DR. THOMAS WALTER VON DOHLEN (NPI# 1790890879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790890879 |
| Entity Type | Individual |
| Full Name | DR. THOMAS WALTER VON DOHLEN |
| Credential | M.D. |
| Practice Address |
157 Skylar Dr Lewisburg WV 24901-9359 |
| Practice Telephone | 3046472030 |
| Practice Fax Number | 3046472033 |
| Mailing Telephone | 3046472030 |
| Mailing Fax Number | 3046472033 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2013-08-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
13305 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0073887000 | 05 | |
| WV | RAILROAD MEDICARE | P00480835 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972908481 | Thomas Von Dohlen | Pharmacist | 575 M St, Crescent City, CA 95531-2827 | 2014-10-27 |
| Street Address |
157 SKYLAR DR |
| City | LEWISBURG |
| State | WV |
| Zip Code | 24901-9359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922109545 | Heart Center Inc | Internal Medicine | 157 Skylar Dr, Lewisburg, WV 24901-9359 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093940 | Amy Lu Moss | Technician | 254 Moss D Lane, Fairlea, WV 24901 | 2020-11-04 |
| 1083212377 | Miranda Shope | Technician | 814 Maple Ave., Lewisburg, WV 24901 | 2020-10-09 |
| 1184235830 | Carol E Beasley | Technician | 147 Windy Hill Road, Lewisburg, WV 24901 | 2020-08-14 |
| 1790317782 | Preston Dyer Modlin | Psychologist | 635 Church Street, Lewisburg, WV 24901 | 2020-02-07 |
| 1437780269 | Healthcare 360 Pllc | Family Medicine | 208 Dawkins Drive, Lewisburg, WV 24901 | 2020-01-30 |
| 1821655390 | Janet Lee Kowalsky | Student in an Organized Health Care Education/Training Program | 1464 N Jefferson St., Lewisburg, WV 24901 | 2019-05-21 |
| 1598321192 | Ali Yousaf | Student in an Organized Health Care Education/Training Program | 400 North Jefferson, Lewisburg, WV 24901 | 2019-05-20 |
| 1770053308 | Micheala Renae Taylor | Student in an Organized Health Care Education/Training Program | 1464 North Jefferson Street, Lewisburg, WV 24901 | 2018-11-27 |
| 1659840486 | Maggie King Clendenen | Nurse Practitioner | 454 Bell Drive, Lewisburg, WV 24901 | 2018-11-22 |
| 1861979312 | Vincent Morra | Student in an Organized Health Care Education/Training Program | 1464 N Jefferson St, Lewisburg, WV 24901 | 2018-07-26 |
| Find all providers in zip 24901 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1417153172 | Greenbrier Vmc LLC | Internal Medicine | Rr 2 Box 171-c, Greyrock Professional Park, Lewisburg, WV 24901-9318 | 2007-06-21 |
| 1013912187 | Haven N Wall Jr. | Internal Medicine | Rr 2 Box 171c, Lewisburg, WV 24901-9318 | 2005-06-16 |
| 1699770651 | Brian G Richards | Internal Medicine | 400 N Jefferson St, Lewisburg, WV 24901 | 2005-06-16 |
| 1487658894 | Douglas P Bosack | Internal Medicine | Rr 2 Box 171, Lewisburg, WV 24901-9318 | 2005-06-13 |
| 1184896755 | Petra S Lynch | Internal Medicine | 3 Hospital Dr, Suite 100, Lewisburg, PA 17837-9362 | 2008-03-24 |
| 1114128261 | Anuradha Tunuguntla | Internal Medicine | 1 Hospital Dr, Lewisburg, PA 17837-9350 | 2007-05-29 |
| 1710013081 | Haven N Wall Jr Md Inc | Internal Medicine | Rr 2 Box 171c, Lewisburg, WV 24901-9318 | 2007-02-23 |
| 1922109545 | Heart Center Inc | Internal Medicine | 157 Skylar Dr, Lewisburg, WV 24901-9359 | 2006-09-26 |
| 1104845395 | John M Pfeifer | Internal Medicine | 3 Hospital Dr, Suite 100, Lewisburg, PA 17837-9362 | 2006-07-19 |
| 1710903760 | Dennis R Smith | Internal Medicine | 131 Jpm Rd, Lewisburg, PA 17837-9309 | 2006-07-14 |
| Find all providers in LEWISBURG | ||||
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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.