DALLAS JAMES MCCRACKEN (NPI# 1942458922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942458922 |
| Entity Type | Individual |
| Full Name | DALLAS JAMES MCCRACKEN |
| Credential | PA-C |
| Practice Address |
215 Brookshire Ln Beckley WV 25801-6729 |
| Practice Telephone | 3042531077 |
| Practice Fax Number | 3042539611 |
| Mailing Telephone | 3042531077 |
| Mailing Fax Number | 3042539611 |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2010-01-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
958 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
215 BROOKSHIRE LN |
| City | BECKLEY |
| State | WV |
| Zip Code | 25801-6729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316057623 | Rajesh V Patel | Orthopaedic Surgery | 215 Brookshire Ln, Beckley, WV 25801-6729 | 2006-08-30 |
| 1871145623 | Anthony Paul Brunetti | Physician Assistant | 215 Brookshire Ln, Beckley, WV 25801-6729 | 2019-07-11 |
| 1023440005 | Adam L Meade | Nurse Practitioner | 215 Brookshire Ln, Beckley, WV 25801-6729 | 2013-08-01 |
| 1386927309 | Adam John Miller | Physician Assistant | 215 Brookshire Ln, Beckley, WV 25801-6729 | 2011-09-26 |
| 1750491080 | Stephen Brett Whitfield | Orthopaedic Surgery | 215 Brookshire Ln, Beckley, WV 25801-6729 | 2006-08-30 |
| 1922118272 | Orthopaedic & Spine Surgery Associates LLC | Orthopaedic Surgery | 215 Brookshire Ln, Beckley, WV 25801-6729 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144835190 | Misty Dawn Chambers | Psychologist | 154 Lagoon Way, Beckley, USA 25801 | 2020-09-15 |
| 1912511437 | Katherine Lynne Mcghee | Technician | 120 Schlager Dr., Beckley, WV 25801 | 2020-09-02 |
| 1255942421 | Tyesha Burger | Technician | 442 Industrial Dr, Beckley, WV 25801 | 2020-08-12 |
| 1053920553 | Angela Sanches | Case Manager/Care Coordinator | 134 Gooseberry Ln, Beckley, WV 25801 | 2020-07-30 |
| 1871119933 | Tiffani Michelle Dale | Counselor | 111 Coral Court, Apt 5, Beckley, WV 25801 | 2020-06-24 |
| 1679046049 | Liberty Dental Centers | Dentist | 102 Galleria Plaza, Beckley, WV 25801 | 2019-01-08 |
| 1952884942 | Susan Rae Rash | Nurse Practitioner | 250 Stanaford Rd Ste 203, Beckley, WV 25801 | 2018-09-14 |
| 1689169039 | Megan Rae Walker | Dentist | 3153 Robert C. Byrd Drive, Beckley, WV 25801 | 2018-06-28 |
| 1104318625 | Mountain State Vascular, Inc. | Surgery | 121 George Street, Beckley, WV 25801 | 2018-05-31 |
| 1356841100 | Harper Road Treatment Center LLC | Family Medicine | 1802 Harper Rd Ste 202, Beckley, WV 25801 | 2018-02-19 |
| Find all providers in zip 25801 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104823830 | Michael Lee Belcher | Physician Assistant | 230 George St, Suite 2, Beckley, WV 25801-2620 | 2005-07-07 |
| 1871145623 | Anthony Paul Brunetti | Physician Assistant | 215 Brookshire Ln, Beckley, WV 25801-6729 | 2019-07-11 |
| 1124362413 | Megan Nicole Dincher | Physician Assistant | 122 George St, Beckley, WV 25801-2608 | 2012-11-27 |
| 1992083992 | Matthew R Dincher | Physician Assistant | 122 George St, Beckley, WV 25801-2608 | 2011-07-26 |
| 1699859025 | Karen K Rainey | Physician Assistant | 2401 S Kanawha St, Suite 104, Beckley, WV 25801-6967 | 2006-10-24 |
| 1093774903 | Ralph Emerson Amick Jr. | Physician Assistant | 200 Veterans Ave, Beckley, WV 25801-6444 | 2006-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649561408 | Trell Marie Stowell | Physician Assistant | 1 Medical Center Drive, Suite 9238, Wvu Dept. of Surgery, Morgantown, WV 26506 | 2011-04-28 |
| 1821158536 | Brook E Morgan | Physician Assistant | 1600 Murdoch Avenue, Suite 100, Parkersburg, WV 26101 | 2006-12-11 |
| 1205842713 | Melissa M Glauser | Physician Assistant | 1021 Mt Dechantel Road, Wheeling, WV 26003 | 2006-08-01 |
| 1346733086 | Kari Rae Hunter | Physician Assistant | 210 Brooks St Ste 200, Charleston, WV 25301-1848 | 2018-06-07 |
| 1275035685 | Holly Harris | Physician Assistant | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2018-03-01 |
| 1255846671 | James Keith Burress Jr. | Physician Assistant | 2000 Eoff St, Wheeling, WV 26003-3823 | 2017-12-07 |
| 1346751237 | Adam Nathaniel Hill | Physician Assistant | 415 Morris St Ste 400, Charleston, WV 25301-1854 | 2017-10-18 |
| 1952810046 | Nathan Merl Musser | Physician Assistant | 1 Medical Park, Wheeling, WV 26003-6379 | 2017-09-21 |
| 1538688650 | Nancy Balewski | Physician Assistant | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2017-09-11 |
| 1295259117 | Josee Leigh Zydonik | Physician Assistant | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2017-08-02 |
| Find all providers with the same taxonomy | ||||
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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.