DR. TIMOTHY JOHN DALTON (NPI# 1912900648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912900648 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY JOHN DALTON |
| Credential | MD |
| Practice Address |
1995 Bethabara Rd Winston-salem NC 27106-3375 |
| Mailing Address |
Po Box 751803 Charlotte NC 28275-1803 |
| Practice Telephone | 3367597596 |
| Practice Fax Number | 3367593652 |
| Mailing Telephone | 3367597596 |
| Mailing Fax Number | 3367593652 |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2020-10-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 9500876 | NC | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | 95-00876 | NC | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 95-00876 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA HMO OPOS | 2624358 | 01 | |
| CHAMPUS | 410250659 | 01 | |
| MEDCOST | 58523 | 01 | |
| RAILROAD MEDICARE | 110113235 | 01 | |
| AETNA PPO POS | 5592041 | 01 | |
| MAMSI | 287316 | 01 | |
| UNITED HEALTHCARE | 0402121 | 01 | |
| PARTNERS | 10526 | 01 | |
| NC | 8926793 | 05 | |
| BCBS | 26793 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811950694 | Timothy J Dalton | Family Medicine | 1101 S 70th St, Suite 101, Lincoln, NE 68510-4293 | 2006-04-11 |
| 1013979574 | Timothy Lamont Dalton | Physical Therapist | 11704 Us Highway 70 W, Clayton, NC 27520-2273 | 2006-04-03 |
| Street Address |
1995 BETHABARA RD |
| City | WINSTON-SALEM |
| State | NC |
| Zip Code | 27106-3375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083617716 | Donald L Lendle Ix | Family Medicine | 1995 Bethabara Rd, Winston-salem, NC 27106-3375 | 2005-05-27 |
| 1962405688 | Deborah Anne Haubert | Physician Assistant | 1995 Bethabara Rd, Winston-salem, NC 27106-3375 | 2005-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437799103 | Tyler Laura Lawrence | Behavioral Analyst | 1959 N Peace, 104, Winston-salem, NC 27106 | 2020-01-10 |
| 1316504624 | Amanda Baker | Behavior Technician | 1959 N Peace Haven Rd, Suite 104, Winston Salem, NC 27106 | 2019-05-22 |
| 1679030316 | Lavonda Williams | Behavior Technician | 1959 N Peace Haven Road, Winston Salem, NC 27106 | 2019-03-01 |
| 1518436708 | Angela Ruth Brown | Physical Therapy Assistant | 190 Moravian Way Drive, Winston-salem, NC 27106 | 2018-11-16 |
| 1407378896 | Applied Family Services of Winston-salem | Early Intervention Provider Agency | 4220 Witherow Rd, Winston Salem, NC 27106 | 2017-07-07 |
| 1750801676 | Julia Ann Horton | Speech-Language Pathologist | 2000 Salemtowne Drive, Winston Salem, NC 27106 | 2017-06-21 |
| 1124548037 | Tyler John Jones | Community Health Worker | 7014 Brandemere Ln. Apt F, Winston Salem, NC 27106 | 2017-06-21 |
| 1396274759 | Jennifer Cui | Social Worker | 3216 Cross Tree Rd, Winston-salem, NC 27106 | 2017-06-08 |
| 1063947802 | Rebecca Jeanette Mclemore | Social Worker | 4401 Providence Ln. #121, Top Priority Care Services, LLC., Winston-salem, NC 27106 | 2017-05-01 |
| 1720529357 | Rising Hope Clinical Assistance, LLC | Community/Behavioral Health | 510 Northgate Park Dr, Winston Salem, NC 27106 | 2017-03-15 |
| Find all providers in zip 27106 | ||||
| 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 |
|---|---|---|---|---|
| 1073727079 | Katherine R Schafer | Internal Medicine | Wake Forest Baptist Medical Center Infectious Diseases, Medical Center Boulevard, Winston-salem, NC 27157 | 2007-05-09 |
| 1184648289 | Georgia L Scott | Internal Medicine | 301 Medical Center Blvd, Winston-salem, NC 27157 | 2006-07-26 |
| 1043291420 | Janakiramsetty Md. | Internal Medicine | 217 Staffordshire Rd, Winston-salem, NC 27104-2719 | 2005-11-10 |
| 1174510804 | Edward Chung | Internal Medicine | 3333 Silas Creek Parkway, Winston-salem, NC 27103-3013 | 2005-09-27 |
| 1811989072 | Deirdre A Herrington Md, Ltd | Internal Medicine | 201 Executive Park Blvd, Winston-salem, NC 27103-1503 | 2005-08-15 |
| 1023017563 | Denise H. Laurienti | Internal Medicine | 730 Highland Oaks Dr, Suite 201, Winston-salem, NC 27103-7108 | 2005-07-18 |
| 1699120022 | Christopher Thomas Kelly | Internal Medicine | 1 Medical Center Blvd, Winston-salem, NC 27103 | 2016-05-04 |
| 1174917165 | Charles Choi | Internal Medicine | 1 Medical Center Boulevard, Winston-salem, NC 27103 | 2015-03-27 |
| 1821300047 | Trinity Vera | Internal Medicine | 1 Medical Center Blvd, Winston-salem, NC 27103 | 2010-07-02 |
| 1518178805 | Cesar Rodriguez Valdes | Internal Medicine | Medical Center Blvd, Winston-salem, NC 27157-0001 | 2007-05-25 |
| Find all providers in WINSTON-SALEM | ||||
| City | WINSTON-SALEM |
| Zip Code | 27106 |
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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.