William Dalton, CSA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

4455 Lower Roswell Rd
684121
Marietta, GA 30068-0149

Phone

(770) 490-8645

NPI assigned

Jan 21, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Welllcare Surgical Assisting

  • Surgical Physician Assistant
  • Marietta, GA
  • NPI 1043601016
  NPD (past) Authorized official

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

{
    "created_epoch": "1390262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486425600000",
    "number": "1588087944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4455 LOWER ROSWELL RD",
            "address_2": "684121",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300680149",
            "telephone_number": "770-490-8645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4455 LOWER ROSWELL RD",
            "address_2": "684121",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300680149",
            "telephone_number": "770-490-8645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALTON",
        "first_name": "WILLIAM",
        "credential": "CSA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-21",
        "last_updated": "2017-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Niloofer Dalal, MD
• Bradley James Dale, PT
• Joanne Dale
• Barbara A Dalton, MD
• Megan Nichole Dalton, PA-C
• Anant G Dalvi, MD
• Amber Daly, D.C.
• Damian Sommerville, DDS
• Elizabeth A Damico Thomas, CNP
• Dancing Without Limits,LLC

• Surgical Physician Assistant in Marietta, GA
• Providers in Marietta, GA by specialty
• Surgical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; 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.