MS. ALICIA K DUNLEAVY PA-C NPI 1073818720

NPI Information

NPI: 1073818720
Provider Name: MS. ALICIA K DUNLEAVY, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
2331 FRANKLIN RD SW
ROANOKE, VA
ZIP 24014
Phone: (540) 725-1226
Get Directions

MS. Alicia K Dunleavy, PA-C is a surgical physician assistant in Roanoke, VA with 14 years of experience. MS. Alicia K Dunleavy, PA-C NPI is 1073818720. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduation Year:2010

The provider's business location address is:

2331 FRANKLIN RD SW
ROANOKE, VA
ZIP 24014-111
Phone: (540) 725-1226
Fax: (540) 857-5306

The NPI 1073818720 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/11/2011 and was last updated on 7/30/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	0110-003505	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P01520215	OTHER	VIRGINIA	RAILROAD MEDICARE
2	1073818720	OTHER	VIRGINIA	ANTHEM MEDIGAP
3	1073818720	OTHER	VIRGINIA	MEDICAID QMB
4	1073818720	OTHER	VIRGINIA	SOUTHERN HEALTH/CARENET/CARELINK/COVENTRY
5	1073818720	OTHER	VIRGINIA	HUMANA MEDICARE
6	1073818720	OTHER	VIRGINIA	UMWA
7	1073818720	OTHER	VIRGINIA	TRICARE
8	1073818720	OTHER	VIRGINIA	CCC VIRGINIA PREMIER
9	1073818720	OTHER	VIRGINIA	AETNA
10	1073818720	OTHER	VIRGINIA	GATEWAY
11	1073818720	OTHER	VIRGINIA	INTOTAL
12	1073818720	OTHER	VIRGINIA	OPTIMA HEALTH PLAN
13	VV1549B	OTHER	VIRGINIA	MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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