WILLIAM JOHN DAHL (NPI# 1154532646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154532646 |
| Entity Type | Individual |
| Full Name | WILLIAM JOHN DAHL |
| Credential | M.D. |
| Practice Address |
227 Medical Park Dr Ste 101 Bridgeport WV 26330 |
| Mailing Address |
2673 Davisson Run Rd Ste 303 Clarksburg WV 26301-6838 |
| Practice Telephone | 6813423500 |
| Mailing Telephone | 8005414009 |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2019-02-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 25876 | WV | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 4301089903 | MI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 4301089903 | MI | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | WV MEDICAID | 3810027497 | 01 |
| WV | WV MEDICARE | WV4392A | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 527 Medical Park Dr Ste 400, Bridgeport, WV 263309010 | 6813423550 | 3813423500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922474584 | William Dahl | Counselor | 120 S Roanoke Ave, Hines, OR 97738-2576 | 2015-08-18 |
| 1821141326 | William K Dahl | Podiatrist | 205 French St, Bangor, ME 04401-5064 | 2007-01-19 |
| Street Address |
227 MEDICAL PARK DR STE 101 |
| City | BRIDGEPORT |
| State | WV |
| Zip Code | 26330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720133473 | United Hospital Center Inc | Orthopaedic Surgery | 227 Medical Park Dr Ste 101, Bridgeport, WV 26330-9038 | 2007-01-24 |
| 1023516770 | Michelle L Hasley | Nurse Practitioner | 227 Medical Park Dr Ste 101, Bridgeport, WV 26330-9038 | 2018-01-29 |
| 1265883748 | Kimberly Snodgrass | Nurse Practitioner | 227 Medical Park Dr Ste 101, Bridgeport, WV 26330-9038 | 2016-06-27 |
| 1518305614 | Ashley L Yelinek | Family Medicine | 227 Medical Park Dr Ste 101, Bridgeport, WV 26330-9038 | 2013-06-11 |
| 1134445653 | Rajwardhan Yadav | Internal Medicine | 227 Medical Park Dr Ste 101, Bridgeport, WV 26330 | 2010-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303036 | Gage Mackenzie Chichester | Nurse Anesthetist, Certified Registered | 2673 Medical Park Drive, Bridgeport, WV 26330 | 2020-10-12 |
| 1851914105 | Melany Langhurst | Social Worker | 64 Professional Place, Suite 102, Bridgeport, WV 26330 | 2020-05-21 |
| 1245704980 | Adam Christopher Stonestreet | Social Worker | Community Care of Bridgeport, 65 Professional Place, Bridgeport, WV 26330 | 2019-01-16 |
| 1588146658 | Bridgeport Physical Therapy Services, Inc. | Occupational Therapist | 25 Sweetbrier Lane, Suite 105, Bridgeport, WV 26330 | 2018-09-05 |
| 1275040685 | White Oaks Assisted Living | Assisted Living Facility | 140 Professional Place White Oaks, Bridgeport, WV 26330 | 2018-01-08 |
| 1275049371 | Regional Eye Associates, Inc | Ophthalmology | 220 Southview Drive, Bridgeport, WV 26330 | 2017-12-27 |
| 1528586187 | Savanna Tamia Brown | Social Worker | 65 Professinal Place Suites 101,102103, Bridgeport, WV 26330 | 2017-09-05 |
| 1184079642 | Karla Kay Rinehart | Social Worker | 27 Trovato St., Suite 103, Bridgeport, WV 26330 | 2016-05-03 |
| 1396176756 | Willo Group LLC | Pharmacy | 460 E. Main Street, Bridgeport, WV 26330 | 2013-12-10 |
| 1891031878 | Sherri Michelle Dobson | Occupational Therapy Assistant | 1000 Maplewood Dr, Bridgeport, WV 26330 | 2012-12-20 |
| Find all providers in zip 26330 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568695047 | Chad Harrison Poage | Orthopaedic Surgery | 47 Highland Ridge Rd, Bridgeport, WV 26330-9263 | 2009-08-31 |
| 1720133473 | United Hospital Center Inc | Orthopaedic Surgery | 227 Medical Park Dr Ste 101, Bridgeport, WV 26330-9038 | 2007-01-24 |
| 1316046428 | Allen P Schlein | Orthopaedic Surgery | 650 Clinten Avenue, Bridgeport, CT 06605 | 2006-09-22 |
| 1245237783 | Patrick James Carolan | Orthopaedic Surgery | 3909 Main St, Bridgeport, CT 06606-2815 | 2005-06-30 |
| 1780003988 | Orthopaedic Surgery Associates | Orthopaedic Surgery | 650 Clinton Ave, Bridgeport, CT 06605 | 2014-04-15 |
| 1063655470 | Joshua Bengtson Sykes | Orthopaedic Surgery | 527 Medical Park Dr Ste 400, Bridgeport, WV 26330-9010 | 2009-04-14 |
| 1295911022 | Dr Eric Katz PC | Orthopaedic Surgery | 3180 Main St, Suite 107, Bridgeport, CT 06606-4237 | 2008-01-10 |
| 1053511386 | Merritt Orthopaedic Associates PC | Orthopaedic Surgery | 3909 Main St, Bridgeport, CT 06606-2815 | 2007-07-24 |
| 1740399468 | Diane E. Gilles | Orthopaedic Surgery | 1313 S St, Bridgeport, NE 69336-2563 | 2006-08-29 |
| 1306954540 | Donald Sauin Dworken | Orthopaedic Surgery | 3180 Main St, Bridgeport, CT 06606 | 2006-08-28 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 26330 |
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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.