SUMMERSVILLE PEDIATRICS, INC. (NPI# 1134464290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134464290 |
| Entity Type | Organization |
| Organization Name | SUMMERSVILLE PEDIATRICS, INC. |
| Practice Address |
101 Florence Street Ansted WV 25812 |
| Mailing Address |
400 Fairview Heights Rd Suite 302 Summersville WV 26651-9308 |
| Practice Telephone | 3048727063 |
| Practice Fax Number | 3048727080 |
| Mailing Telephone | 3048727063 |
| Mailing Fax Number | 3048727080 |
| Enumeration Date | 2012-11-30 |
| Last Update Date | 2015-03-20 |
| Authorized Official Name | JOYCE MCCLUNG (OFFICE MANAGER) |
| Authorized Official Telephone | 3048727063 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 01157 | WV | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700270436 | Summersville Pediatrics, Inc. | Clinical Nurse Specialist | 142 N Court Square, Webster Springs, WV 26288 | 2015-03-19 |
| Street Address |
101 FLORENCE STREET |
| City | ANSTED |
| State | WV |
| Zip Code | 25812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134259278 | Shawn Edward Strickland | Physician Assistant | 101 Florence Street, Ansted, WV 25812 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801493499 | Camden On Gauley Medical Center Inc | Clinic/Center | 52 Florence Street, Ansted, WV 25812 | 2020-10-06 |
| 1275144420 | Kenneth Carter Marks | Home Health Aide | 27 Halstead Street, B, Ansted, WV 25812 | 2020-08-12 |
| 1548757115 | Devon Steele | Physical Therapy Assistant | 96 Tyree St, Ansted, WV 25812 | 2018-04-18 |
| 1689111247 | Natosha Wilson | Occupational Therapy Assistant | 96 Tyree Street, Ansted, WV 25812 | 2017-01-20 |
| 1588039242 | Summersville Outpatient Center | Clinic/Center | 100 Florence Street, Ansted, WV 25812 | 2015-12-07 |
| 1013140433 | Kiley Michelle Price | Occupational Therapy Assistant | 106 Tyree St., Ansted, WV 25812 | 2009-09-02 |
| 1538287594 | Erica Withrow | Occupational Therapy Assistant | Old Midland Trail-rt 60, Ansted, WV 25812 | 2007-03-27 |
| 1437274982 | Lori Ann Clark | Physical Therapy Assistant | Old Midland Trail-rt. 60, Ansted, WV 25812 | 2007-03-20 |
| 1477592103 | Genesis Health Ventures of West Virginia L P | Skilled Nursing Facility | 106 Tyree Street, Ansted, WV 25812 | 2006-06-06 |
| 1164910782 | Amber Whitmore | Speech-Language Pathologist | 96 Tyree St, Ansted, WV 25812 | 2018-04-30 |
| Find all providers in zip 25812 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - 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 |
|---|---|---|---|---|
| 1902404395 | Williamson Health & Wellness Center, Inc | Pediatrics | 859 Alderson St Ste 4000, Williamson, WV 25661-3215 | 2020-10-16 |
| 1770127516 | Nicole Danielle Clendenin | Pediatrics | 314 Goff Mountain Rd Ste 16, Charleston, WV 25313-6600 | 2019-11-05 |
| 1760914691 | Bradley Gilbert Marple | Pediatrics | 401 6th Ave Ste 101, Montgomery, WV 25136-2116 | 2017-03-30 |
| 1447645007 | Jordan Beckett | Pediatrics | 414 Grand Park Dr Ste 1, Parkersburg, WV 26105-4065 | 2015-03-31 |
| 1235489931 | Spring Mills Medical Center | Pediatrics | 1179 T J Jackson Dr, Falling Waters, WV 25419-4698 | 2012-09-11 |
| 1982963278 | Lauren M Thompson | Pediatrics | 179 Station Pl, Suite 200, Hurricane, WV 25526-6578 | 2012-05-08 |
| 1215203500 | Valley Health Systems, Inc. | Pediatrics | 5b Rr 2, Poca, WV 25159-9601 | 2012-03-30 |
| 1609142983 | Valley Health Systems, Inc. | Pediatrics | 2550 Us Route 60, Hurricane, WV 25526-9436 | 2012-03-30 |
| 1154697431 | Valley Health Systems, Inc. | Pediatrics | 1246 Mcclellan Hwy, Harts, WV 25524 | 2012-03-30 |
| 1124303151 | Samuel P Rojas Md Inc | Pediatrics | 143 1/2 Stollings Ave, Logan, WV 25601-4010 | 2011-10-21 |
| Find all providers with the same taxonomy | ||||
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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.