CHRISTOPHER KELLY VINCENT (NPI# 1275680266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275680266 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER KELLY VINCENT |
| Credential | M.D. PH.D. |
| Practice Address |
510 Butler Ave Department of Surgery Martinsburg WV 25405-9990 |
| Practice Telephone | 3042630811 |
| Mailing Telephone | 3042630811 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2016-04-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
0101238773 | VA | Allopathic & Osteopathic Physicians |
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 0101238773 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | MEDICARE RAILROAD | P00453908 | 01 |
| VA | 010405670 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255748463 | Christopher Lee Vincent | Licensed Practical Nurse | 28324 County Route 54, Chaumont, NY 13622-2416 | 2014-07-20 |
| 1144622952 | Christopher Vincent | Emergency Medical Technician, Basic | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2014-09-23 |
| 1497916589 | Christopher Branden Vincent | Orthopaedic Surgery | 450 Laurel St, Ste A, Des Moines, IA 50314-3045 | 2008-06-20 |
| 1871783654 | Christopher L Vincent | Chiropractor | 611 Colorado Ave, Santa Monica, CA 90401-2507 | 2007-07-27 |
| 1356481972 | Christopher A Vincent | Optometrist | 15004 Avery Ranch Blvd, Suite 103, Austin, TX 78717-4600 | 2007-02-07 |
| 1811903990 | Christopher M. Vincent | Psychiatry & Neurology | 5109 W Broad St, Columbus, OH 43228-1648 | 2006-07-31 |
| Street Address |
510 BUTLER AVE DEPARTMENT OF SURGERY |
| City | MARTINSBURG |
| State | WV |
| Zip Code | 25405-9990 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124022173 | Richard Charles Avioli | Orthopaedic Surgery | 510 Butler Ave, Martinsburg, WV 25405-9990 | 2005-06-08 |
| 1659972701 | Julie C Riggleman | Nurse Practitioner | 510 Butler Ave, Martinsburg, WV 25405-9990 | 2020-11-05 |
| 1003415258 | Melissa Bangle | Psychologist | 510 Butler Ave, Martinsburg, WV 25405-9991 | 2020-10-20 |
| 1134738016 | Jessica Christine Fernandez | Pharmacist | 510 Butler Ave, Martinsburg, WV 25405-9990 | 2020-07-28 |
| 1164046124 | Brigit Kirwan | Pharmacist | 510 Butler Ave, Martinsburg, WV 25405-9990 | 2020-06-04 |
| 1467073437 | Jared O Ogenche | Respiratory Therapist, Registered | 510 Butler Ave, Martinsburg, WV 25405-9990 | 2020-04-30 |
| 1205468295 | Alicia Lopez | Pharmacist | 510 Butler Ave, Martinsburg, WV 25405-9991 | 2020-02-07 |
| 1184256505 | Jeffrey Parish | Pharmacist | 510 Butler Ave, Martinsburg, WV 25405-9990 | 2020-02-05 |
| 1356981252 | Jenica Pearson | Nurse Practitioner | 510 Butler Ave, Martinsburg, WV 25405-9991 | 2020-01-09 |
| 1679119754 | Stacy Nicole Green | Social Worker | 510 Butler Ave, Martinsburg, WV 25405-9990 | 2019-11-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982004834 | Stacy Becker | Pharmacist | 1297 Winchester Ave, Martinsburg, WV 25405 | 2014-08-28 |
| 1336577709 | Zellene Struble | Midwife | 405 Sweetbriar Rd, Martinsburg, WV 25405 | 2013-10-23 |
| 1710329131 | Aisha Masood | Pharmacist | 510 Butler Avenue (pharmacy Services 119), Martingsburg, WV 25405 | 2013-07-26 |
| 1649568924 | Rocky Mountain Holdings, LLC | Ambulance | 214 Aviation Way, Martinsburg, WV 25405 | 2011-07-20 |
| 1962594846 | Barbara Ellen Hartman | Dietitian, Registered | 510 Butler Avenue, Martinsburg, WV 25405 | 2006-09-29 |
| 1043313042 | William Peter Perks | Social Worker | 540 Teal Rd N, Martinsburg, WV 25405 | 2006-09-06 |
| 1497399729 | Michelle Stickel | Speech-Language Pathologist | Berkeley County Board of Education, 1453 Winchester Avenue, Martinsburg, WV 25405 | 2019-10-30 |
| 1225688054 | Lynne Blackshear | Registered Nurse | Berkeley County Board of Education, 1435 Winchester Avenue, Martinsburg, WV 25405 | 2019-09-13 |
| 1285284018 | Christina Byrnes | Registered Nurse | Berkeley County Board of Education, 1435 Winchester Ave, Martinsburg, WV 25405 | 2019-09-13 |
| 1730737339 | Susan J Dilly | Registered Nurse | Berkeley County Board of Education, 1435 Winchester Ave, Martinsburg, WV 25405 | 2019-08-28 |
| Find all providers in zip 25405 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538661848 | East Mountain Health Physicians, Inc. | Surgery | 1000 Tavern Rd Ste 200, Martinsburg, WV 25401-2853 | 2018-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154961852 | Usa Vein Clinics of Morgantown Pllc | Surgery | 1010 Suncrest Towne Centre Drive, Morgantown, WV 26505-0000 | 2020-01-10 |
| 1740749928 | Foot and Ankle Clinic of The Virginias Inc | Surgery | 4141 Teays Valley Rd, Hurricane, WV 25526-9772 | 2019-03-18 |
| 1104318625 | Mountain State Vascular, Inc. | Surgery | 121 George Street, Beckley, WV 25801 | 2018-05-31 |
| 1861992174 | Usa Vein Clinics of West Virginia Pllc | Surgery | 1010 Suncrest Towne Centre, Morgantown, WV 26505 | 2018-02-14 |
| 1922230218 | Beckley Vascular Associates & Vein Care Institute,pllc | Surgery | 120 George Street, Beckley, WV 25801-2608 | 2009-08-20 |
| 1154581973 | Maryland Surgical Care PC | Surgery | 710 Somerset Blvd Ste 103, Charles Town, WV 25414-4998 | 2008-06-16 |
| 1790731503 | Wheeling Heart Institute Inc | Surgery | 1021 Mt Dechantal Road, Wheeling, WV 26003 | 2006-05-25 |
| 1568450245 | Vardhan Reddy | Surgery | 651 Colliers Way Ste 408, Weirton, WV 26062-5055 | 2005-10-07 |
| 1679567325 | Randall V Lester | Surgery | 510 Cherry St, Suite 206, Bldg A, Bluefield, WV 24701-3338 | 2005-09-08 |
| 1710504048 | Foot and Ankle Clinic of The Virginias Inc | Surgery | 6007 Us Route 60 E Ste 228, Barboursville, WV 25504-1042 | 2020-07-02 |
| Find all providers with the same taxonomy | ||||
| City | MARTINSBURG |
| Zip Code | 25405 |
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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.