PAMELA KAY MADDOX (NPI# 1073679270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073679270 |
Entity Type | Individual |
Full Name | PAMELA KAY MADDOX |
Credential | MSN-FNP |
Practice Address |
6a Bank St Nitro WV 25143-1708 |
Mailing Address |
4605 Maccorkle Ave Sw Ths Physician Partners, Inc.-admin Ofc South Charleston WV 25309-1311 |
Practice Telephone | 3043063058 |
Practice Fax Number | 3043063059 |
Mailing Telephone | 3044144800 |
Mailing Fax Number | 3044144801 |
Enumeration Date | 2006-12-29 |
Last Update Date | 2018-12-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
47383 | WV | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
47383 | WV | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WV | 3810006267 | 05 | |
WV | GROUP MEDICAID | 3810024049 | 01 |
WV | GROUP MEDICARE | B441 | 01 |
Street Address |
6A BANK ST |
City | NITRO |
State | WV |
Zip Code | 25143-1708 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720551633 | Andrea Dawn Moses | Nurse Practitioner | 6a Bank St, Nitro, WV 25143-1708 | 2019-01-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225639537 | Regina Alford | Technician | 640 Cross Lanes Dr. Apt #6, Nitro, WV 25143 | 2020-11-03 |
1831677061 | Amy Bateman | Pharmacist | Fruth Pharmacy Patient Care Center, 106 21st Street, Nitro, WV 25143 | 2018-07-31 |
1033617543 | Anne Dean | Technician | 3306 3rd St, Nitro, WV 25143 | 2018-01-30 |
1720506363 | Philip Neil Kennedy II | Pharmacist | 106 21st Street, Nitro, WV 25143 | 2017-09-05 |
1326373705 | Laurie Jewel Elkins | Nurse Anesthetist, Certified Registered | 905 Washington Avenue, Nitro, WV 25143 | 2009-10-02 |
1588826515 | Rachel Heilmann | Pharmacist | 113 Norwood Drive, Nitro, WV 25143 | 2008-07-01 |
1326140922 | Terry Lee Mcwatters | Dentist | 2201 22nd Street, Nitro, WV 25143 | 2006-09-02 |
1942256821 | Modern Medicine Inc | Durable Medical Equipment & Medical Supplies | 4114 1st Ave, Nitro, WV 25143 | 2006-05-25 |
1962455261 | Eye Doc Inc | Optometrist | 100 Nitro Marketplace, Nitro, WV 25143 | 2006-05-18 |
1639665912 | Damous Center | Clinic/Center | 234 Lee Ave, Nitro, WV 25143 | 2018-07-10 |
Find all providers in zip 25143 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750781027 | Scott G Boggs | Nurse Practitioner | 40 Fairland Dr, Nitro, WV 25143-1186 | 2014-08-24 |
1659663144 | Crystal R. Holstein | Nurse Practitioner | 4111 1st Ave Ste 3, Nitro, WV 25143-1345 | 2011-05-03 |
1790349389 | Katelyn D. Smithson | Nurse Practitioner | 4111 1st Ave Ste 3, Nitro, WV 25143-1345 | 2019-04-29 |
1427401561 | Margaret H. Wheeler | Nurse Practitioner | 4111 1st Ave, Suite 3, Nitro, WV 25143-1345 | 2016-07-13 |
1265840862 | Sarah Jayne Cobb | Nurse Practitioner | 4111 1st Ave Ste 3, Nitro, WV 25143-1345 | 2014-07-27 |
1497188908 | Jennifer H Nunley | Nurse Practitioner | 4111 1st Ave, Suite 3, Nitro, WV 25143-1345 | 2013-08-20 |
1508208117 | Lynn Catherine Moreland | Nurse Practitioner | 2206 22nd St, Nitro, WV 25143-1729 | 2013-07-24 |
1417086166 | Becky Ann Dempsey | Nurse Practitioner | 4111 1st Ave, Suite 3, Nitro, WV 25143-1345 | 2007-03-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013517259 | Jeniffer Rachelle Wickline | Nurse Practitioner | 1265 Maplewood Ave, Lewisburg, WV 24901-9478 | 2020-10-27 |
1497354047 | Sara L Clayborne | Nurse Practitioner | 130 N Queens Ct, Huntington, WV 25705-3736 | 2020-10-23 |
1427656735 | Kisha Lanece James | Nurse Practitioner | 16 Red Mulberry Way Apt 3, Charleston, WV 25306-0107 | 2020-10-09 |
1568069110 | Sarah Michelle Jones | Nurse Practitioner | 198 Morgantown St Unit 2, Bruceton Mills, WV 26525-5003 | 2020-10-07 |
1114524287 | Mary E Christian | Nurse Practitioner | 2107 Pike St Ste 3, Parkersburg, WV 26101-6973 | 2020-10-02 |
1376140517 | Katheryn Sue Marsh | Nurse Practitioner | 94 W Main St Ste 202, Buckhannon, WV 26201-2376 | 2020-10-01 |
1114534567 | Natalie Renee Warner | Nurse Practitioner | 601 Colliers Way Ste 502, Weirton, WV 26062-5014 | 2020-09-29 |
1942816137 | Angela Renee Goff | Nurse Practitioner | 119 Main St W Ste A, Oak Hill, WV 25901-2972 | 2020-09-22 |
1306452800 | Beverly Christine Young | Nurse Practitioner | 608 New Hope Rd Ste 8, Princeton, WV 24740-2287 | 2020-09-20 |
1407462070 | Lindsey King | Nurse Practitioner | 122 Waterside Cir, Winfield, WV 25213-9551 | 2020-09-19 |
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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.