DR. DONALD E. BARTLETT JR. (NPI# 1912062142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912062142 |
| Entity Type | Individual |
| Full Name | DR. DONALD E. BARTLETT JR. |
| Credential | M.D. |
| Practice Address |
4213 Walney Rd Chantilly VA 20151-2923 |
| Mailing Address |
3421 Cedar Crest Ln Fairfax VA 22033-1622 |
| Practice Telephone | 7035027000 |
| Practice Fax Number | 7035027055 |
| Mailing Telephone | 7033911533 |
| Mailing Fax Number | 7033911534 |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
0101039372 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144213430 | Donald Bartlett | Psychologist | 2447 Sheridan Dr, Tonawanda, NY 14150-9405 | 2005-08-23 |
| 1164446100 | Donald David Bartlett | Counselor | 56 Church St, Waterbury, CT 06702-2103 | 2006-07-26 |
| 1073543260 | Donald Bartlett II | Physician Assistant | 288 Groveland St, Haverhill, MA 01830-6674 | 2006-07-03 |
| 1366407256 | Donald G Bartlett | Emergency Medicine | 611 W. Park Street, Emergency Medicine, Urbana, IL 61801 | 2006-04-20 |
| Street Address |
4213 WALNEY RD |
| City | CHANTILLY |
| State | VA |
| Zip Code | 20151-2923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306951058 | Janelle Nicole Grike | Registered Nurse | 4213 Walney Rd, Chantilly, VA 20151 | 2006-08-21 |
| 1164021978 | Olga Sears | Registered Nurse | 4213 Walney Rd, Chantilly, VA 20151-2923 | 2020-10-22 |
| 1841899655 | Haileyesus Mekonnen | Registered Nurse | 4213 Walney Rd, Chantilly, VA 20151-2923 | 2020-10-22 |
| 1467050302 | David Rose | Registered Nurse | 4213 Walney Rd, Chantilly, VA 20151-2923 | 2020-10-13 |
| 1093339798 | Troy Houston Criser | Counselor | 4213 Walney Rd, Chantilly, VA 20151-2923 | 2020-05-29 |
| 1366062150 | Katherine Ruth Robinson | Counselor | 4213 Walney Rd, Chantilly, VA 20151-2923 | 2020-04-21 |
| 1417419854 | Jashan Grewal | Counselor | 4213 Walney Rd, Chantilly, VA 20151-2923 | 2019-04-04 |
| 1417425679 | Margaret Beth Gassert | Counselor | 4213 Walney Rd, Chantilly, VA 20151-2923 | 2018-11-06 |
| 1073010690 | Lisa Taylor | Counselor | 4213 Walney Rd, Chantilly, VA 20151-2923 | 2018-04-10 |
| 1336547660 | Shinette Amoh | Licensed Practical Nurse | 4213 Walney Rd, Chantilly, VA 20151-2923 | 2014-12-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023635695 | Sabah Home Care | Home Health | 4221 Walney Rd Suite 500 C, Chantilly, VA 20151 | 2020-06-30 |
| 1205485976 | Huang Wellness Center LLC | Acupuncturist | 14145 Robet Paris Ct, Chantilly, VA 20151 | 2019-09-05 |
| 1376032714 | Myeyedr Optometry of Virginia, Pllc | Optometrist | 14337 Newbrook Drive, Suite 400, Chantilly, VA 20151 | 2018-05-01 |
| 1013405950 | Chantilly Modern Dentistry, PC | Dentist | 14337 Newbrook Dr., Suite 200, Chantilly, VA 20151 | 2018-04-26 |
| 1972090389 | Wegmans Food Markets, Inc. | Pharmacy | 14361 Newbrook Dr., Chantilly, VA 20151 | 2018-04-20 |
| 1922526714 | Cynthia Anne Biggar | Specialist/Technologist | 13613 Bare Island Drive, Chantilly, VA 20151 | 2017-09-01 |
| 1497297717 | Rebekah Lee Hinders | Nurse Practitioner | 3914 Centrevill Rd, Suite 101, Chantilly, VA 20151 | 2016-11-17 |
| 1043761117 | Victoria Ranti Balogun | Nurse Practitioner | 14121 Parke Long Court, Suite 201, Chantilly, VA 20151 | 2016-10-24 |
| 1619424694 | Erin Booker | Nurse Practitioner | Parke Long Court, Suite 201, Chantilly, VA 20151 | 2016-09-07 |
| 1326419078 | Amparo Emilia Kidd | Nurse Practitioner | 14121 Parke Long Court, Suite 201, Chantilly, VA 20151 | 2015-10-07 |
| Find all providers in zip 20151 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
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| 1477177590 | Appalachian Counseling and Medical, LLC | Family Medicine | 142 Mall Church Rd, Cedar Bluff, VA 24609-7081 | 2020-06-04 |
| 1699397786 | Care Connect Behavioral Health, LLC | Family Medicine | 3520 High St Ste 100, Portsmouth, VA 23707-3126 | 2020-05-12 |
| 1083252704 | Kimberly Albero | Family Medicine | 1801 Wickham Pl, Charlottesville, VA 22901-9235 | 2019-12-12 |
| 1154898997 | Regional Health Providers LLC | Family Medicine | 3917 Old Lee Hwy Ste 11d, Fairfax, VA 22030-2431 | 2018-10-30 |
| 1568977940 | Renaissance Medical Care | Family Medicine | 284 Blevins Boulevard, Bristol, VA 24202 | 2017-12-07 |
| 1376054395 | Virginia Calyx Professional Services, LLC | Family Medicine | 681 Hioaks Rd Ste C, Richmond, VA 23225-4043 | 2017-10-17 |
| 1871026831 | Masaru Nishiaoki | Family Medicine | 501 N 2nd St # 100, Richmond, VA 23219-1359 | 2017-04-06 |
| 1083146302 | Affinity Healthcare Group Franklin LLC | Family Medicine | 6806 Forest Lake Ct, Suffolk, VA 23435-2935 | 2017-03-28 |
| 1437699766 | Affinity Healthcare Group Newport News, LLC | Family Medicine | 6000 Jefferson Ave, #b, Newport News, VA 23605-3266 | 2017-03-06 |
| 1952852261 | Watauga Recovery Center Wytheville | Family Medicine | 255 Holston Rd, Wytheville, VA 04382-4448 | 2016-10-21 |
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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.