Provider Demographics
NPI:1164486171
Name:ALEXANDER, DAWN RENEE (MD)
Entity Type:Individual
Prefix:DR
First Name:DAWN
Middle Name:RENEE
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:4510 PLANK RD STE 200
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22407-0138
Mailing Address - Country:US
Mailing Address - Phone:540-870-6550
Mailing Address - Fax:540-870-6552
Practice Address - Street 1:4510 PLANK RD STE 200
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22407-0138
Practice Address - Country:US
Practice Address - Phone:540-870-6550
Practice Address - Fax:540-870-6552
Is Sole Proprietor?:No
Enumeration Date:2006-04-14
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101231322207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
137113OtherANTHEM/BCBS
VA3810010117OtherWV MEDICAID
VA1000870001OtherDME PROVIDER
5512046OtherCIGNA
VA010054150Medicaid
230431OtherSOUTHERN HEALTH
VA36237OtherOPTIMA
P00130176OtherRAILROAD MEDICARE
P00130176OtherRAILROAD MEDICARE
230431OtherSOUTHERN HEALTH
VA3810010117OtherWV MEDICAID