Active NPI
Dwayne E Stratton, M.D.
- Emergency Medicine Physician
- Richmond, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 0101059198
- Practice address
- 1602 Skipwith Rd
Richmond, VA 23229-5205 - Phone
- (804) 289-4605
- NPI assigned
- Aug 9, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 0101059198 | VA | Primary |
| Emergency Medicine Physician | 207P00000X | 44156 | TN |
Addresses
Primary practice location
1602 Skipwith Rd
Richmond, VA 23229-5205
Mailing address
5104 Austin Healey Dr
Glen Allen, VA 23059-5817
Phone (804) 405-3299
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 232562 | Other | VA | BLUE SHIELD |
| 005827779 | Medicaid | VA | |
| 005830770 | Medicaid | VA | |
| 283922 | Other | VA | BLUE SHIELD |
| 1507137 | Medicaid | TN | |
| 005827761 | Medicaid | VA | |
| 1063413466 | Medicaid | VA | |
| 255455 | Other | VA | BLUE SHIELD |
| 283923 | Other | VA | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44156 | TN | MD | Pharmacist |
| 0101059198 | VA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alexandria Springfield Emergency Physicians PC | Emergency Medicine | Current | Accepting new patients |
| Alexandria Springfield Emergency Physicians PC | Emergency Medicine | Current | Accepting new patients |
| Virginia Emergency Physicians LLP | Emergency Medicine | Past | Accepting new patients |
| Virginia Emergency Physicians LLP | Emergency Medicine | Past | Accepting new patients |
| Virginia Emergency Physicians LLP | Emergency Medicine | Past | Accepting new patients |
| Columbia Healthcare of Central Virginia Inc | Past | Accepting new patients | |
| Virginia Emergency Physicians LLP | Emergency Medicine | Past | Accepting new patients |
| Richmond Emergency Physicians, Inc. | Past | Accepting new patients | |
| Virginia Emergency Associates Inc | Emergency Medicine | Past | Accepting new patients |
| St Francis Emergency Associates Inc | Emergency Medicine | Past | Accepting new patients |
Locations
20010 Century Blvd
Ste 200
Germantown, MD 20874
60 E Roslyn Ct
Colonial Hgts, VA 23834
Phone (804) 281-8100
100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153
200 Medical Park Blvd
Petersburg, VA 23805
Phone (804) 765-5000
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425427200000",
"number": "1063413466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5104 AUSTIN HEALEY DR",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230595817",
"telephone_number": "804-405-3299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1602 SKIPWITH RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232295205",
"telephone_number": "804-289-4605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRATTON",
"first_name": "DWAYNE",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-09",
"last_updated": "2015-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VA",
"license": "0101059198",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TN",
"license": "44156",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "232562",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005827779",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005830770",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "283922",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1507137",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005827761",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1063413466",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "255455",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "283923",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.