Daniel Wayne Vanskyhawk II, IDC

Primary specialty

Independent Duty Medical TechniciansTaxonomy code 1710I1003X

License

17101003X Issued in VA

Practice address

414 Concord Rd
Portsmouth, VA 23701-2231

Phone

(757) 537-3813

NPI assigned

May 17, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255548491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 CONCORD RD",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237012231",
            "telephone_number": "757-537-3813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 CONCORD RD",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237012231",
            "telephone_number": "757-537-3813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANSKYHAWK",
        "first_name": "DANIEL",
        "middle_name": "WAYNE",
        "name_suffix": "II",
        "credential": "IDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1003X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Medical Technicians",
            "state": "VA",
            "license": "17101003X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ginger Marie Vance, PHARM.D
• Stefani Ann Vande Lune, M.D.
• Morgan Alexandra Vanderhorst-Albaugh, M.D.
• Julia Davis Vandrak, PA-C
• Amaresh Vanga, M.D.
• John A. Vanslyke, D.O.
• Anhelita Varela
• Armando Varela, CRNA
• Daniel Emilio Vargas Fuentes, DO
• Matthew Cozart Vasquez, M.D.

• Independent Duty Medical Technicians in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Independent Duty Medical Technicians in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.