AMANDA RENEA DURAZO


Address: 930 Chestnut Ridge Rd, Morgantown, WV 26505-2807
Phone: 3042935323

AMANDA RENEA DURAZO (NPI# 1295362010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295362010
Entity Type Individual
Full Name AMANDA RENEA DURAZO
Other Name AMANDA RENEA SKOPHAMMER
Credential MD
Practice Address 930 Chestnut Ridge Rd
Morgantown
WV 26505-2807
Mailing Address 1408 Cardiff Ln
High Point
NC 27265-9105
Practice Telephone 3042935323
Mailing Telephone 7147136848
Enumeration Date 2020-03-23
Last Update Date 2020-03-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 930 CHESTNUT RIDGE RD
City MORGANTOWN
State WV
Zip Code 26505-2807

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558342543 West Virginia University Hospitals, Inc. Psychiatric Unit 930 Chestnut Ridge Rd, Morgantown, WV 26505-2807 2005-11-08
1487281143 Vishal Patel Student in an Organized Health Care Education/Training Program 930 Chestnut Ridge Rd, Morgantown, WV 26505-2807 2020-03-24
1720614654 Sunanda Sairam Mattancheril Student in an Organized Health Care Education/Training Program 930 Chestnut Ridge Rd, Morgantown, WV 26505-2807 2020-03-23
1528694411 Meenal Balakrishnan Student in an Organized Health Care Education/Training Program 930 Chestnut Ridge Rd, Morgantown, WV 26505-2807 2020-03-23
1609402569 Tenchee Lama Tamang Student in an Organized Health Care Education/Training Program 930 Chestnut Ridge Rd, Morgantown, WV 26505-2807 2020-03-22
1023644986 Seth Daniel Moomaw Student in an Organized Health Care Education/Training Program 930 Chestnut Ridge Rd, Morgantown, WV 26505-2807 2020-03-22
1073149068 Albaraa Badawood Student in an Organized Health Care Education/Training Program 930 Chestnut Ridge Rd, Morgantown, WV 26505-2807 2020-03-21
1326684218 Alyssa Chase Nurse Practitioner 930 Chestnut Ridge Rd, Morgantown, WV 26505-2807 2019-11-26
1174167027 Haley L Slagle Counselor 930 Chestnut Ridge Rd, Morgantown, WV 26505-2807 2019-11-04
1295386282 Felicia Hooper Counselor 930 Chestnut Ridge Rd, Morgantown, WV 26505-2807 2019-09-23
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215535208 Robert Howard Taylor Pharmacist 1608 Earl Core Rd, Morgantown, WV 26505 2020-10-13
1194366757 Grace Catherine Clonch Student in an Organized Health Care Education/Training Program 3450 Monogahela Blvd, Morgantown, WV 26505 2019-10-04
1538629852 Alexander Gross Student in an Organized Health Care Education/Training Program : 64 Medical Center Drive, Room 4601, Morgantown, WV 26505 2019-03-22
1194284018 Ana Isabel Gomez Velazquez Student in an Organized Health Care Education/Training Program 64 Medical Center Dr., Room 4601, Morgantown, WV 26505 2019-03-19
1922584242 Lisa Kate Hostutler Pharmacist 1851 Earl L. Core Rd, Morgantown, WV 26505 2018-07-19
1760983779 Ashley Garner Social Worker 3602 Collins Ferry Road, Morgantown, WV 26505 2018-02-24
1861992174 Usa Vein Clinics of West Virginia Pllc Surgery 1010 Suncrest Towne Centre, Morgantown, WV 26505 2018-02-14
1396272092 Essential Foundations, Pllc Community/Behavioral Health 1287 Suncrest Towne Centre, Morgantown, WV 26505 2017-05-12
1689111452 Good Heart Therapy Services, Pllc Public Health or Welfare 235 Hgh Street, Suite 311, Morgantown, WV 26505 2017-01-31
1982141776 Heidi Otoole Counselor 235 High Street, Suite 720, Morgantown, WV 26505 2017-01-31
Find all providers in zip 26505

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396358149 Jamara Washington Student in an Organized Health Care Education/Training Program 5000 Domain Dr Apt 715, Morgantown, WV 26501-2528 2020-08-30
1275146540 Virginia Fay Honaker Student in an Organized Health Care Education/Training Program 5000 Station St Apt 1012, Morgantown, WV 26508-7442 2020-08-26
1487282554 Michael Joseph Dugan IIi Student in an Organized Health Care Education/Training Program 64 Medical Center Dr Rm 1200, Morgantown, WV 26505-3409 2020-04-01
1295363646 Catherine Maxine Powers Student in an Organized Health Care Education/Training Program 385 Dorsey Ave, Morgantown, WV 26501-6460 2020-03-31
1124656491 Lauren Bakos Student in an Organized Health Care Education/Training Program Department of Oral Surgery Room 1200 Hsc North, Morgantown, WV 26506 2020-03-31
1679100127 Joshua James Hurley Student in an Organized Health Care Education/Training Program 17 Van Gilder St, Morgantown, WV 26505-1760 2020-03-25
1629605399 Rehab Othman Mohamed Student in an Organized Health Care Education/Training Program 206 Carmell Ct, Morgantown, WV 26505-7801 2020-03-24
1427684471 Ameneh Zare Shahabadi Student in an Organized Health Care Education/Training Program 1 Medical Center Dr Fl 5, Morgantown, WV 26506-1200 2020-03-20
1831725985 Ion Prisneac Student in an Organized Health Care Education/Training Program 64 Medical Center Dr Rm 4601, Morgantown, WV 26505-3409 2020-03-20
1720613888 Katharina Marie Mitchell Student in an Organized Health Care Education/Training Program Wvu Hospitals Ruby Memorial & Physician Office Center, 1 Medical Center Drive, Morgantown, WV 26506 2020-03-10
Find all providers in MORGANTOWN

Competitor

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City MORGANTOWN
Zip Code 26505

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Dataset Information

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.

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