TROY WEST PULLIAM (NPI# 1821068024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821068024 |
| Entity Type | Individual |
| Full Name | TROY WEST PULLIAM |
| Credential | PAC |
| Practice Address |
1508 Kv Road Victoria VA 23974 |
| Mailing Address |
Po Box 65 Victoria VA 23974-0065 |
| Practice Telephone | 4346962165 |
| Practice Fax Number | 4346961557 |
| Mailing Telephone | 4346963584 |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2020-02-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0110001214 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1508 KV ROAD |
| City | VICTORIA |
| State | VA |
| Zip Code | 23974 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174060594 | Elizabeth White Lipp | Behavioral Analyst | 2503 Nottoway Blvd., Victoria, VA 23974 | 2017-01-24 |
| 1902160849 | Daniel Lee Messerschmidt | Dentist | 690 Falls Rd, Victorira, VA 23974 | 2012-06-26 |
| 1902048424 | Family Preservation Services, Inc | Community/Behavioral Health | 3357 Nutbrush Road, Victoria, VA 23974 | 2009-03-30 |
| 1518118686 | Family Preservation Services, Inc | Community/Behavioral Health | 131 Kv Road, Victoria, VA 23974 | 2008-10-07 |
| 1396995940 | Southern Dominion Health System, Inc. | Clinic/Center | 1685 K-v Road, Victoria, VA 23974 | 2008-09-19 |
| 1053456087 | Victoria Drug Company | Pharmacy | 1821 Main Street, Victoria, VA 23974 | 2007-02-20 |
| 1083619563 | Jacquelin S Daniel | Nurse Practitioner | 1508 K-v Road, Victoria, VA 23974 | 2005-06-20 |
| 1164966016 | Ashley Pollard | Dentist | 1685 K-v Road, Victoria, VA 23974 | 2016-12-12 |
| 1629403209 | Shannon Rakes | Social Worker | 1685 K-v Road, Victoria, VA 23974 | 2013-09-13 |
| 1992082796 | Mary K. St. Germain | Nurse Practitioner | 1508 K-v Road, Victoria, VA 23974 | 2011-11-08 |
| Find all providers in zip 23974 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396115739 | Katelin Mcvey | Physician Assistant | 106 Springwood Drive, Suite 100, Victoria, TX 77904 | 2015-09-28 |
| 1588038152 | Michael Dillon Hannasch | Physician Assistant | 605 E San Antonio St, Ste 520e, Victoria, TX 77901-6050 | 2015-11-19 |
| 1801128061 | William C Metzger | Physician Assistant | 115 Medical Dr, Ste 104, Victoria, TX 77904-3102 | 2010-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124638986 | Courtney Anne Kassner | Physician Assistant | 2706 Davis Ave, Alexandria, VA 22302-2817 | 2020-08-06 |
| 1295356145 | Nilofar Ariasaif | Physician Assistant | 15401 Bald Eagle Ln, Woodbridge, VA 22191-3782 | 2020-05-01 |
| 1396366555 | Sheelon Aghili | Physician Assistant | 5801 Hampton Forest Way, Fairfax, VA 22030-7254 | 2020-04-29 |
| 1679102347 | Mary Herrera | Physician Assistant | 6353 Center Dr Ste 204, Norfolk, VA 23502-0001 | 2020-04-05 |
| 1720614019 | Andrew James Meyers | Physician Assistant | 229 W Bute St Apt 207, Norfolk, VA 23510-1415 | 2020-03-18 |
| 1902432644 | Madison Alexis Cooper | Physician Assistant | 920 Battlefield Blvd S Ste 101, Chesapeake, VA 23322-4254 | 2020-03-13 |
| 1285296111 | Kimberly Stewart Hugo | Physician Assistant | 10932 Point Grey Road, Henrico, VA 23233-2429 | 2019-07-01 |
| 1558824698 | Jessica Leigh Pacuch | Physician Assistant | 2440 Raphine Rd, Raphine, VA 24472-2541 | 2019-04-06 |
| 1073074431 | Nicholas Alexander Jones | Physician Assistant | 924 Parley Pl, Chesapeake, VA 23323-4135 | 2019-03-28 |
| 1003371410 | Ryan Timothy Pyles | Physician Assistant | 25 Commerce Park Drive, Raphine, VA 24472 | 2019-02-11 |
| Find all providers with the same taxonomy | ||||
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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.