Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1396760930 Individual Practitioner Male Practitioner

Daniel Thomas Thibodeau , PA

Physician Assistant • Williamsburg, VA

Professional Overview & Biography Verified Profile Summary

Daniel Thibodeau, PA is a registered healthcare professional specializing in Physician Assistant in Williamsburg, VA. Practice services are available at 400 SENTARA CIR STE 320 under active NPI credentials.

Frequently performed procedures and clinical services include exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

400 Sentara Cir Ste 320

Williamsburg, VA 231885716

Telephone 7573454800
Associated Practice Facility / Clinic
🏢 Sentara Medical Group Facility NPI 1457553125

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Williamsburg, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.8 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
39 Specialists

Practicing in Williamsburg, VA (4432 Statewide)

Telehealth Adoption Rate
15.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
73.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician
14 14 $72.00 $18.84

Medical Specialties & State Licenses

CMS Verified: 2023-11-22
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License VA 011000711

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Secondary Practice Locations

5838 Habourview Blvd, Suite 270

Suffolk, VA 23435

Phone: 7575411050

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Kelly Spann , NP

Nurse Practitioner - Family

NPI 1003990441

Nurse Practitioner

Dr. Ravi Srivastava , MD

Internal Medicine - Cardiovascular Disease

NPI 1134157019

Doctor of Medicine (M.D.)

Amin Musaitif

Physician Assistant

NPI 1144969874
Carly Ann Morris , PA-C

Physician Assistant

NPI 1336867563

Physician Assistant (Certified)

Kimberli Rhoiney , NP-C

Nurse Practitioner - Adult Health

NPI 1407138209

Nurse Practitioner (Certified)

Dr. Michael Gambill , DO

Internal Medicine - Cardiovascular Disease

NPI 1679769202

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location September 21, 2021

Registered at 400 SENTARA CIR STE 320, WILLIAMSBURG, VA 231885716 (Tel: 7573454800)

📍
Updated Business Mailing Address September 21, 2021

Registered at 400 SENTARA CIR STE 320, WILLIAMSBURG, VA 231885716 (Tel: 7573454800)

📍
Updated Practice Location February 23, 2021

Registered at 5838 HABOURVIEW BLVD, SUITE 270, SUFFOLK, VA 23435 (Tel: 7575411050)

📍
Updated Business Mailing Address February 23, 2021

Registered at 5838 HABOURVIEW BLVD, SUITE 270, SUFFOLK, VA 23435 (Tel: 7575411050)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 23, 2021

Physician Assistant (License #011000711 in VA)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 4092 FOXWOOD DR, VIRGINIA BEACH, VA 234625225 (Tel: 7574674200)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 7549, PORTSMOUTH, VA 237070549

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as DANIEL THIBODEAU, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant

🟢
Initial NPI Registration & Enumeration July 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396760930
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 13, 2006
Last Update: November 22, 2023
Sole Proprietor: No

Mailing Address

400 Sentara Cir Ste 320

Williamsburg, VA 231885716

Phone: 7573454800

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.