GARY L KNEPP (NPI# 1275576514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275576514 |
| Entity Type | Individual |
| Full Name | GARY L KNEPP |
| Credential | DO |
| Practice Address |
400 N Jefferson St Lewisburg WV 24901 |
| Practice Telephone | 3046453220 |
| Practice Fax Number | 3046454103 |
| Mailing Telephone | 3046453220 |
| Mailing Fax Number | 3046454103 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2008-08-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
2223 | WV | Allopathic & Osteopathic Physicians |
| N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
036070966 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810009549 | 05 | |
| IL | HEALTH ALLIANCE | 794717 | 01 |
| IL | 36070966 | 05 |
| Street Address |
400 N JEFFERSON ST |
| City | LEWISBURG |
| State | WV |
| Zip Code | 24901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699770651 | Brian G Richards | Internal Medicine | 400 N Jefferson St, Lewisburg, WV 24901 | 2005-06-16 |
| 1346770872 | Micah Robert Moore | Family Medicine | 400 N Jefferson St, Lewisburg, WV 24901 | 2017-06-18 |
| 1306374616 | John Paul Ford | Emergency Medicine | 400 N Jefferson St, Robert C Byrd Clinic, Lewisburg, WV 24901 | 2017-05-31 |
| 1982132866 | Samantha Jo Frazier | Family Medicine | 400 N Jefferson St, Lewisburg, WV 24901-1177 | 2017-05-23 |
| 1124554399 | Alexander C Egerter | Student in an Organized Health Care Education/Training Program | 400 N Jefferson St, Lewisburg, WV 24901-1177 | 2017-05-10 |
| 1336675404 | Kelly Fuchs | Student in an Organized Health Care Education/Training Program | 400 N Jefferson St, Robert C. Byrd Clinic, Lewisburg, WV 24901-1177 | 2017-05-10 |
| 1861840258 | Luke Ta | Family Medicine | 400 N Jefferson St, Lewisburg, WV 24901-1177 | 2016-05-26 |
| 1528414984 | John Ellison | Family Medicine | 400 N Jefferson St, Lewisburg, WV 24901-1177 | 2016-05-04 |
| 1225483571 | Kevin Hennenhoefer | Neuromusculoskeletal Medicine & OMM | 400 N Jefferson St, Lewisburg, WV 24901-1177 | 2016-04-24 |
| 1780038026 | Seth Benjamin Larson | Emergency Medicine | 400 N Jefferson St, Lewisburg, WV 24901 | 2016-04-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093940 | Amy Lu Moss | Technician | 254 Moss D Lane, Fairlea, WV 24901 | 2020-11-04 |
| 1083212377 | Miranda Shope | Technician | 814 Maple Ave., Lewisburg, WV 24901 | 2020-10-09 |
| 1184235830 | Carol E Beasley | Technician | 147 Windy Hill Road, Lewisburg, WV 24901 | 2020-08-14 |
| 1790317782 | Preston Dyer Modlin | Psychologist | 635 Church Street, Lewisburg, WV 24901 | 2020-02-07 |
| 1437780269 | Healthcare 360 Pllc | Family Medicine | 208 Dawkins Drive, Lewisburg, WV 24901 | 2020-01-30 |
| 1821655390 | Janet Lee Kowalsky | Student in an Organized Health Care Education/Training Program | 1464 N Jefferson St., Lewisburg, WV 24901 | 2019-05-21 |
| 1598321192 | Ali Yousaf | Student in an Organized Health Care Education/Training Program | 400 North Jefferson, Lewisburg, WV 24901 | 2019-05-20 |
| 1770053308 | Micheala Renae Taylor | Student in an Organized Health Care Education/Training Program | 1464 North Jefferson Street, Lewisburg, WV 24901 | 2018-11-27 |
| 1659840486 | Maggie King Clendenen | Nurse Practitioner | 454 Bell Drive, Lewisburg, WV 24901 | 2018-11-22 |
| 1861979312 | Vincent Morra | Student in an Organized Health Care Education/Training Program | 1464 N Jefferson St, Lewisburg, WV 24901 | 2018-07-26 |
| Find all providers in zip 24901 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| 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 Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316436694 | Erona Reza | Family Medicine | 6040 University Town Centre Drive, Morgantown, WV 26501-2421 | 2018-05-02 |
| 1013136464 | Mehran Khajavi | Family Medicine | 1004 Sushruta Dr Ste C, Martinsburg, WV 25401-8801 | 2007-04-24 |
| 1063515054 | Melchor F Vidal | Family Medicine | 27545 Daniel Boone Prkwy, Racine, WV 25165 | 2006-09-06 |
| 1629004221 | Collaborative Geriatrics, Inc. | Family Medicine | 414 Mahoganywood Dr, Milton, WV 25541-1181 | 2006-06-24 |
| 1568455442 | Alan L. Barnett | Family Medicine | 933 Cheat Rd, Morgantown, WV 26508-5631 | 2005-08-25 |
| 1548252281 | Vincent Walter Delagarza | Family Medicine | 1 Stadium Drive, Health Sciences Center, Morgantown, WV 26505 | 2005-08-18 |
| 1437426780 | Summersville Family Medicine Inc | Family Medicine | 211 Merchants Walk, Shopping Center, Summersville, WV 26651-1901 | 2011-11-30 |
| 1598979320 | Ambryan L White | Family Medicine | 414 Mahoganywood Dr, Milton, WV 25541-1181 | 2007-05-10 |
| 1821162207 | William Lee Harris | Family Medicine | 3100 Maccorkle Ave Se, Suite 307, Charleston, WV 25304-1223 | 2006-11-20 |
| 1821180530 | William C Mercer | Family Medicine | 58 16th St, 3rd Floor, Wheeling, WV 26003-3660 | 2006-09-29 |
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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.