GLENVILLE STATE COLLEGE (NPI# 1043850191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043850191 |
| Entity Type | Organization |
| Organization Name | GLENVILLE STATE COLLEGE |
| Practice Address |
200 High St Glenville WV 26351-1200 |
| Mailing Address |
5050 Spring Valley Rd Dallas TX 75244-3995 |
| Practice Telephone | 9723674845 |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2020-01-07 |
| Authorized Official Name | MOUZON BASS III (ADMINISTRATOR/AGENT) |
| Authorized Official Telephone | 9723674845 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RS0010X |
Internal Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Glenville Sports Medicine | Doing Business As Name - Organization |
| Street Address |
200 HIGH ST |
| City | GLENVILLE |
| State | WV |
| Zip Code | 26351-1200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598325581 | Nicole Schrader | Student in an Organized Health Care Education/Training Program | 200 High St, Glenville, WV 26351-1200 | 2019-06-20 |
| 1548754377 | Joel Roberts | Specialist/Technologist | 200 High St, Glenville, WV 26351-1200 | 2018-06-15 |
| 1821581067 | Yoshikatsu Abe | Specialist/Technologist | 200 High St, Glenville, WV 26351-1200 | 2018-06-12 |
| 1376801670 | Brent Walters | Specialist/Technologist | 200 High St, Glenville, WV 26351-1200 | 2012-04-25 |
| 1871859470 | Joann Tymeson | Physical Therapist | 200 High St, Glenville, WV 26351-1200 | 2012-04-09 |
| 1982979548 | Glenville State University | Clinic/Center | 200 High St, Glenville, WV 26351-1200 | 2012-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073059838 | Nineteenth Circuit Community Corrections Program | Community/Behavioral Health | 216 West Main Street, Grafton, WA 26351 | 2017-01-17 |
| 1578841896 | Tana Renee Kevak | Nurse Practitioner | 921 Mineral Rd Ste 101, Glenville, WV 26351 | 2011-08-03 |
| 1881710598 | June Julie Turner | Naturopath | 2607 Duck Run Road, Glenville, WV 26351 | 2007-03-22 |
| 1366479297 | Hilary Dawn Miller | Family Medicine | 604 W Main St, Glenville, WV 26351 | 2006-06-27 |
| 1295770600 | Little Kanawha Family Medicine Pllc | Family Medicine | 604 W Main St, Glenville, WV 26351 | 2006-06-19 |
| 1982707469 | Carl Edwin Nichols | Family Medicine | Gilmer County Urgent Care, 101 College Street, Glenville, WV 26351-0299 | 2006-09-07 |
| 1669548939 | John C Westfall | Dentist | 809 Mineral Rd, Glenville, WV 26351-0700 | 2006-11-28 |
| 1679560361 | Gilmer County Ambulance Service | Ambulance | 230 W Main St, Glenville, WV 26351-1051 | 2005-09-29 |
| 1154799294 | Lasa Bree Mencer | Massage Therapist | 106 E Main St, Glenville, WV 26351-1117 | 2015-09-06 |
| 1285677013 | Mark J Cinalli Od Faao Pllc | Optometrist | 307 Howard St, Glenville, WV 26351-1170 | 2006-06-13 |
| Find all providers in zip 26351 | ||||
| Taxonomy Code | 207RS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sports Medicine |
| An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558829846 | Jonathan Brice Arrington | Internal Medicine | 2300 Maccorkle Ave Se Rm 409, Charleston, WV 25304-1045 | 2019-03-06 |
| 1255351201 | Stephen Derrick Eddy | Internal Medicine | 30 Medical Park, Suite 201, Wheeling, WV 26003-6391 | 2006-07-20 |
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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.