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NPI Code Detail

MEDICARE: MR. JOHN BARTON D'ALESSANDRO PA-C

MEDICARE: MR. JOHN BARTON D'ALESSANDRO PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AS0400XSurgical Physician Assistant0110840817VA
2363A00000XPhysician Assistant0110840817VA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3970007535OTHERVARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4VA0117OTHERVAJOHN DEERE

General Provider Information

NPI Number : 1447238209
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOHN BARTON D'ALESSANDRO PA-C
Provider Business Mailing Address
First Line : 1900 ELECTRIC RD
Second Line :
City : SALEM
State : VA
Zip : 24153-7474
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1900 ELECTRIC RD
Second Line :
City : SALEM
State : VA
Zip : 24153-7474
Country : US
Telephone Number : 540-776-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2006
Last Update Date : 02/26/2020

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