KAMAL A CHANTAL (NPI# 1104817568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104817568 |
| Entity Type | Individual |
| Full Name | KAMAL A CHANTAL |
| Credential | PA-C |
| Practice Address |
101 Candlewood Ct Lynchburg VA 24502-2654 |
| Mailing Address |
801 York St Manitowoc WI 54220-4630 |
| Practice Telephone | 4343634190 |
| Practice Fax Number | 4343634191 |
| Mailing Telephone | 9206639008 |
| Mailing Fax Number | 9206841439 |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2020-08-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0110002238 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1104817568 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 300 Enterprise Dr Ste E, Forest, VA 245512732 | 4343337370 | 4343337371 |
| 7901 Timberlake Rd, Lynchburg, VA 245022603 | 4343634190 | 4343634191 |
| 278 Westlake Rd, Hardy, VA 241013967 | 5407597500 | 5407597501 |
| 1509 W 3rd St Ste 102, Farmville, VA 239012649 | 4346074599 | 4343634191 |
| Street Address |
101 CANDLEWOOD CT |
| City | LYNCHBURG |
| State | VA |
| Zip Code | 24502-2654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053944652 | Forefront Dermatology, S.c. | Dermatology | 101 Candlewood Ct, Lynchburg, VA 24502-2654 | 2020-02-21 |
| 1003273087 | Megan Ann Allison | Physician Assistant | 101 Candlewood Ct, Lynchburg, VA 24502-2654 | 2016-01-21 |
| 1154721868 | Carrie A Wilkes-hoffmeister | Nurse Practitioner | 101 Candlewood Ct, Lynchburg, VA 24502-2654 | 2014-08-29 |
| 1013330877 | Jamie Martin | Physician Assistant | 101 Candlewood Ct, Lynchburg, VA 24502-2654 | 2014-01-30 |
| 1750703666 | Dermatologic and Mohs Surgery Consultants LLC | Dermatology | 101 Candlewood Ct, Suite 201, Lynchburg, VA 24502-2654 | 2014-01-11 |
| 1689875445 | Samantha Hill | Dermatology | 101 Candlewood Ct, Lynchburg, VA 24502-2654 | 2007-05-30 |
| 1992842074 | Lama Billeh | Dentist | 101 Candlewood Ct, Lynchburg, VA 24502-2654 | 2007-01-30 |
| 1255349254 | William Curtis Richardson Jr. | Dentist | 101 Candlewood Ct, Lynchburg, VA 24502-2654 | 2006-08-04 |
| 1528013497 | Alexis R Chantal | Physician Assistant | 101 Candlewood Ct, Lynchburg, VA 24502-2654 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811523038 | Vivian Tran | Student in an Organized Health Care Education/Training Program | Liberty University College of Osteopathic Medicine, 306 Liberty View Ln, Lynchburg, VA 24502 | 2020-03-19 |
| 1669005468 | Beth Elaine Hammond | Nurse Practitioner | 132 Frederick Drive, Lynchburg, VA 24502 | 2020-02-20 |
| 1225672348 | Pearlren-aye Elizabeth Taylor | Case Management | 542 Leesville Rd, Apt 127, Lynchburg, VA 24502 | 2019-10-31 |
| 1821553868 | Shavonne D Joyner | Behavioral Analyst | 18697 Forest Road, Lynchburg, VA 24502 | 2019-02-04 |
| 1043794415 | Robert Patrick Thomas | Private Vehicle | 44 Point Drive, Apt 30, Lynchburg, VA 24502 | 2018-09-20 |
| 1023503521 | Ptc Wellness Centers PC | Family Medicine | 2832 Candlers Mtn Rd, Lynchburg, VA 24502 | 2018-06-27 |
| 1548750722 | Raymond W Andrews IIi | Speech-Language Pathologist | 3101 Wards Ferry Road, Lynchburg, VA 24502 | 2018-05-14 |
| 1932697596 | Barbara J Frost | Nurse Practitioner | 906 Westview Dr, Lynchburg, VA 24502 | 2018-04-28 |
| 1619476983 | Benjamin Aaron Galley | Specialist/Technologist | 1971 University Blvd., Lynchburg, VA 24502 | 2018-02-01 |
| 1477076180 | Candice Cage | Home Health | 1002 Wexford Place, Lynchburg, VA 24502 | 2017-07-25 |
| Find all providers in zip 24502 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508481128 | Benjamin Stovall | Physician Assistant | 2008 Wiggington Rd, Lynchburg, VA 24502-4658 | 2020-06-09 |
| 1598305252 | Wesley Ray Joseph Johnson | Physician Assistant | 720 Wyndhurst Dr, Lynchburg, VA 24502-2698 | 2020-01-10 |
| 1356990758 | Tiffany Ariel Towery | Physician Assistant | 2001 Grace St Apt B, Lynchburg, VA 24504-3525 | 2019-09-09 |
| 1205481025 | Binayah Jernigan | Physician Assistant | 1010 Dandridge Dr, Lynchburg, VA 24501-2218 | 2019-08-08 |
| 1588125066 | Benjamin Levi Johnson | Physician Assistant | 2208 Longwood Rd, Lynchburg, VA 24503-4220 | 2019-03-27 |
| 1942719489 | Melisa Jane Nemec | Physician Assistant | Po Box 11646, Lynchburg, VA 24506-1646 | 2017-09-27 |
| 1740672575 | Andrew Lewis Tucker | Physician Assistant | 1378 Rivermont Ave, Lynchburg, VA 24504-1007 | 2015-03-03 |
| 1427194315 | Mark Stuart Hayward | Physician Assistant | 4026 Wards Rd Ste G1, Medical Department #138, Lynchburg, VA 24502-0060 | 2007-01-29 |
| 1477535938 | Andrea L Adamczak | Physician Assistant | 2321 Atherholt Road, Lynchburg, VA 24501-2113 | 2005-11-18 |
| 1659364669 | Lynchburg Family Medicine and Minor Emergency Center PC | Physician Assistant | 12 Magnolia Dr, Lynchburg, TN 37352-8373 | 2005-08-24 |
| Find all providers in LYNCHBURG | ||||
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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.