Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1306842307 Individual Practitioner Male Practitioner

Leroy Keith Van Dyke , PA

Physician Assistant • Moses Lake, WA

Professional Overview & Biography Verified Profile Summary

Leroy Van Dyke, PA is a registered healthcare professional specializing in Physician Assistant in Moses Lake, WA. Practice services are available at 3322 ROAD N NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3322 Road N Ne

Moses Lake, WA 988379505

Telephone 5097939051
Fax 5097668585

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Moses Lake, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
30 Specialists

Practicing in Moses Lake, WA (3774 Statewide)

Telehealth Adoption Rate
3.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WA PA10003296

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
8421323 (WA)

Career & Practice History Timeline

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

7 Historical Events
👤
Provider Name / Credentials Updated January 18, 2024

Recorded as LEROY VAN DYKE, PA

NPI Profile Active November 30, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location November 30, 2012

Registered at 3322 ROAD N NE, MOSES LAKE, WA 988379505 (Tel: 5097668555)

📍
Updated Business Mailing Address November 30, 2012

Registered at 3322 ROAD N NE, MOSES LAKE, WA 988379505 (Tel: 5097668555)

👤
Provider Name / Credentials Updated November 30, 2012

Recorded as LEROY VANDYKE, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 30, 2012

Physician Assistant (License #PA10003296 in WA)

🟢
Initial NPI Registration & Enumeration June 23, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Leroy Van Dyke. Be the first to share your experience!

Sign in to leave a review for Leroy Van Dyke

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1306842307
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 23, 2005
Last Update: January 18, 2024
Sole Proprietor: Yes

Mailing Address

3322 Road N Ne

Moses Lake, WA 988379505

Phone: 5097939051

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.