DUSTIN WAYNE BOGAN (NPI# 1790220341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790220341 |
| Entity Type | Individual |
| Full Name | DUSTIN WAYNE BOGAN |
| Credential | PA |
| Practice Address |
13821 Village Mill Dr Midlothian VA 23114-4314 |
| Mailing Address |
7357 River Pine Dr Mechanicsville VA 23111-5245 |
| Practice Telephone | 8047942821 |
| Mailing Telephone | 5402928804 |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2017-01-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
13821 VILLAGE MILL DR |
| City | MIDLOTHIAN |
| State | VA |
| Zip Code | 23114-4314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760433981 | Stan Tebbe | Counselor | 13821 Village Mill Dr, Midlothian, VA 23114-4365 | 2006-05-12 |
| 1407224314 | Natasha Nicole Little-harrison | Psychologist | 13821 Village Mill Dr, Suite B, Midlothian, VA 23114-4314 | 2015-09-09 |
| 1821429507 | Pediatric & Adolescent Health Partners | Pediatrics | 13821 Village Mill Dr, Midlothian, VA 23114-4314 | 2013-12-06 |
| 1447525118 | Sarah Dunn Trezza | Physician Assistant | 13821 Village Mill Dr, Suite A, Midlothian, VA 23114-4314 | 2012-03-14 |
| 1720117021 | Julie Diane Pavey | Nurse Practitioner | 13821 Village Mill Dr, Midlothian, VA 23114-4365 | 2007-03-04 |
| 1851458178 | Pediatric & Adolescent Health Partners, P.C. | Pediatrics | 13821 Village Mill Dr, Suite A, Midlothian, VA 23114-4365 | 2007-01-03 |
| 1538175690 | Ted Roger Abernathy | Pediatrics | 13821 Village Mill Dr, Midlothian, VA 23114-4365 | 2006-07-31 |
| 1568478634 | Julia Hines Mills | Pediatrics | 13821 Village Mill Dr, Midlothian, VA 23114-4365 | 2006-07-31 |
| 1114933298 | Gordon Neil Kellett II | Pediatrics | 13821 Village Mill Dr, Midlothian, VA 23114-4365 | 2006-07-31 |
| 1053327148 | Joel C Everett | Pediatrics | 13821 Village Mill Dr, Midlothian, VA 23114-4365 | 2006-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122162 | Jotava | In Home Supportive Care | 1607 Titanium Avenue, 202, Midlothian, VA 23114 | 2020-10-20 |
| 1104393735 | Shelley Hurwitz | Occupational Therapist | 13800 Bon Secours Drive, Midlothian, VA 23114 | 2018-11-01 |
| 1316412182 | Snehal Manmeet Mahajan | Physical Therapist | 13800 Bon Secours Dr., Midlothian, VA 23114 | 2018-10-09 |
| 1154814796 | Bon Secours St Francis Medical Center Inc. | Clinic/Center | 13700 St Francis Blvd Ste 105, Midlothian, VA 23114 | 2018-06-08 |
| 1023516630 | Leah Reed | Occupational Therapist | 13800 Bon Secours Dr, Midlothian, VA 23114 | 2018-01-29 |
| 1689122012 | Momentum Counseling and Wellness LLC | Social Worker | 431 Walton Park Road, Midlothian, VA 23114 | 2016-09-14 |
| 1750765996 | Arlene Roper | Physical Therapy Assistant | 1700 Redbourne Ct, Apt 101, Midlothian, VA 23114 | 2015-07-17 |
| 1518353937 | Tamaika Floy | Podiatrist | 611 Watkins Centre Pkwy Ste 170, Midlothian, VA 23114 | 2015-04-13 |
| 1760790489 | Markita Wolf | Psychologist | 831 Grove Rd Ste C, Midlothian, VA 23114 | 2010-09-15 |
| 1306153119 | Jacinda Beth Chaisson | Physical Therapist | 13700 St. Francis Blvd., Suite 103, Midlothian, VA 23114 | 2010-09-01 |
| Find all providers in zip 23114 | ||||
| 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 |
|---|---|---|---|---|
| 1942799978 | Hannah Elizabeth Turner | Physician Assistant | 409 Calvert Dr, Midlothian, TX 76065-1397 | 2018-05-04 |
| 1851831259 | Jared Kirkbride | Physician Assistant | 5420 Creek Heights Dr, Midlothian, VA 23112-6266 | 2017-03-03 |
| 1902132335 | Gary Brandon Hightower | Physician Assistant | 5955 Harbour Park Drive, Midlothian, VA 23112-2163 | 2009-10-20 |
| 1962662130 | Ronald L Bradley | Physician Assistant | 13801 St Francis Blvd Ste 200, Midlothian, VA 23114-3206 | 2008-06-11 |
| 1346434396 | Michele Jane Phillips | Physician Assistant | 1316 Alverser Plaza, Midlothian, VA 23113 | 2007-09-04 |
| 1801837802 | Kathryn L Oprandi | Physician Assistant | 15564 Westchester Commons Way, Midlothian, VA 23113-7321 | 2006-06-09 |
| 1386276848 | Caitlyn Mcpeters | Physician Assistant | 13801 St Francis Blvd Ste 200, Midlothian, VA 23114-3206 | 2020-02-12 |
| 1023576444 | Ryan T Donahue | Physician Assistant | 13801 St Francis Blvd Ste 200, Midlothian, VA 23114-3206 | 2019-03-05 |
| 1013488246 | Derek John Tatum | Physician Assistant | 11020 Hull Street Rd, Midlothian, VA 23112-3200 | 2018-12-16 |
| 1205304599 | Anna Greenlee | Physician Assistant | 6100 Harbourside Centre Loop, Midlothian, VA 23112-2170 | 2018-11-05 |
| Find all providers in MIDLOTHIAN | ||||
| City | MIDLOTHIAN |
| Zip Code | 23114 |
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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.