Craig Deatley, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

01184672560 Issued in VA

Practice address

3300 Gallows Rd
Falls Church, VA 22042-3307

Phone

(703) 776-3111

Fax

(800) 536-8431

NPI assigned

May 5, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bestpractices, Inc.

  • Emergency Medicine Physician
  • Falls Church, VA
  • NPI 1639177942
  NPD (past)
• Bestpractices, Inc.

  • Emergency Medicine Physician
  • Woodbridge, VA
  • NPI 1730180944
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515369600000",
    "number": "1184672560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 75567",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212755567",
            "telephone_number": "888-898-3291",
            "fax_number": "800-536-8431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 GALLOWS RD",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220423307",
            "telephone_number": "703-776-3111",
            "fax_number": "800-536-8431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEATLEY",
        "first_name": "CRAIG",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2018-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "01184672560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8923477",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "970006339",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• De Nova Clinic PC.
• Teresita Deal, MSPT, GCS, CEEAA
• Brynley Ruth Dean, MD
• Deardorff & Camacho
• Christine C Dearth, MD
• Tennele Debysingh, FNP
• Layla Deeba, CRNA
• Deepak S Kakar DDS Inc (tysons pediatric dentistry and orthodontics)
• Jeffrey N/a Degroot, RN, SRNA
• Erin Deihl, D.O.

• Physician Assistant in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.