DR. DARYL R FANNEY (NPI# 1922081538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922081538 |
| Entity Type | Individual |
| Full Name | DR. DARYL R FANNEY |
| Credential | M.D. |
| Practice Address |
4668 Pembroke Blvd Suite 117 Virginia Beach VA 23455-6423 |
| Practice Telephone | 7576711144 |
| Practice Fax Number | 7576711265 |
| Mailing Telephone | 7576711144 |
| Mailing Fax Number | 7576711265 |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2008-04-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
0101045547 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM BC/BS PROV# | 380544 | 01 |
| NC | 890524Y | 05 | |
| VA | 007213905 | 05 |
| Street Address |
4668 PEMBROKE BLVD SUITE 117 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23455-6423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417950023 | Carol J Ashman | Radiology | 4668 Pembroke Blvd, Ste 117, Virginia Beach, VA 23455-6423 | 2005-05-27 |
| 1417497652 | Sarah Harsche | Occupational Therapist | 4668 Pembroke Blvd, Suite 115, Virginia Beach, VA 23455-6423 | 2017-03-07 |
| 1841738267 | Vincent Williams Jr. | Physical Therapist | 4668 Pembroke Blvd, Suite 115, Virginia Beach, VA 23455 | 2017-02-06 |
| 1447602479 | Natalie Ann West | Speech-Language Pathologist | 4668 Pembroke Blvd, Suite 115, Virginia Beach, VA 23455-6423 | 2016-07-01 |
| 1093194193 | Ivyrehab Sept, LLC | Occupational Therapist | 4668 Pembroke Blvd, Suite 115, Virginia Beach, VA 23455-6423 | 2015-05-21 |
| 1134213341 | Pembroke Chiropractic, P.C. | Clinic/Center | 4668 Pembroke Blvd, Suite 101, Virginia Beach, VA 23455-6423 | 2006-10-03 |
| 1821108150 | Radiology Specialists PC | Radiology | 4668 Pembroke Blvd, Suite 117, Virginia Beach, VA 23455-6423 | 2006-08-30 |
| 1780656827 | Mark Z Soccio | Chiropractor | 4668 Pembroke Blvd, Suite 101, Virginia Beach, VA 23455-6423 | 2006-02-03 |
| 1194709139 | Charles Hecht-leavitt Md, P.C. | Radiology | 4668 Pembroke Blvd, Suite 117, Virginia Beach, VA 23455-6423 | 2005-12-02 |
| 1417930033 | Charles Hecht-leavitt | Radiology | 4668 Pembroke Blvd, Suite 117, Virginia Beach, VA 23455-6423 | 2005-11-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093324162 | Evoscient Gynecology Center for Pelvic Health and Surgery, PC | Obstetrics & Gynecology | 108 Independence Blvd, Suite 162, Virginia Beach, VA 23455 | 2020-07-24 |
| 1942728571 | Delois L Dillard | Occupational Therapy Assistant | 4225 Shore Drive, Virginia Beach, VA 23455 | 2017-09-04 |
| 1295255404 | Unobs Medical Transportation Services LLC | Non-emergency Medical Transport (VAN) | 5812 Tajo Avenue, Virginia Beach, VA 23455 | 2017-06-20 |
| 1831640812 | Wearefit | Dietitian, Registered | 4752 Hollis Road, Virginia Beach, VA 23455 | 2016-10-14 |
| 1629496633 | Jamie Lauren Dermatis | Podiatrist | 1700 Pleasure Road, #101, Virginia Beach, VA 23455 | 2014-04-07 |
| 1619304664 | Syed A Absar | Pharmacist | 4828 Lake Bradford Lane, Virginia Beach, VA 23455 | 2013-10-07 |
| 1851734958 | Cara K Richardson | Occupational Therapist | 2364 Madison Ave., Virginia Beach, VA 23455 | 2013-04-09 |
| 1811249287 | Chl & Associates | Nurse Practitioner | 1367 Sir Richard Rd, Virginia Beach, VA 23455 | 2012-10-10 |
| 1588915425 | Edward S Wilson | Physician Assistant | 604 Bishop Dr, Virginia Beach, VA 23455 | 2012-10-01 |
| 1073886842 | April Gilbrech | Registered Nurse | 1103 Canopy Ct, Virginia Beach, VA 23455 | 2012-02-09 |
| Find all providers in zip 23455 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558500900 | Lisa Harris | Radiology | 1083 Independence Blvd, Suite 120, Virginia Beach, VA 23455-5523 | 2009-02-09 |
| 1407956683 | Rose Devera-hipol Md & Manuel A Hipol Md PC | Radiology | 701 Independence Circle, Suite 102, Virginia Beach, VA 23455 | 2006-09-25 |
| 1801907225 | Melissa Roedel Johnson | Radiology | 2673 Wimbledon Point Dr, Virginia Beach, VA 23454-1171 | 2006-08-31 |
| 1619902913 | John Wayne Pinkston | Radiology | 400 S Witchduck Rd, Suite 110, Virginia Beach, VA 23462-3635 | 2006-07-12 |
| 1720049729 | Felix Austin Hughes IIi | Radiology | 207a 60th St, Virginia Beach, VA 23451-2112 | 2006-03-29 |
| 1124002217 | Steven Ward Davis | Radiology | 2208 Kistler Ct, Virginia Beach, VA 23454-7402 | 2005-12-01 |
| 1417950023 | Carol J Ashman | Radiology | 4668 Pembroke Blvd, Ste 117, Virginia Beach, VA 23455-6423 | 2005-05-27 |
| 1548606064 | Kyle Spagnolo | Radiology | 5544 Greenwich Rd Ste 200, Virginia Beach, VA 23462-6563 | 2013-05-13 |
| 1558503904 | Deboki Nandan Chaudhuri | Radiology | 5544 Greenwich Rd Ste 200, Virginia Beach, VA 23462-6563 | 2009-04-01 |
| 1528200094 | Zeal Patel | Radiology | 5544 Greenwich Rd Ste 200, Virginia Beach, VA 23462-6563 | 2009-03-30 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23455 |
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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.