Provider Demographics
NPI:1750384137
Name:DUNSTAN, JAMES CUMMINGS JR (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:CUMMINGS
Last Name:DUNSTAN
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1204 FENWICK DR
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24502-2112
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3300 RIVERMONT AVE
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24503-2030
Practice Address - Country:US
Practice Address - Phone:434-947-4651
Practice Address - Fax:434-947-3650
Is Sole Proprietor?:No
Enumeration Date:2005-05-31
Last Update Date:2008-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101030806207X00000X, 208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
186292OtherANTHEM PROVIDER NUMBER
203639329008OtherTRICARE PROVIDER NUMBER
9993380OtherCIGNA PROVIDER NUMBER
186289OtherANTHEM PROVIDER NUMBER
203639329016OtherTRICARE PROVIDER NUMBER
203639329004OtherTRICARE PROVIDER NUMBER
93013OtherSENTARA/OPTIMA PROVIDER N
186341OtherANTHEM PROVIDER NUMBER
329080OtherSOUTHERN HEALTH PROVIDER
186289OtherANTHEM PROVIDER NUMBER
203639329004OtherTRICARE PROVIDER NUMBER
P00282955Medicare PIN