Dustin Shane Syvertson, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

0101271678 Issued in VA

Practice address

1914 Thomson Dr
Lynchburg, VA 24501-1009

Phone

(434) 947-3925

NPI assigned

May 5, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Pathology Consultants of Central VA, Inc

  • Clinical Medical Laboratory
  • Lynchburg, VA
  • NPI 1598863821
  Medicare reassignment NPD

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

{
    "created_epoch": "1462406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1336595685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1914 THOMSON DR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245011009",
            "telephone_number": "434-947-3925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1914 THOMSON DR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245011009",
            "telephone_number": "434-947-3925"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "BBB CB # 7525",
            "address_2": "Pathology & Laboratory Medicine",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275997525",
            "country_code": "US",
            "telephone_number": "304-237-8234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SYVERTSON",
        "first_name": "DUSTIN",
        "middle_name": "SHANE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-05",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "VA",
            "license": "0101271678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Switzer
• Danielle Sydnor, CRNA
• Robert W Sydnor, MD
• Walton K Sydnor III, MD
• Jordan Joseph Synkowski, DO
• Miklos Szentirmai, M.D.
• T&P Estates
• T&P Estates Assisted Living
• Tabula Rasa Psychiatry and Consulting, PLLC
• Melanie Tadros, DO

• Anatomic Pathology & Clinical Pathology Physician in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Anatomic Pathology & Clinical Pathology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; 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.

Verify at the official NPI Registry.