Active NPI
William Edward Dameron, MD
- Family Medicine Physician
- Warsaw, VA
National Provider Identifier
1740414234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101255507
- Practice address
- 16 Delfae Dr
Warsaw, VA 22572-4281 - Phone
- (804) 333-6400
- Fax
- (804) 333-6392
- NPI assigned
- May 12, 2009
- Last updated
- Jan 31, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2012-0032 | NC | |
| Family Medicine Physician | 207Q00000X | 0101255507 | VA | Primary |
Addresses
Primary practice location
16 Delfae Dr
Warsaw, VA 22572-4281
Mailing address
856 J Clyde Morris Blvd
Suite a
Newport News, VA 23601-1318
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 1, 2021 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012-0032 | NC | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391126400000",
"number": "1740414234",
"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": "16 DELFAE DR",
"city": "WARSAW",
"state": "VA",
"postal_code": "225724281",
"telephone_number": "804-333-6400",
"fax_number": "804-333-6392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAMERON",
"first_name": "WILLIAM",
"middle_name": "EDWARD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-12",
"last_updated": "2014-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2012-0032",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101255507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warsaw, VA
- Lynne M Cerar, L.C.S.W.
- Irina P Chandler, DDS
- Anastasia Dumbra Cleary, MD
- Commonwelath of Virginia State Board of Health (Richmond County Health Deparmtent)
- D & R Medical Ride, LLC.
- Dart Transportationllc
- Dca of Warsaw LLC (U S Renal Care Warsaw)
- Joseph David Dolansky, D.O.
- Wanda J Dungan, L.P.C.
- Joanna Singer Eddy
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.