MR. RALPH EMERSON AMICK JR. (NPI# 1093774903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093774903 |
| Entity Type | Individual |
| Full Name | MR. RALPH EMERSON AMICK JR. |
| Credential | PA-C |
| Practice Address |
200 Veterans Ave Beckley WV 25801-6444 |
| Mailing Address |
3685 Grandview Rd Beaver WV 25813-9291 |
| Practice Telephone | 3042552121 |
| Practice Fax Number | 3042565159 |
| Mailing Telephone | 3042552121 |
| Mailing Fax Number | 3042565159 |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
200 VETERANS AVE |
| City | BECKLEY |
| State | WV |
| Zip Code | 25801-6444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396735981 | John David Berryman | Obstetrics & Gynecology | 200 Veterans Ave, Beckley, WV 25801-6444 | 2005-10-25 |
| 1265031991 | Kristy Lea Moeller | Nurse Practitioner | 200 Veterans Ave, Beckley, WV 25801-6444 | 2020-10-23 |
| 1316546047 | Candice Marie Young | Registered Nurse | 200 Veterans Ave, Beckley, WV 25801-6444 | 2020-10-23 |
| 1902403686 | Ashley Brooke Dorsey | Pharmacist | 200 Veterans Ave, Beckley, WV 25801-6444 | 2020-10-05 |
| 1487251450 | Victoria Ann Redden | Registered Nurse | 200 Veterans Ave, Beckley, WV 25801-6444 | 2020-10-02 |
| 1598371726 | Robert David Estepp II | Recreation Therapist | 200 Veterans Ave, Beckley, WV 25801-6444 | 2020-09-22 |
| 1316562978 | Leila Ann Tilley | Pharmacist | 200 Veterans Ave, Beckley, WV 25801-6444 | 2020-06-10 |
| 1811510001 | Hannah Davidson Keeney | Pharmacist | 200 Veterans Ave, Beckley, WV 25801-6444 | 2020-05-21 |
| 1841820628 | Staci Morgan Little | Social Worker | 200 Veterans Ave, Beckley, WV 25801-6444 | 2020-01-22 |
| 1104473354 | Liem Nguyen | Pharmacist | 200 Veterans Ave, Beckley, WV 25801-6444 | 2019-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144835190 | Misty Dawn Chambers | Psychologist | 154 Lagoon Way, Beckley, USA 25801 | 2020-09-15 |
| 1912511437 | Katherine Lynne Mcghee | Technician | 120 Schlager Dr., Beckley, WV 25801 | 2020-09-02 |
| 1255942421 | Tyesha Burger | Technician | 442 Industrial Dr, Beckley, WV 25801 | 2020-08-12 |
| 1053920553 | Angela Sanches | Case Manager/Care Coordinator | 134 Gooseberry Ln, Beckley, WV 25801 | 2020-07-30 |
| 1871119933 | Tiffani Michelle Dale | Counselor | 111 Coral Court, Apt 5, Beckley, WV 25801 | 2020-06-24 |
| 1679046049 | Liberty Dental Centers | Dentist | 102 Galleria Plaza, Beckley, WV 25801 | 2019-01-08 |
| 1952884942 | Susan Rae Rash | Nurse Practitioner | 250 Stanaford Rd Ste 203, Beckley, WV 25801 | 2018-09-14 |
| 1689169039 | Megan Rae Walker | Dentist | 3153 Robert C. Byrd Drive, Beckley, WV 25801 | 2018-06-28 |
| 1104318625 | Mountain State Vascular, Inc. | Surgery | 121 George Street, Beckley, WV 25801 | 2018-05-31 |
| 1356841100 | Harper Road Treatment Center LLC | Family Medicine | 1802 Harper Rd Ste 202, Beckley, WV 25801 | 2018-02-19 |
| Find all providers in zip 25801 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104823830 | Michael Lee Belcher | Physician Assistant | 230 George St, Suite 2, Beckley, WV 25801-2620 | 2005-07-07 |
| 1871145623 | Anthony Paul Brunetti | Physician Assistant | 215 Brookshire Ln, Beckley, WV 25801-6729 | 2019-07-11 |
| 1124362413 | Megan Nicole Dincher | Physician Assistant | 122 George St, Beckley, WV 25801-2608 | 2012-11-27 |
| 1992083992 | Matthew R Dincher | Physician Assistant | 122 George St, Beckley, WV 25801-2608 | 2011-07-26 |
| 1942458922 | Dallas James Mccracken | Physician Assistant | 215 Brookshire Ln, Beckley, WV 25801-6729 | 2008-09-03 |
| 1699859025 | Karen K Rainey | Physician Assistant | 2401 S Kanawha St, Suite 104, Beckley, WV 25801-6967 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649561408 | Trell Marie Stowell | Physician Assistant | 1 Medical Center Drive, Suite 9238, Wvu Dept. of Surgery, Morgantown, WV 26506 | 2011-04-28 |
| 1821158536 | Brook E Morgan | Physician Assistant | 1600 Murdoch Avenue, Suite 100, Parkersburg, WV 26101 | 2006-12-11 |
| 1205842713 | Melissa M Glauser | Physician Assistant | 1021 Mt Dechantel Road, Wheeling, WV 26003 | 2006-08-01 |
| 1346733086 | Kari Rae Hunter | Physician Assistant | 210 Brooks St Ste 200, Charleston, WV 25301-1848 | 2018-06-07 |
| 1275035685 | Holly Harris | Physician Assistant | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2018-03-01 |
| 1255846671 | James Keith Burress Jr. | Physician Assistant | 2000 Eoff St, Wheeling, WV 26003-3823 | 2017-12-07 |
| 1346751237 | Adam Nathaniel Hill | Physician Assistant | 415 Morris St Ste 400, Charleston, WV 25301-1854 | 2017-10-18 |
| 1952810046 | Nathan Merl Musser | Physician Assistant | 1 Medical Park, Wheeling, WV 26003-6379 | 2017-09-21 |
| 1538688650 | Nancy Balewski | Physician Assistant | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2017-09-11 |
| 1295259117 | Josee Leigh Zydonik | Physician Assistant | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2017-08-02 |
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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.