Alfred W. O'Daire Jr., PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0110840276 Issued in VA

Practice address

511 Belfield Dr.
Emporia, VA 23847

Phone

(434) 348-4680

Fax

(434) 336-0014

NPI assigned

Sep 15, 2005

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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 and National Provider Directory roles.

• Partners in Family Medicine

  • Family Medicine Physician
  • Colonial Heights, VA
  • NPI 1326228800
  NPD (past)
• Virginia Em-I Medical Services, PC

  • Emergency Medicine Physician
  • Petersburg, VA
  • NPI 1447201744
  NPD (past)
• Virginia Emergency Group LLC

  • Emergency Medicine Physician
  • Petersburg, VA
  • NPI 1487816369
  NPD (past)

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346716800000",
    "number": "1831184803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 BELFIELD DR.",
            "city": "EMPORIA",
            "state": "VA",
            "postal_code": "23847",
            "telephone_number": "434-348-4680",
            "fax_number": "434-336-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 BELFIELD DR.",
            "city": "EMPORIA",
            "state": "VA",
            "postal_code": "23847",
            "telephone_number": "434-348-4680",
            "fax_number": "434-336-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DAIRE",
        "first_name": "ALFRED",
        "middle_name": "W.",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2012-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110840276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1831184803",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00376918",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• New Century Hospice of Richmond, LLC
• New Day Therapeutic Services LLC
• New Journey Family Services, LLC
• New Journey Family Services, LLC
• Titiana Nicholson
• Optimum Foot Care, Inc.
• Teresa M Oswald, APN
• Clare Overman, PMHNP-BC
• Cathy Palmer
• Roger A Palmer, DDS

• Medical Physician Assistant in Emporia, VA
• Providers in Emporia, VA by specialty
• Medical Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; 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.