NICHOLES A DASOVICH


Address: 142 S Main St, Emergency Dept, Danville, VA 24541-2922
Phone: 4347992222

NICHOLES A DASOVICH (NPI# 1720033798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720033798
Entity Type Individual
Full Name NICHOLES A DASOVICH
Credential P.A.-C
Practice Address 142 S Main St
Emergency Dept
Danville
VA 24541-2922
Mailing Address 142 S Main St
Danville
VA 24541-2922
Practice Telephone 4347992222
Practice Fax Number 4347993857
Mailing Telephone 4342513318
Enumeration Date 2006-05-24
Last Update Date 2010-09-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
0110001598 VA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
VA 010187966 05

Office Location

Street Address 142 S MAIN ST
EMERGENCY DEPT
City DANVILLE
State VA
Zip Code 24541-2922

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538149448 Douglas R May Radiology 142 S Main St, Danville, VA 24541-2922 2006-01-18
1023657871 Casey Alexander Marsh Physician Assistant 142 S Main St, Danville, VA 24541-2922 2019-12-26
1801435854 Helen Katherine Schamrai Physician Assistant 142 S Main St, Danville, VA 24541-2922 2019-12-21
1346892213 Lisa Coleman Internal Medicine 142 S Main St, Danville, VA 24541-2922 2019-07-11
1427616614 Angela Estes Nurse Practitioner 142 S Main St, Danville, VA 24541-2922 2019-06-03
1316418775 Jennifer Terry Nurse Practitioner 142 S Main St, Danville, VA 24541-2922 2018-12-11
1871078717 Haley Rhoads Dietitian, Registered 142 S Main St, Danville, VA 24541-2922 2018-09-26
1154806099 Susan Gregg Marquez Dietitian, Registered 142 S Main St, Danville, VA 24541-2922 2018-09-26
1881105955 Lanchi Duong Family Medicine 142 S Main St, Danville, VA 24541-2922 2017-10-17
1679097133 Karen Conroy Oaks Nurse Practitioner 142 S Main St, Danville, VA 24541-2922 2017-07-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104303551 Damon Lee Simpson Occupational Therapy Assistant 1616 Maple Dr, Danville, VA 24541 2018-07-27
1578065041 Strategic Therapy Associates, Inc. Transportation Broker 1225 W Main Street, Danville, VA 24541 2018-03-01
1790291078 Vicente T Falgui Md PC Internal Medicine 990 Main Street, Suite 204, Danville, VT 24541 2017-12-21
1558884270 Focus Point Mental Health, LLC Community/Behavioral Health 116 Magnolia Drive, Danville, VA 24541 2017-07-25
1073045522 Brittney Paige Throckmorton-samples Physical Therapist 174 Executive Drive, Danville, VA 24541 2017-04-03
1114378106 Laurie Rich Taylor Nurse Practitioner 541 Bridge Street, Suite 1, Danville, VA 24541 2016-06-30
1285085779 Larry Keller Counselor 1555 Meadowview Dr Ste 5, Danville, VA 24541 2016-06-25
1952617474 Joshua Home Family Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 223 Randolph Street, Danville, VA 24541 2010-08-21
1922274661 Blankenship & Davis Opticians Inc Eyewear Supplier (Equipment, not the service) 625 West Main Street, Danville, VA 24541 2008-05-02
1750588307 Tiffany Devon Clark Physical Therapy Assistant 432 Hermitage Dr., Danville, VA 24541 2007-06-28
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699226928 Matthew Stoker Physician Assistant 175 Northumberland Street, Ste. 100, Danville, PA 17821-1508 2016-10-21
1114197241 Julie Ann Holycross Physician Assistant 1808 N Vermilion St, Danville, IL 61832-1726 2008-03-04
1346365350 Diem T Tran Physician Assistant 400 El Cerro Blvd #204, Danville, CA 94526 2007-03-20
1053458976 Leslie T Powell Physician Assistant 441-g Piney Forest Road, Danville, VA 24540-4154 2007-01-31
1093881393 Amanda Jackson Goodwin Physician Assistant 600 W Walnut St, Danville, KY 40422-1309 2006-11-28
1518920339 Elham M Zarnegar Physician Assistant 553 Sycamore Valley Rd W, Danville, CA 94526 2006-04-11
1407824329 Kimberly A Pesarchick Physician Assistant 115 Woodbine Ln, Danville, PA 17821-9118 2006-03-08
1699757823 Charles Edward Kober Physician Assistant 501 Rison St, Danville, VA 24541-2458 2005-11-15
1588289979 Hannah Kathryn Rose Weber Physician Assistant 100 N Academy Ave, Danville, PA 17822-9800 2020-06-11
1366067662 Ashley Nicole Gochenaur Physician Assistant 100 N Academy Ave, Danville, PA 17822-9800 2020-06-11
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Competitor

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City DANVILLE
Zip Code 24541

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Dataset Information

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.

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