DR. KATHALEEN C PERKINS (NPI# 1043391204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043391204 |
| Entity Type | Individual |
| Full Name | DR. KATHALEEN C PERKINS |
| Credential | M.D. |
| Practice Address |
1 Stadium Drive Morgantown WV 26506 |
| Mailing Address |
Po Box 897 Morgantown WV 26507-0897 |
| Practice Telephone | 3045984800 |
| Practice Fax Number | 3042936963 |
| Mailing Telephone | 3042937401 |
| Mailing Fax Number | 3042936963 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
16062 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0106667000 | 05 |
| Street Address |
1 STADIUM DRIVE |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548252281 | Vincent Walter Delagarza | Family Medicine | 1 Stadium Drive, Health Sciences Center, Morgantown, WV 26505 | 2005-08-18 |
| 1114270105 | Tiffany D Lannan | Nurse Practitioner | 1 Stadium Drive, Morgantown, WV 26506 | 2012-10-16 |
| 1730438078 | Amanda Kessler | Occupational Therapist | 1 Stadium Drive, Morgantown, WV 26506 | 2012-08-31 |
| 1205195971 | Hilary Elaine Morley | Pediatrics | 1 Stadium Drive, Morgantown, WV 26506 | 2012-05-15 |
| 1780943977 | Wvu Hospitals | Student in an Organized Health Care Education/Training Program | 1 Stadium Drive, Morgantown, WV 26506 | 2012-05-09 |
| 1770852519 | Stephanie A Olcese | Nurse Practitioner | 1 Stadium Drive, Morgantown, WV 26506 | 2011-12-23 |
| 1578846762 | Stephania Amanda Acord | Occupational Therapist | 1 Stadium Drive, Morgantown, WV 26506-7911 | 2011-09-23 |
| 1831471424 | Terri Lynn Marcischak | Registered Nurse | 1 Stadium Drive, Wvu Hospitals, Morgantown, WV 26506 | 2011-09-09 |
| 1346538931 | Brian Daniel Connolly | Radiology | 1 Stadium Drive, Morgantown, WV 26505 | 2011-07-16 |
| 1356634927 | Lisa Marie Costello | Internal Medicine | 1 Stadium Drive, Morgantown, WV 26506 | 2011-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124656491 | Lauren Bakos | Student in an Organized Health Care Education/Training Program | Department of Oral Surgery Room 1200 Hsc North, Morgantown, WV 26506 | 2020-03-31 |
| 1720613888 | Katharina Marie Mitchell | Student in an Organized Health Care Education/Training Program | Wvu Hospitals Ruby Memorial & Physician Office Center, 1 Medical Center Drive, Morgantown, WV 26506 | 2020-03-10 |
| 1811533961 | Hongyan Wu | Nurse Practitioner | Neurology Clinic, Wvu Eye Institute, 1 Medical Center Drive, Morgantown, WV 26506 | 2019-11-25 |
| 1871054569 | Brandon Chase Neeley | Student in an Organized Health Care Education/Training Program | 1 Stadium Dr Fl 3 Eye Institute, Morgantown, WV 26506 | 2019-03-26 |
| 1588125223 | Temitope Michael Kehinde | Student in an Organized Health Care Education/Training Program | 64 Medical Center Drive 2305hscn, Morgantown, WV 26506 | 2019-03-26 |
| 1417412743 | West Virginia University Hospitals, Inc. | Substance Abuse Rehabilitation Facility | 751 Benefactor Drive, Morgantown, WV 26506 | 2019-01-31 |
| 1932603024 | Emma Bacharach | Student in an Organized Health Care Education/Training Program | J.w. Ruby Memorial Hospital, 1 Medical Center Drive, Morgantown, WV 26506 | 2018-03-22 |
| 1982108270 | Qaisar Syed | Student in an Organized Health Care Education/Training Program | Wvu Medicine Anesthesiology, 1 Medical Center Drive, Morgantown, WV 26506 | 2018-03-21 |
| 1417451063 | Michael Savilla | Student in an Organized Health Care Education/Training Program | Wvu Medicine Anesthesiology, 1 Medical Center Drive, Morgantown, WV 26506 | 2018-03-20 |
| 1194255620 | William Black | Dentist | Room 1200 Hsc North, P.o. Box 9475, Morgantown, WV 26506 | 2017-06-18 |
| Find all providers in zip 26506 | ||||
| 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 |
|---|---|---|---|---|
| 1356548630 | Christine A. Banvard-fox | Pediatrics | 9247 Student Health Service, Robert C. Byrd Health Sciences Center, Morgantown, WV 26506-9247 | 2007-06-29 |
| 1427263664 | Uha Ped-adoles Grp Pract (paasgrp) | Pediatrics | 1 Stadium Drive, Morgantown, WV 26506 | 2007-05-11 |
| 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 |
| 1003810631 | Romeo R Ednacot | Pediatrics | 207 Maplewood Ave, Ronceverte, WV 24970-1335 | 2005-06-10 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | MORGANTOWN |
| Zip Code | 26506 |
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| 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.