Organization Active NPI

Appalachian Osteopathy, PC

  • Family Medicine Physician
  • Big Stone Gap, VA
National Provider Identifier
1386970218
Registry record updated Oct 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0102202333 Issued in VA
Legal business name
APPALACHIAN OSTEOPATHY, PC
Practice address
14 E 27TH St N
Ste 2
Big Stone Gap, VA 24219-3624
Phone
(276) 365-1286
NPI assigned
Oct 28, 2009
Last updated
Oct 28, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2009

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

Authorized official

Name
Joshua Heath Dalton, D.O.NPI 1245498062
Title
President
Phone
(276) 365-1286

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 0102202333 VA
Family Medicine Physician 207Q00000X 0102202333 VA Primary

Addresses

Primary practice location

14 E 27TH St N
Ste 2
Big Stone Gap, VA 24219-3624

Mailing address

14 E 27TH St N
Ste 2
Big Stone Gap, VA 24219-3624
Phone (276) 365-1286

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100114000392 VA Part B Supplier - Clinic/Group Practice 3678614559 Receives reassigned benefits from 1 practitioner
Practice locations: Big Stone Gap, VA

National Provider Directory

National Provider Directory

Locations

14 E 27th St N
#2
Big Stone Gap, VA 24219
Phone (276) 523-5080

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1256688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256688000000",
    "number": "1386970218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 E 27TH ST N",
            "address_2": "STE 2",
            "city": "BIG STONE GAP",
            "state": "VA",
            "postal_code": "242193624",
            "telephone_number": "276-365-1286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 E 27TH ST N",
            "address_2": "STE 2",
            "city": "BIG STONE GAP",
            "state": "VA",
            "postal_code": "242193624",
            "telephone_number": "276-365-1286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPALACHIAN OSTEOPATHY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-28",
        "last_updated": "2009-10-28",
        "status": "A",
        "authorized_official_last_name": "DALTON",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "HEATH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "276-365-1286",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "VA",
            "license": "0102202333",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102202333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Stone Gap, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.