JERRY ANDERSON (NPI# 1215549373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215549373 |
| Entity Type | Individual |
| Full Name | JERRY ANDERSON |
| Practice Address |
3061 Old Logan Rd Logan WV 25601-3367 |
| Practice Telephone | 3046877783 |
| Mailing Telephone | 3046877783 |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2020-08-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790164234 | Jerry Anderson | Psychologist | 1067 Pr 2262, Giddings, TX 78942-6171 | 2015-05-28 |
| 1689965519 | Jerry L Anderson | Contractor | 6493 Fitz Ln, Tallahassee, FL 32311-9327 | 2011-04-26 |
| 1245689363 | Jerry Anderson | Behavioral Analyst | 9586 Carrari Ct, Alta Loma, CA 91737-1607 | 2016-06-09 |
| 1790077121 | Jerry S Anderson | Hearing Instrument Specialist | 24012 Calle De La Plata, Ste 215, Laguna Hills, CA 92653-3621 | 2011-05-04 |
| 1144348061 | Jerry Ronald Anderson | Counselor | 800 N Main St, Suite N, Corsicana, TX 75110-3031 | 2007-03-27 |
| 1194861922 | Jerry Lee Anderson | Physical Therapist | 1151 N Rock Rd, Wichita, KS 67206-1262 | 2007-01-29 |
| 1356351688 | Jerry M Anderson Jr. | Obstetrics & Gynecology | 34509 9th Ave S, Ste 207, Federal Way, WA 98003-6700 | 2006-08-09 |
| 1952368805 | Jerry E Anderson | Radiology | 1218 S Broadway, Suite 310, Lexington, KY 40504-2759 | 2006-04-26 |
| 1942299573 | Jerry S Anderson | Chiropractor | 1431 S College St, Winchester, TN 37398-2414 | 2005-10-17 |
| Street Address |
3061 OLD LOGAN RD |
| City | LOGAN |
| State | WV |
| Zip Code | 25601-3367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689805 | Appalachian Medical LLC | Durable Medical Equipment & Medical Supplies | 218 Dingess St, Logan, WV 25601 | 2020-11-04 |
| 1184224909 | Pamela Gail Hamlin | Technician | 123 Cassick Street, Logan, WV 25601 | 2020-10-30 |
| 1134607344 | Allyson Christa Mckinney | Occupational Therapy Assistant | 55 Lmmh Center Road, Logan, WV 25601 | 2018-07-31 |
| 1841783727 | Erica Lupson | Nurse Practitioner | 3 Mile Curve, Logan, WV 25601 | 2018-06-14 |
| 1861930836 | Joseph Michael Mounts | Counselor | 312 Hudgins St, Logan, WV 25601 | 2017-02-09 |
| 1932647385 | Melissa Campbell | Occupational Therapy Assistant | Wv-10, Logan, WV 25601 | 2017-02-06 |
| 1356891659 | Brooke Bell | Pharmacist | Route 44 Holden Rd, Logan, WV 25601 | 2016-10-11 |
| 1760886469 | April Workman | Massage Therapist | 19 A Main Avenue, Logan, WV 25601 | 2014-10-09 |
| 1366889081 | Ashley Leann Dingess | Physical Therapy Assistant | 55 Logan Mingo Mental Health, Logan, WV 25601 | 2013-06-04 |
| 1528361466 | Health Care Management, LLC | Pharmacy | 369 George Kostas Drive, Logan, WV 25601 | 2010-12-15 |
| Find all providers in zip 25601 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184224909 | Pamela Gail Hamlin | Technician | 123 Cassick Street, Logan, WV 25601 | 2020-10-30 |
| 1447850409 | Tonya Renee Marcum | Technician | 105 Cudden St, Logan, WV 25601-3501 | 2020-10-29 |
| 1376143834 | Kassie Marie Adkins | Technician | 734 Dingess St, Logan, WV 25601-3510 | 2020-10-26 |
| 1750980793 | Hattie D Frye | Technician | 19 Olympic Cir, Logan, WV 25601-1130 | 2020-10-21 |
| 1285232736 | Marcus Steven Coleman | Technician | 197 Wood Ave, Logan, WV 25601-3344 | 2020-10-15 |
| 1972101525 | Kimberly Dawn Butcher | Technician | 428 Chestnut St, Logan, WV 25601-3715 | 2020-10-15 |
| 1467068148 | Amy Beam | Technician | 1268 Parkway Dr, Logan, OH 43138-9727 | 2020-09-18 |
| 1033724430 | Crystal Dawn Runyon | Technician | 64 Tom Steele Hollow Rd, Logan, WV 25601-7101 | 2020-09-11 |
| 1194339036 | Jerry Don Browning | Technician | 43 1/2 Pine St, Logan, WV 25601-4004 | 2020-09-08 |
| 1659985547 | Trisha Ladawn Vance | Technician | 643 Dingess St, Logan, WV 25601-3503 | 2020-09-08 |
| Find all providers in LOGAN | ||||
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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.