Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 010124336 | VA |
N | 208600000X | Surgeon | 010124336 | VA |
N | 208200000X | Surgeon | 250779 | NY |
N | 208600000X | Surgeon | 250779 | NY |
N | 208200000X | Surgeon | 25100 | NE |
N | 208600000X | Surgeon | 25100 | NE |
N | 208200000X | Surgeon | 35.092950 | OH |
N | 208600000X | Surgeon | 35.092950 | OH |
N | 208200000X | Surgeon | G85983 | CA |
N | 208600000X | Surgeon | G85983 | CA |
N | 208200000X | Surgeon | MD055447L | PA |
N | 208600000X | Surgeon | MD055447L | PA |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 010124336 | VA |
N | 208G00000X | Cardiothoracic Vascular Surgeon | 250779 | NY |
N | 208G00000X | Cardiothoracic Vascular Surgeon | 25100 | NE |
N | 208G00000X | Cardiothoracic Vascular Surgeon | 35.092950 | OH |
N | 208G00000X | Cardiothoracic Vascular Surgeon | G85983 | CA |
N | 208G00000X | Cardiothoracic Vascular Surgeon | MD055447L | PA |
NPI | 1073544235 |
---|---|
Provider Name | Thomas Andrew Damato |
First Address | Harrisonburg, VA 22803-1430 |
Second Address | Rockingham, VA 22801-8679 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2006 |
Last Update Date | 28/10/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001887744 | (05) | PA |
0018877440006 | (05) | PA |
0107441 | (05) | NJ |
10025773500 | (05) | NE |
H27964 | (02) |