Active NPI
Daniel C Schiavone Jr.
- Pediatrics Physician
- Winchester, VA
National Provider Identifier
1457585762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0101029741
- Practice address
- 337 Westside Station Dr
Winchester, VA 22601-2840 - Phone
- (540) 667-5400
- Fax
- (540) 722-9516
- NPI assigned
- May 14, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0101029741 | VA | Primary |
Addresses
Primary practice location
337 Westside Station Dr
Winchester, VA 22601-2840
Mailing address
337 Westside Station Dr
Winchester, VA 22601-2840
Phone (540) 667-5400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006779352 | Medicaid | VA | |
| 0112931000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101029741 | VA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242259200000",
"number": "1457585762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "337 WESTSIDE STATION DR",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "226012840",
"telephone_number": "540-667-5400",
"fax_number": "540-722-9516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "337 WESTSIDE STATION DR",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "226012840",
"telephone_number": "540-667-5400",
"fax_number": "540-722-9516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHIAVONE",
"first_name": "DANIEL",
"middle_name": "C",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-05-14",
"last_updated": "2009-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101029741",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006779352",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0112931000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Winchester, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.