine 1930 Braeburn Cir, Salem, VA 24153-7388 2005-07-15
1699975326 Sorina Dancea Internal Medicine 1930 Braeburn Cir, Salem, VA 24153-7388 2007-07-20
1205953908 Brent Matthew May Physician Assistant 1930 Braeburn Cir, Salem, VA 24153 2007-03-26
1669488110 Edward O Tackey Specialist 1930 Braeburn Cir, Salem, VA 24153-7388 2006-08-01
1487629879 Gary George O'hagan Family Medicine 1930 Braeburn Cir, Salem, VA 24153-7388 2006-02-21
1285609958 Apollo Y Leong Family Medicine 1930 Braeburn Cir, Salem, VA 24153-7388 2006-02-17
1124093802 John Edward Sadler IIi Family Medicine 1930 Braeburn Cir, Salem, VA 24153-7388 2006-02-17
1962472076 Mary Karen Porterfield Nurse Practitioner 1930 Braeburn Cir, Salem, VA 24153-7388 2006-01-23
1356320998 Joseph Lemmer Internal Medicine 1930 Braeburn Cir, Salem, VA 24153-7388 2006-01-12
1811973423 William Blaylock Internal Medicine 1930 Braeburn Cir, Salem, VA 24153-7388 2005-12-16
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669001228 Paul Mcguire Student in an Organized Health Care Education/Training Program 1906 Braeburn Drive Psychiatry Gme, Salem, VA 24153 2020-04-06
1386114965 Dynamic Medical LLC Clinical Medical Laboratory 1201 Texas Street, Salem, VA 24153 2018-11-27
1134607898 Renew Psychiatry Services Psychiatry & Neurology 177 Electric Rd, Salem, VA 24153 2018-08-03
1508304015 Samantha Getz Assisted Living Facility 3706 Knollridge Rd., Salem, VA 24153 2017-02-03
1518409762 Melissa Ward Case Manager/Care Coordinator 1380 Southside Dr, Suite 100, Salem, VA 24153 2016-11-04
1154729051 Allison Marie Parry Physician Assistant 1336 W Main St., Salem, VA 24153 2014-12-09
1598199457 Stacy Stanley Occupational Therapy Assistant 4812 Moore Rd, Salem, VA 24153 2013-08-28
1366888034 Dolores Hager Speech-Language Pathologist 1851 Harrogate Dr, Salem, VA 24153 2013-05-21
1073850764 Joel Aaron Nickerson Specialist/Technologist 400 Spartan Dr., Salem High School, Salem, VA 24153 2013-01-15
1023387271 National Diabetic Medical Supply, LLC Durable Medical Equipment & Medical Supplies 2153 Apperson Drive, Salem, VA 24153 2011-12-16
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699374660 Sarah Ilana Katz Physician Assistant 11a Laurel St, Salem, MA 01970-4657 2020-10-21
1306444641 Zachary Wright Physician Assistant 11 Harley Ln, Salem, NH 03079-2888 2020-10-09
1174132195 Andrew Yosim Physician Assistant 1750 Pexton Ave, Salem, VA 24153-4108 2020-07-27
1689202269 Adam Joyce Physician Assistant 1005 Meadowrun Ct, Salem, VA 24153-6687 2020-03-30
1417504085 Alexis Marie Biewend Physician Assistant 1645 Waln Dr Se Apt 263, Salem, OR 97306-2963 2019-08-19
1497309322 Lindsey Ann Castleberry Physician Assistant 1111 Meadow Sage Cir, Salem, UT 84653-5578 2019-07-29
1134773450 Jillian Netland Physician Assistant 6507 Lipscomb St Se, Salem, OR 97317-9513 2019-07-25
1457827354 Gretchen Amrien Physician Assistant 4 Bypass Rd Ste 201, Salem, NJ 08079-2053 2018-10-17
1649751934 Matthew Hansen Physician Assistant 875 Oak St. Se Ste 5020, Salem, OR 97301 2018-08-24
1487152948 Jessica Lynn Brooks Physician Assistant 875 Oak St Se Ste 5060, Salem, OR 97301 2018-01-30
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Competitor

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City SALEM
Zip Code 24153

Improve Information

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Dataset Information

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.

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