DALLAS JAMES MCCRACKEN PA-C
NPI 1942458922
Physician Assistant - Surgical in Beckley, WV

Active since September 03, 2008
215 BROOKSHIRE LN, BECKLEY, WV 25801(304) 253-1077(304) 253-9611 Get Directions Write a Review

NPPES record last updated: January 26, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dallas James Mccracken Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DALLAS JAMES MCCRACKEN PA-C (NPI 1942458922) is an individual surgical provider in Beckley, West Virginia, licensed in West Virginia (958) and active in the NPI registry since September 2008.

NPPES Registry Identity

NPI1942458922
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameDALLAS JAMES MCCRACKENCredential: PA-C
Location Address215 BROOKSHIRE LNBeckley, WV 25801-6729
Mailing Address215 Brookshire LnBeckley, WV 25801-6729 · (304) 253-1077 · Fax (304) 253-9611
Fax(304) 253-9611
Sole ProprietorNo
Enumeration DateSeptember 3, 2008
Last NPPES UpdateJanuary 26, 2010
NPI 1942458922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in WV · 958
215 BROOKSHIRE LN, Beckley, WV 25801

Other Identifiers 1

Medicare UPINP68729WV

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
215 BROOKSHIRE LN
BECKLEY, WV 25801
Physician Assistant (Surgical)
215 BROOKSHIRE LN
BECKLEY, WV 25801
Orthopaedic Surgery
215 BROOKSHIRE LN
BECKLEY, WV 25801
Orthopaedic Surgery (Sports Medicine)
215 BROOKSHIRE LN
BECKLEY, WV 25801
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
215 BROOKSHIRE LN
BECKLEY, WV 25801

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942458922, enumerated as an "individual" on September 03, 2008.

The provider is located at 215 BROOKSHIRE LN BECKLEY, WV 25801 and the phone number is (304) 253-1077.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.