Basic Information
Provider Information
NPI: 1639439789
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ENGLISH
FirstName: JOHN
MiddleName: TALBOT
NamePrefix: DR.
NameSuffix: III
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 220 CAMPUS BLVD STE 100
Address2:  
City: WINCHESTER
State: VA
PostalCode: 226012888
CountryCode: US
TelephoneNumber: 5405365100
FaxNumber:  
Practice Location
Address1: 351 VALLEY HEALTH WAY # 200
Address2:  
City: FRONT ROYAL
State: VA
PostalCode: 226306480
CountryCode: US
TelephoneNumber: 5406360600
FaxNumber: 5406360629
Other Information
ProviderEnumerationDate: 05/23/2012
LastUpdateDate: 06/17/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/17/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208600000X0101261943VAY Allopathic & Osteopathic PhysiciansSurgery 

No ID Information.


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