David Fred Dalessio, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0102036849 Issued in VA

Practice address

216 Mason Ave
Cape Charles, VA 23310-3200

Phone

(757) 331-1422

Fax

(757) 331-1624

NPI assigned

Dec 2, 2005

Last updated

Sep 12, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eastern Shore Rural Health System Incorporated

  dba Onley Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Onley, VA
  • NPI 1568592426
  NPD (past)

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378944000000",
    "number": "1477537421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 J CLYDE MORRIS BLVD",
            "address_2": "SUITE A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 MASON AVE",
            "city": "CAPE CHARLES",
            "state": "VA",
            "postal_code": "233103200",
            "telephone_number": "757-331-1422",
            "fax_number": "757-331-1624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALESSIO",
        "first_name": "DAVID",
        "middle_name": "FRED",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2013-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102036849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477537421",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cape Charles Rescue Service Inc
• Mark Gregory Clarke
• Coastal Craftsman Builders, LLC
• Rebecca Ellen Creed, LCSW
• Carma Turlington Dabinett
• Eastern Shore Rural Health System Incorporated (Kiptopeke Dental)
• Focus Optical Boutique LLC
• Jeffrey Edward Gosda
• James Willie Jenkins, LPC
• Joyful Memories Home Health Care

• Family Medicine Physician in Cape Charles, VA
• Providers in Cape Charles, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; 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.