Diabetes and Thyroid Associates PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

DIABETES AND THYROID ASSOCIATES PC

Practice address

10711 Spotsylvania Ave
Fredericksburg, VA 22408-2674

Phone

(540) 891-8499

Fax

(540) 891-8662

NPI assigned

Jun 26, 2006

Organization subpart

No

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

Authorized official

Name

Mark Allen McClanahan, MDNPI 1093840811

Title

President

Phone

(540) 891-8499

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Allen McClanahan, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Fredericksburg, VA
  • NPI 1093840811
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666051200000",
    "number": "1528095809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10711 SPOTSYLVANIA AVE",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224082674",
            "telephone_number": "540-891-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10711 SPOTSYLVANIA AVE",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224082674",
            "telephone_number": "540-891-8499",
            "fax_number": "540-891-8662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES AND THYROID ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A",
        "authorized_official_last_name": "MCCLANAHAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-891-8499",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS IDENTIF",
            "identifier": "077372",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kinder Dewoolfson, PT, DPT
• Narayan Dharel, MD, PHD
• Pushpinder Dhillon, M.D., F.A.C.O.G
• Rajwant Dhillon
• Rajivkumar Dhingra
• Diana Tran OD
• Diann M Vild
• Angela Maria Diaz, DDS
• Delise B Dickard, LPC
• Natasha Dickerson-Amaya, MS, LPC

• Medical Specialty Clinic/Center in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Medical Specialty Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.