DR. DONALD ZEDALIS (NPI# 1760471403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760471403 |
| Entity Type | Individual |
| Full Name | DR. DONALD ZEDALIS |
| Credential | M.D. |
| Practice Address |
120 Ponderosa Dr Ste B Christiansburg VA 24073 |
| Mailing Address |
120 Ponderosa Dr Ste B Christiansburg VA 24073-6599 |
| Practice Telephone | 5403821165 |
| Practice Fax Number | 5403822614 |
| Mailing Telephone | 5403821165 |
| Mailing Fax Number | 5403822614 |
| Enumeration Date | 2005-10-15 |
| Last Update Date | 2018-12-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207K00000X | Allergy & Immunology | 0101045194 | VA | Allopathic & Osteopathic Physicians |
| Y | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
0101045194 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 006053238 | 05 | |
| VA | ALLIANCE/MAMSI (SLEEP) | 333711 | 01 |
| VA | ANTHEM | 072311 | 01 |
| VA | VIRGINIA PREMIER | 006053238 | 01 |
| VA | ALLIANCE PPO/MAMSI | 233711 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2955 Market St, Suite B-1, Christiansburg, VA 240736575 | 5403821165 | 5403820989 |
| Street Address |
120 PONDEROSA DR STE B |
| City | CHRISTIANSBURG |
| State | VA |
| Zip Code | 24073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679172407 | Galax Treatment Center, LLC | Clinic/Center | 2100 Roanoke St, Suite 1, Christiansburg, VA 24073 | 2020-10-22 |
| 1891318044 | Anderson Transportation Services, LLC | Non-emergency Medical Transport (VAN) | 290 Cheverly Road, Christiansburg, VA 24073 | 2020-05-22 |
| 1972012235 | Valerie Glass | Marriage & Family Therapist | 250 Willow Oak Dr, Christiansburg, VA 24073 | 2017-09-29 |
| 1841680311 | New River Assisted Living LLC | Assisted Living Facility | 105 Arbor Drive, Suite 400, Christiansburg, VA 24073 | 2015-02-04 |
| 1770971764 | Jesse Cornwell | Hearing Instrument Specialist | 3225 N Franklin St Ste 2, Christiansburg, VA 24073 | 2014-12-30 |
| 1811323702 | Valerie Lauck | Pharmacist | 192 Conston Avenue, Christiansburg, VA 24073 | 2013-09-24 |
| 1326322819 | National Counseling Group, Inc | Counselor | 90 College Street, Suite C, Christiansburg, VA 24073 | 2011-10-04 |
| 1669796561 | Mary Catherine Carter | Internal Medicine | 2900 Lamb Cir Ste 7-700b, Christiansburg, VA 24073 | 2010-03-22 |
| 1467774992 | Roger Dean Owen | Pharmacist | 1000 Laurel St Ne, Kmart 4850, Christinsburg, VA 24073 | 2010-02-25 |
| 1891989729 | Eva Hudlicka | Social Worker | 2955 Market Street, Suite 7, Christiansburg, VA 24073 | 2007-09-04 |
| Find all providers in zip 24073 | ||||
| Taxonomy Code | 207RS0012X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sleep Medicine |
| An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. |
| Notes: Source: American Academy of Sleep Medicine, www.aasm.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639776347 | Sound Sleep LLC | Internal Medicine | 6626 Muir Dr, Haymarket, VA 20169-2742 | 2020-10-06 |
| 1528691839 | Loudoun Medical Group . P.c | Internal Medicine | 5901 Kingstowne Village Pkwy Ste 101, Alexandria, VA 22315-5881 | 2020-02-14 |
| 1457821019 | Blue Ridge Medical Management Corporation | Internal Medicine | 71 S Flannagan Ave Suite 81, Lebanon, VA 24266 | 2018-11-27 |
| 1245771757 | Blue Ridge Medical Management Corporation | Internal Medicine | 1410 Park Ave Nw, Norton, VA 24273 | 2017-03-16 |
| 1295135523 | Blue Ridge Medical Management Corp | Internal Medicine | 320 Valley St Ne, Abingdon, VA 24210-2912 | 2014-08-22 |
| 1821409590 | Loudoun Medical Group PC | Internal Medicine | 3687 Fettler Park Dr, Dumfries, VA 22025-2049 | 2014-05-15 |
| 1134530900 | Loudoun Medical Group PC | Internal Medicine | 4897 Prince William Pkwy, Suite C 102, Woodbridge, VA 22192-5432 | 2014-05-15 |
| 1356779599 | Comprehensive Sleep Care Center Inc | Internal Medicine | 4897 Prince William Pkwy Ste 102, Woodbridge, VA 22192-5433 | 2013-10-25 |
| 1366708786 | Jessica Amy Riggs | Internal Medicine | 2901 Telestar Ct Ste 300, Falls Church, VA 22042-1263 | 2012-04-10 |
| 1659699734 | Augusta Health Care, Inc | Internal Medicine | 221 Medical Center Circle, Fishersville, VA 22939 | 2010-05-13 |
| Find all providers with the same taxonomy | ||||
| City | CHRISTIANSBURG |
| Zip Code | 24073 |
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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.