DR. CAROLYN J DALLDORF (NPI# 1306892393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306892393 |
| Entity Type | Individual |
| Full Name | DR. CAROLYN J DALLDORF |
| Credential | MD |
| Practice Address |
310 Old Ivy Way Suite 201 Charlottesville VA 22903-4896 |
| Practice Telephone | 4342444550 |
| Practice Fax Number | 4349752027 |
| Mailing Telephone | 4342444550 |
| Mailing Fax Number | 4349752027 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2007-10-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 0101053791 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | MAMSI | 2124921 | 01 |
| VA | SOUTHERN HEALTH | 207908 | 01 |
| VA | COMMUNITY HEALTH | 45314 | 01 |
| VA | ANTHEM SVCS/HEALTHKEEPERS | 230701 | 01 |
| VA | CIGNA | 4939578 | 01 |
| Street Address |
310 OLD IVY WAY SUITE 201 |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22903-4896 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801841069 | Marcia Jean Mcalpine | Family Medicine | 310 Old Ivy Way, Suite 201, Charlottesville, VA 22903-4896 | 2006-05-24 |
| 1407262298 | Pamela Dawn Walker Byrnes | Registered Nurse | 310 Old Ivy Way, Ste 104, Charlottesville, VA 22903-4896 | 2014-07-01 |
| 1326270034 | Lindsay Alice Aguero | Nurse Practitioner | 310 Old Ivy Way, Suite 201, Charlottesville, VA 22903 | 2009-08-13 |
| 1295964260 | Meghan E. Gaare | Psychiatry & Neurology | 310 Old Ivy Way, Charlottesville, VA 22903-4896 | 2009-07-10 |
| 1295869741 | Lindsay D Friesen | Internal Medicine | 310 Old Ivy Way, Suite 201, Charlottesville, VA 22903 | 2007-03-15 |
| 1790841880 | Vishal Madaan | Psychiatry & Neurology | 310 Old Ivy Way, Ste 104, Charlottesville, VA 22903-4896 | 2006-12-31 |
| 1790855484 | Preska M. Moore | Psychiatry & Neurology | 310 Old Ivy Way, Suite 104, Charlottesville, VA 22903-4896 | 2006-11-09 |
| 1023187663 | Jim B Tucker | Psychiatry & Neurology | 310 Old Ivy Way, Charlottesville, VA 22903-4896 | 2006-11-07 |
| 1508960972 | Louisa J Hann | Family Medicine | 310 Old Ivy Way, Suite 201, Charlottesville, VA 22903 | 2006-09-07 |
| 1871536755 | Bruce D Clemons | Internal Medicine | 310 Old Ivy Way, Suite 201, Charlottesville, VA 22903-4896 | 2006-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326671009 | Ticynn Symone London | Specialist/Technologist | 723 Retriever Run, Ticynn London, Charlottesville, VA 22903 | 2020-02-20 |
| 1043853542 | Elaine Mccall | Dietitian, Registered | 1335 Jefferson Park Ave, Charlottesville, VA 22903 | 2019-10-28 |
| 1205480753 | Sean Robert Bennett | Clinic/Center | 433 Ednam Drive, Charlottesville, VA 22903 | 2019-08-01 |
| 1922562818 | Lynn Owen Taggart | Student in an Organized Health Care Education/Training Program | 300 Grassmere Rd, Charlottesville, VA 22903 | 2019-01-25 |
| 1831636166 | Sarah Michelle Richin | Social Worker | 709 A West Main St, Charlottesville, VA 22903 | 2017-01-25 |
| 1962868851 | Kelly Stewart Maurer | Counselor | 3101 Fontaine Avenue, Charlottesville, VA 22903 | 2016-01-07 |
| 1831592039 | Bearley Dental PC | Dentist | 901 Preston Ave, Suite 200, Charlottesville, VA 22903 | 2014-10-01 |
| 1730437823 | Frances Eva Demmerle | Neuromusculoskeletal Medicine & OMM | 1149 Rose Hill Dr., Charlottesville, VA 22903 | 2012-08-21 |
| 1801142229 | University of Virginia | General Acute Care Hospital | 1925 Beechcrest Court, Charlottesville, VA 22903 | 2012-08-03 |
| 1407123516 | Laura P. Handler | Counselor | 500 Old Lynchburg Rd., Region Ten Csb, Charlottesville, VA 22903 | 2011-11-18 |
| Find all providers in zip 22903 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043725336 | M Clinic, LLC | Internal Medicine | 406 Albemarle Square, Charlottesville, VA 22901 | 2017-12-08 |
| 1710414974 | Michael Anthony Gallagher | Internal Medicine | 1215 Lee St Box 800744, Charlottesville, VA 22908-0816 | 2017-05-18 |
| 1881042232 | David Riley | Internal Medicine | 1240 Lee St Box Number 800716, Charlottesville, VA 22908-4923 | 2016-05-26 |
| 1790149920 | Kendall Michelle Stone | Internal Medicine | 1214 Lee St, Box 800744, Charlottesville, VA 22908-0816 | 2016-04-13 |
| 1518342443 | Mohammed Yousef Al Mulhim | Internal Medicine | 1215 Lee Street - Box Number 800133, Charlottesville, VA 22908-1216 | 2015-07-21 |
| 1285016048 | Brent James Portz | Internal Medicine | 1215 Lee St # 800133, Charlottesville, VA 22908-2922 | 2015-06-29 |
| 1295112597 | Breanna Campbell | Internal Medicine | 1220 Lee St Ste 2401, Charlottesville, VA 22908 | 2015-05-06 |
| 1720489495 | Marian Chung | Internal Medicine | 2212 Shepherds Ridge Rd, Charlottesville, VA 22901-0674 | 2014-09-11 |
| 1669880167 | Jamie Macleod | Internal Medicine | 1215 Lee Street - Box Number 800696, Charlottesville, VA 22908-4728 | 2014-07-28 |
| 1801227400 | Fox & Brantley Internal Medicine, A Division of Anchor Healthcare, Plc | Internal Medicine | 908 E Jeffeson St, Suite G1, Charlottesville, VA 22902 | 2013-12-06 |
| Find all providers in CHARLOTTESVILLE | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22903 |
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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.