Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 0101043135 | VA |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 101043135 | VA |
NPI | 1518909738 |
---|---|
Provider Name | Dr. Gordon Vincent Dalton |
First Address | North Chesterfield, VA 23225-4067 |
Second Address | Richmond, VA 23226-1935 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2006 |
Last Update Date | 01/06/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
006400817 | (05) | VA |
006400833 | (05) | VA |
0735377 | AETNA HMO (01) | VA |
0900158 | UNITED HEALTHCARE (01) | VA |
090405 | ANTHEM HEALTHKEEPERS (01) | VA |
1518909738 | (05) | VA |
200015994 | RAILROAD MEDICARE (01) | VA |
2138262 | UNITED HEALTHCARE MAMSI (01) | VA |
285569 | SOUTHERN HEALTH (01) | VA |
30767 | SH CARENET (01) | VA |
386527 | ANTHEM WEST END OPERATORY (01) | VA |
46415 | OPTIMA HEALTH (01) | VA |
540885859 | C&O EMPLOYEE'S HEALTHCARE (01) | VA |
540885859 | CIGNA (01) | VA |
540885859 | FIRST HEALTH/CCN (01) | VA |
540885859 | FOCUS (01) | VA |
540885859 | PRIVATE HEALTHCARE SYSTEM (01) | VA |
E38689 | (02) | VA |