Anthony P. Dasaro, MD, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

19826 Issued in WV

Legal business name

ANTHONY P. DASARO, MD, PLLC

Practice address

331 Laidley St
Suite 307
Charleston, WV 25301-1619

Phone

(304) 205-7790

Fax

(304) 205-7792

NPI assigned

Jan 15, 2009

Last updated

Apr 20, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anthony Peter Dasaro, MD

Title

Owner

Phone

(304) 205-7790

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffery F Addison, MD

  • Nephrology Physician
  • Charleston, WV
  • NPI 1972548618
  NPD (past)

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240185600000",
    "number": "1255578076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 LAIDLEY ST",
            "address_2": "SUITE 307",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011619",
            "telephone_number": "304-205-7790",
            "fax_number": "304-205-7792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 LAIDLEY ST",
            "address_2": "SUITE 307",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011619",
            "telephone_number": "304-205-7790",
            "fax_number": "304-205-7792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY P. DASARO, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-15",
        "last_updated": "2009-04-20",
        "status": "A",
        "authorized_official_last_name": "DASARO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-205-7790",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "19826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810014106",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fru Angwafo
• Annedie Beauty Equipment Wholesale
• Mario T. Anselmo, MD
• John Anteman, PARAPROFESSIONAL
• Anthony B. Lowe, O.D., P.L.L.C.
• Samantha Anthony
• James Antill
• Suzanne Antinone
• John J. Anton, MD
• Michael E. Anton, MD

• Internal Medicine Physician in Charleston, WV
• Providers in Charleston, WV by specialty
• Internal Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2009; 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.