DR. JOHN DANIEL STATLER (NPI# 1609840685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609840685 |
| Entity Type | Individual |
| Full Name | DR. JOHN DANIEL STATLER |
| Credential | M.D. |
| Practice Address |
1001 Sam Perry Blvd Fredericksburg VA 22401-4453 |
| Mailing Address |
10401 Spotsylvania Ave Suite 200 Fredericksburg VA 22408-8606 |
| Practice Telephone | 5403611000 |
| Practice Fax Number | 5403617010 |
| Mailing Telephone | 5403611000 |
| Mailing Fax Number | 5403617010 |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2016-02-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
0004768 | DE | Allopathic & Osteopathic Physicians |
| Street Address |
1001 SAM PERRY BLVD |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22401-4453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730185398 | Torrey Hawley | Nurse Anesthetist, Certified Registered | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 | 2005-06-28 |
| 1023622529 | Jacob Dillon Gooden | Physician Assistant | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 | 2020-09-02 |
| 1508478462 | Sabrina Brandi Cervantez | Registered Nurse | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 | 2020-08-20 |
| 1275144297 | Emily Burger | Pharmacist | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 | 2020-08-13 |
| 1144839762 | Briana Lafuria | Registered Nurse | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 | 2020-07-29 |
| 1831724301 | Yaru Chen | Registered Nurse | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 | 2020-03-05 |
| 1922631456 | Christopher Barnes | Registered Nurse | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 | 2020-02-12 |
| 1649803172 | Richard L Derrick | Registered Nurse | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 | 2020-02-12 |
| 1851930838 | Markia Stewart Dudley | Nurse Practitioner | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 | 2019-12-23 |
| 1861030637 | Amalea Suzette Gray | Pharmacist | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 | 2019-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992313415 | Amanda Dodd | Behavior Technician | 1411 Princess Anne, Fredericksburg, VA 22401 | 2020-07-21 |
| 1215567326 | Britteny Whitaker | Behavior Technician | 1411 Princess Ann, Fredericksburg, VA 22401 | 2020-01-17 |
| 1396389433 | Ashley Stanevich | Behavior Technician | 1411 Princess Anne Lane, Fredericksburg, VA 22401 | 2019-11-01 |
| 1265074231 | Anna Kelleher | Behavior Technician | 1411 Princess Anna St, Frericksburg, VA 22401 | 2019-10-11 |
| 1649824152 | Zaan Z Ali | Audiologist | 1708 Fall Hill Ave Suite 100, Fredericksburg, VA 22401 | 2019-08-01 |
| 1790342426 | Michael Williams Jr. | Physician Assistant | 411 B Park Hill Dr, Frederickburg, VA 22401 | 2019-05-29 |
| 1285290965 | Ann Damalie Namabiro | Behavior Technician | 1411 Princess Ann Street, Fredericksburg, VA 22401 | 2019-05-17 |
| 1922579630 | Primary and Urgent Care LLC | Family Medicine | Primary and Urgent Care LLC, 2306 Plank Road Ste 100, Fredericksburg, VA 22401 | 2018-12-07 |
| 1003323056 | Mariah Mazzariello | Behavior Technician | 1411 Princess Anne Stree, Fredericksburg, VA 22401 | 2017-12-29 |
| 1336655281 | Hina Zafar | Behavior Technician | 1411 Princess Anne St., Fredericksburg, VA 22401 | 2017-12-14 |
| Find all providers in zip 22401 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902823727 | Virginia Vascular Imaging LLC | Radiology | 1201 Sam Perry Blvd # B, Ste 265, Fredericksburg, VA 22401-4490 | 2006-07-16 |
| 1164471355 | Daryle Darden | Radiology | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 | 2006-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295232726 | Reston Radiology Consultants Interventional Services, LLC | Radiology | 4001 Fair Ridge Dr Ste 103, Fairfax, VA 22033-2917 | 2018-04-11 |
| 1356789622 | Robert John Reyes | Radiology | 9300 Dewitt Loop Rm 53.218, Fort Belvoir, VA 22060-5285 | 2013-06-10 |
| 1992071385 | Elden Paul Iverson | Radiology | Radiology Associates of Richmond, Inc., 2602 Buford Road, North Chesterfield, VA 23235-3422 | 2012-03-29 |
| 1336372903 | Healthqare Services, LLC | Radiology | 3833 N. Fairfax Drive, Suite 400, Arlington, VA 22203-1774 | 2009-08-31 |
| 1306075064 | Auh Whan Park | Radiology | Lee Sreet Fl 1, Charlottesville, VA 22908-0001 | 2009-07-02 |
| 1407947898 | American Access Care of Richmond LLC | Radiology | 2235 Staples Mill Rd, Richmond, VA 23230-2942 | 2006-09-28 |
| 1073531786 | Magnetic Resonance Imaging Associates of Va, PC | Radiology | 2001 N Beauregard St, Suite 200, Alexandria, VA 22311-1739 | 2006-07-18 |
| 1750914164 | Hampton Roads Radiology Associates, PC | Radiology | 110 Kingsley Ln Ste 305, Norfolk, VA 23505-4617 | 2020-02-14 |
| 1225554900 | Association of University Radiologists, PC | Radiology | 310 3rd St Ne, Norton, VA 24273-1137 | 2017-08-15 |
| 1720451438 | Fresenius Vascular Care Petersburg LLC | Radiology | 445 Charles H Dimmock Pkwy, Suite 101, Colonial Heights, VA 23834-2970 | 2015-11-03 |
| Find all providers with the same taxonomy | ||||
| City | FREDERICKSBURG |
| Zip Code | 22401 |
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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.