ROMEO R EDNACOT (NPI# 1003810631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003810631 |
| Entity Type | Individual |
| Full Name | ROMEO R EDNACOT |
| Credential | MD |
| Practice Address |
207 Maplewood Ave Ronceverte WV 24970-1335 |
| Mailing Address |
Po Box 3705 Charleston WV 25337-3705 |
| Practice Telephone | 3046457007 |
| Practice Fax Number | 3046457008 |
| Mailing Telephone | 3045365030 |
| Mailing Fax Number | 3045365031 |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
10073 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0112064000 | 05 |
| Street Address |
207 MAPLEWOOD AVE |
| City | RONCEVERTE |
| State | WV |
| Zip Code | 24970-1335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770197980 | Susan Linton | Technician | 3776 Holes Mill Rd, Ronceverte, WV 24970 | 2020-09-04 |
| 1417561143 | Lori Selene Pickler | Technician | 974 C.west Main St, Ronceverte, WV 24970 | 2020-09-01 |
| 1184237257 | Jotina Hamrick | Technician | 194 Sellers St. Apt.a, Ronceverte, WV 24970 | 2020-08-28 |
| 1871072066 | Blink, Inc. | Eyewear Supplier (Equipment, not the service) | 3942 David Stuart Road, Suite 1, Ronceverte, WV 24970 | 2018-08-09 |
| 1407233976 | Rocky Mountain Holdings, LLC | Ambulance | 584 Airport Road, Box 9 (hangar 4), Lewisburg, WV 24970 | 2015-05-04 |
| 1245500040 | Seneca Family Foot Care, Pllc | Podiatrist | 336 Seneca Trail, Ronceverte, WV 24970 | 2012-01-10 |
| 1922301035 | Dwan Shasta Hamons | Pharmacist | 180 Red Oaks Shopping Center, Ronceverte, WV 24970 | 2010-12-10 |
| 1427351840 | Xuan Le Berry | Pharmacist | 180 Red Oaks Shopping Ctr., Ronceverte, WV 24970 | 2010-12-07 |
| 1104129683 | James P Meadows | Pharmacist | 180 Red Oak Shopping Center, Ronceverte, WV 24970 | 2010-12-06 |
| 1891924676 | Blink, Inc. | Optometrist | 101 Davis Stuart Road, Ronceverte, WV 24970 | 2009-07-14 |
| Find all providers in zip 24970 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831494376 | Robin Darnell Pllc | Pediatrics | 4502 Maccorkle Ave Se Ste B, Charleston, WV 25304-1835 | 2011-01-13 |
| 1669669453 | Karyn Lynette Molinari-fryer | Pediatrics | 139 Conference Center Way, Suite 113, Bridgeport, WV 26330 | 2007-09-26 |
| 1649304395 | Carlos E Lucero | Pediatrics | 403 Carriage Dr, Beckley, WV 25801-2805 | 2007-03-15 |
| 1588705107 | Sunila Mehrotra | Pediatrics | 2101 Jacob St Ste 602, Wheeling, WV 26003-3844 | 2007-02-08 |
| 1407819360 | Anna Maria Suray | Pediatrics | 3045 Pennsylvania Ave, Suite 3 Level 1, Weirton, WV 26062-3770 | 2006-04-10 |
| 1295737153 | Ann M. Lambernedis | Pediatrics | 111 Great Teays Blvd Ste 101, Scott Depot, WV 25560-9548 | 2005-08-11 |
| 1477554574 | Pamela S. Stallo | Pediatrics | 303 Great Teays Blvd, Scott Depot, WV 25560-9553 | 2005-08-10 |
| 1821338047 | Abc Pediatrics, Pllc | Pediatrics | 830 Pennsylvania Ave, Ste. 200, Charleston, WV 25302-3302 | 2013-02-25 |
| 1982953873 | Bee Healthy Pediatrics Pllc | Pediatrics | 400 Court St, Suite 300, Charleston, WV 25301-1652 | 2012-09-06 |
| 1881839892 | Woman and Child, PC | Pediatrics | 1004 Tavern Rd, Martinsburg, WV 25401-2864 | 2008-12-04 |
| Find all providers with the same taxonomy | ||||
| City | RONCEVERTE |
| Zip Code | 24970 |
Please comment or provide details below to improve the information on ROMEO R EDNACOT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.