Basic Information
| Provider Information | |||||||||
| NPI: | 1881661965 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NAUSS | ||||||||
| FirstName: | DAVID | ||||||||
| MiddleName: | COOPER | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 96 15TH ST NW | ||||||||
| Address2: | SUITE 104 | ||||||||
| City: | NORTON | ||||||||
| State: | VA | ||||||||
| PostalCode: | 242731620 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2766798890 | ||||||||
| FaxNumber: | 2766799740 | ||||||||
| Practice Location | |||||||||
| Address1: | 100 15TH ST NW | ||||||||
| Address2: | |||||||||
| City: | NORTON | ||||||||
| State: | VA | ||||||||
| PostalCode: | 242731616 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2766799600 | ||||||||
| FaxNumber: | 2766799008 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/07/2006 | ||||||||
| LastUpdateDate: | 02/11/2010 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | 0101052473 | VA | Y | Allopathic & Osteopathic Physicians | Anesthesiology | 207LP2900X | 0101052473 | VA | N | Allopathic & Osteopathic Physicians | Anesthesiology | Pain Medicine |
ID Information
| ID | Type | State | Issuer | Description | 1881661965 | 05 | VA | MEDICAID | 6466733000 | 05 | KY | MEDICAID |