DR. WALTER EVERETT DIAL (NPI# 1609936574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609936574 |
Entity Type | Individual |
Full Name | DR. WALTER EVERETT DIAL |
Credential | MD |
Practice Address |
701 Madison Ave Madison WV 25130-1669 |
Mailing Address |
50b State Route 10 Ranger WV 25557-9712 |
Practice Telephone | 3043076070 |
Practice Fax Number | 3043076071 |
Mailing Telephone | 3043691549 |
Enumeration Date | 2006-12-11 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
Street Address |
701 MADISON AVE |
City | MADISON |
State | WV |
Zip Code | 25130-1669 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265412472 | James Kenton Walker | Family Medicine | 701 Madison Ave, Madison, WV 25130-1669 | 2006-01-23 |
1316593270 | Jessica Toath-callahan | Nurse Practitioner | 701 Madison Ave, Madison, WV 25130-1699 | 2019-08-15 |
1467013243 | Kerri Anne Spry-lambert | Nurse Practitioner | 701 Madison Ave, Madison, WV 25130-1669 | 2019-06-24 |
1710456561 | Casey Shannon Hatfield | Physician Assistant | 701 Madison Ave, Madison, WV 25130-1699 | 2018-11-21 |
1265927750 | Melissa Ann Price | Nurse Practitioner | 701 Madison Ave, Madison, WV 25130-1699 | 2018-06-27 |
1154844249 | Heather Kay Legg | Physician Assistant | 701 Madison Ave, Madison, WV 25130-1669 | 2017-07-20 |
1346763786 | Jackson B Austin | Physician Assistant | 701 Madison Ave, Madison, WV 25130-1669 | 2017-07-18 |
1184091399 | Robert Lee Foster Jr. | Pharmacist | 701 Madison Ave, Madison, WV 25130-1669 | 2015-08-24 |
1770979874 | Michael Vaughn Baxter Bledsoe | Family Medicine | 701 Madison Ave, Madison, WV 25130 | 2015-04-15 |
1942694971 | Shane Cook | Dermatology | 701 Madison Ave, Madison, WV 25130-1669 | 2015-03-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457960957 | Sadie Vance | Technician | 1 Ave C, Madison, WV 25130 | 2020-07-30 |
1255940516 | Katie Adkins | Technician | 109 Ave C, Madison, WV 25130 | 2020-07-23 |
1386981488 | Integrated Health Care Providers, Inc. | Urology | 707 Madison Avenue, Madison, WV 25130 | 2013-01-09 |
1386710028 | Lisa Gaye Dolan | Registered Nurse | 69 Avenue B, Boone County of Educations, Madison, WV 25130 | 2006-11-27 |
1679671549 | Atkins Dds Inc | Dentist | 221 State Street, Suite 102, Madison, WV 25130 | 2006-09-21 |
1063446854 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 3265 Smoot Avenue, Madison, WV 25130 | 2006-07-10 |
1558318832 | Sriramloo Kesari | General Practice | 173 State St, Madison, WV 25130 | 2006-05-30 |
1689628489 | Kathy Jo Hill | Nurse Practitioner | 701 Madison Avenue, Boone Memorial Hospital, Madison, WV 25130 | 2006-05-19 |
1578513032 | Boone Memorial Hospital Inc | Clinic/Center | 697 Madison Avenue, Madison, WV 25130 | 2006-05-12 |
1770597171 | Ronald D Chattin | Family Medicine | 515 Main St, Madison, WV 25130 | 2006-07-28 |
Find all providers in zip 25130 |
Taxonomy Code | 261QM2500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Medical Specialty |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
Notes: [7/1/2003: new] |
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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.