Active NPI
Jonethan P Delaughter, D.O.
- Emergency Medicine Physician
- Roanoke, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 0102203459
- Practice address
- 1906 Belleview Ave SE
Roanoke, VA 24014-1838 - Phone
- (540) 266-6331
- NPI assigned
- May 22, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | OT011592 | PA | |
| Emergency Medicine Physician | 207P00000X | N5647 | TX | |
| Emergency Medicine Physician | 207P00000X | 0102203459 | VA | Primary |
Addresses
Primary practice location
1906 Belleview Ave SE
Roanoke, VA 24014-1838
Mailing address
2900 Lamb Cir
Christiansburg, VA 24073-6344
Phone (540) 731-2866
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457518839 | Other | BCBS | |
| 8CK313 | Other | TX | BCBS TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of North Texas HSC, College of Osteopathic Med, 2006
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
330 S Denton Tap Rd
Coppell, TX 75019-3207
Phone (469) 312-7777
Hospital & facility affiliations
- Methodist Southlake Medical Center
- Baylor Scott & White Emergency Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.43 of 100
- Quality
- 93.73
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT011592 | PA | MD | Emergency Medicine Physician |
| N5647 | TX | MD | Emergency Medicine Physician |
| 0102203459 | VA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frisco Emergency Medicine Associates, PA | Emergency Medicine | Current | Accepting new patients |
| 24 Hour Physicians, Inc | Emergency Medicine | Current | Accepting new patients |
| Emergency Physicians of Southern Virginia LLP | Emergency Medicine | Current | Accepting new patients |
| Century Integrated Partners, Inc | Emergency Medicine | Current | Accepting new patients |
| Emergency Coverage, LLC | Emergency Medicine | Current | Accepting new patients |
| Legacy Urgent Care, PA | Current | Accepting new patients | |
| Emergency Coverage Services, PC | Past | Accepting new patients | |
| Greater Houston Emergency Physicians PLLC | Emergency Medicine | Past | Accepting new patients |
Locations
26791 US Highway 380 E
Aubrey, TX 76227
Phone (972) 347-2525
12500 South Fwy
Ste 100
Burleson, TX 76028
Phone (214) 294-6250
330 S Denton Tap Rd
Coppell, TX 75019
Phone (469) 312-7777
3500 Gaston Ave
Dallas, TX 75246
9205 Legacy Dr
Frisco, TX 75033
Phone (972) 625-6020
1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559
620 S Main St
Keller, TX 76248
Phone (214) 294-6100
2810 S Hardin Blvd
Ste 100
McKinney, TX 75072
Phone (972) 548-7277
511 W FM 544
Ste 100
Murphy, TX 75094
Phone (214) 294-6150
8950 N Tarrant Pkwy
North Richlnd Hls, TX 76182
Phone (817) 281-7277
2600 E Pflugerville Pkwy
Ste 100
Pflugerville, TX 78660
Phone (512) 654-6100
4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000
1975 Alpha Dr
#100
Rockwall, TX 75087
Phone (214) 294-6200
1604 West Ave
San Antonio, TX 78201
Phone (210) 572-8885
200 Hospital Dr
Galax, VA 24333
Phone (276) 236-6011
Organizations & group practices 8
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.
-
- Emergency Care Clinic/Center
- Frisco, TX
- NPI 1467612176
Emergency Medicine
-
- Urgent Care Clinic/Center
- Frisco, TX
- NPI 1568622272
-
- Emergency Medicine Physician
- Galax, VA
- NPI 1417187667
-
- Emergency Medicine Physician
- Spring, TX
- NPI 1396083424
-
- Emergency Medicine Physician
- Dallas, TX
- NPI 1447615711
-
- Nurse Practitioner
- Lawrenceburg, TN
- NPI 1053351593
-
- Emergency Medicine Physician
- Dallas, TX
- NPI 1316363336
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Aubrey, TX
- NPI 1407010622
-
- General Acute Care Hospital
- Rockwall, TX
- NPI 1407344880
-
- General Acute Care Hospital
- Colleyville, TX
- NPI 1043641749
-
- General Acute Care Hospital
- Murphy, TX
- NPI 1619308319
-
- General Acute Care Hospital
- Keller, TX
- NPI 1689002651
-
- General Acute Care Hospital
- Southlake, TX
- NPI 1568818417
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384300800000",
"number": "1457518839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 LAMB CIR",
"city": "CHRISTIANSBURG",
"state": "VA",
"postal_code": "240736344",
"telephone_number": "540-731-2866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1906 BELLEVIEW AVE SE",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240141838",
"telephone_number": "540-266-6331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELAUGHTER",
"first_name": "JONETHAN",
"middle_name": "P",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-22",
"last_updated": "2013-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "OT011592",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "N5647",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VA",
"license": "0102203459",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1457518839",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS TX",
"identifier": "8CK313",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.