MEDICARE: DR. DAVID QUINTIN MASSEY M.D.

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
1	207Q00000X	Family Medicine Physician	0101038349	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	278292	OTHER	VA	SOUTHERN HEALTH
2	063197	OTHER	VA	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467545152
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID QUINTIN MASSEY M.D.

Provider Business Mailing Address
First Line	:	2009 NORTH AUGUSTA STREET
Second Line	:
City	:	STAUNTON
State	:	VA
Zip	:	24401
Country	:	US
Telephone Number	:	540-885-0675
Fax Number	:	540-885-6060

Provider Business Practice Location Address
First Line	:	2009 NORTH AUGUSTA STREET
Second Line	:
City	:	STAUNTON
State	:	VA
Zip	:	24401
Country	:	US
Telephone Number	:	540-885-0675
Fax Number	:	540-885-6060

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	07/08/2007

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