David L Tolliver (NPI# 1831176296, PAC ID# 0042124273) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1831176296 |
| PAC ID by PECOS | 0042124273 |
| Professional Enrollment ID | I20040415000852 |
| Full Name | David L Tolliver |
| Organization Legal Name | DERM ONE PLLC |
| Address |
296 New Hope Rd Suite 1 Princeton WV 24740-2262 |
| Phone Number | 3044259448 |
| Gender | M |
| Credential | MD |
| Medical School | WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 9638161821 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340047 | NORTH CAROLINA BAPTIST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 725 S College Ave, Bluefield, VA 24605-1640 | 2763263376 | DERM ONE PLLC |
| 296 New Hope Rd, Suite 1, Princeton, WV 24740-2262 | 3044259448 | DERM ONE PLLC |
| 1804 Be Main St, Radford, VA 24141-1763 | 5406333015 | DERM ONE PLLC |
| 150 Peppers Ferry Rd, Wytheville, VA 24382-2363 | 2762282022 | DERM ONE PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 96% | |
| MIPS_EC_224_overall | Melanoma: Overutilization of Imaging Studies in Melanoma | 100% | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_402_overall | Tobacco Use and Help with Quitting Among Adolescents | 97% |
| Organization Legal Name | DERM ONE PLLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bryan D Caskey | Physician Assistant | Derm One Pllc | 150 Peppers Ferry Rd, Wytheville, VA 24382-2363 |
| Jonathan R Hall | Internal Medicine | Derm One Pllc | 725 S College Ave, Bluefield, VA 24605-1640 |
| Michelle Billie Caskey | Nurse Practitioner | Derm One Pllc | 296 New Hope Rd, Suite 1, Princeton, WV 24740-2262 |
| Susan Irene Gaither | Nurse Practitioner | Derm One Pllc | 1804 Be Main St, Radford, VA 24141-1763 |
| Chad S Caskey | Physician Assistant | Derm One Pllc | 1804 Be Main St, Radford, VA 24141-1763 |
| April R Neely | Nurse Practitioner | Derm One Pllc | 296 New Hope Rd, Suite 1, Princeton, WV 24740-2262 |
| Melissa M Buckner | Nurse Practitioner | Derm One Pllc | 296 New Hope Rd, Suite 1, Princeton, WV 24740-2262 |
| Street Address |
296 NEW HOPE RD SUITE 1 |
| City | PRINCETON |
| State | WV |
| Zip | 24740-2262 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle Billie Caskey | Nurse Practitioner | Derm One Pllc | 296 New Hope Rd, Suite 1, Princeton, WV 24740-2262 |
| April R Neely | Nurse Practitioner | Derm One Pllc | 296 New Hope Rd, Suite 1, Princeton, WV 24740-2262 |
| Abbas El Khatib | Nephrology | Princeton Community Hospital Assn., Inc. | 296 New Hope Rd, Suite 2, Princeton, WV 24740-2262 |
| Shannon Leigh Hilling | Nurse Practitioner | Princeton Community Hospital Assn., Inc. | 296 New Hope Rd, Suite 2, Princeton, WV 24740-2262 |
| Can Talug | Urology | Princeton Community Hospital Assn., Inc. | 296 New Hope Rd, Suite 2, Princeton, WV 24740-2262 |
| Melissa M Buckner | Nurse Practitioner | Derm One Pllc | 296 New Hope Rd, Suite 1, Princeton, WV 24740-2262 |
| Inas H Al Attar | Pediatric Medicine | 296 New Hope Rd, Suite 3, Princeton, WV 24740-2262 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melody S Ponce | Nurse Practitioner | Bluefield Gastroenterology Pllc | 405 12th St, Princeton, WV 24740 |
| Dana O Olson | Diagnostic Radiology | Professional Imaging, Inc. | 12 Th St Ext, Princeton Community Hospital, Princeton, WV 24740 |
| Afzal U Ahmed | Diagnostic Radiology | Professional Imaging, Inc. | 12 Th St Ext, Princeton Community Hospital, Princeton, WV 24740 |
| Michele Evans Smith | Certified Registered Nurse Anesthetist (crna) | Bluefield Gastroenterology Pllc | 405 12th St, Princeton, WV 24740 |
| Gopal M Pardasani | Pathology | Bluefield Gastroenterology Pllc | 405 12th St, Princeton, WV 24740 |
| David L Groten | Diagnostic Radiology | Professional Imaging, Inc. | 12 Th St Ext, Princeton Community Hospital, Princeton, WV 24740 |
| Dilip B Patel | Diagnostic Radiology | Professional Imaging, Inc. | 12 Th St Ext, Princeton Community Hospital, Princeton, WV 24740 |
| Tammie L Smith | Psychologist, Clinical | 105 Gott Rd, Princeton, WV 24740-2103 | |
| Nasreen R Dar | Psychiatry | 6 Quail Valley Medical Ctr, Princeton, WV 24740-2139 | |
| Shahnaz I Rana | Internal Medicine | 100 New Hope Rd, Suite 208, Princeton, WV 24740-2143 | |
| Find all physicians in zip 24740 | |||
| City | PRINCETON |
| Zip Code | 24740 |
| Specialty | DERMATOLOGY |
| City + Specialty | PRINCETON + DERMATOLOGY |
Please comment or provide details below to improve the information on David L Tolliver.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.