PETER J EDGERTON (NPI# 1316972490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316972490 |
| Entity Type | Individual |
| Full Name | PETER J EDGERTON |
| Credential | MD |
| Practice Address |
230 Hospital Plaza Weston WV 26452-8558 |
| Practice Telephone | 3042698128 |
| Mailing Telephone | 3042698128 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2009-12-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 19774 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 001722363 | 05 |
| Street Address |
230 HOSPITAL PLAZA |
| City | WESTON |
| State | WV |
| Zip Code | 26452-8558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356451702 | Jennifer Shreves | Emergency Medicine | 230 Hospital Plaza, Weston, WV 26452-8558 | 2006-08-30 |
| 1114195435 | Stonewall Jackson Memorial Hospital Co | General Acute Care Hospital | 230 Hospital Plaza, Weston, WV 26452-8558 | 2008-02-20 |
| 1891899308 | Larry Eugene Moore | Nurse Anesthetist, Certified Registered | 230 Hospital Plaza, Weston, WV 26452-8558 | 2006-09-13 |
| 1598869000 | Robert Allen Ogden | Nurse Anesthetist, Certified Registered | 230 Hospital Plaza, Weston, WV 26452-8558 | 2006-09-13 |
| 1689778193 | Michael Lee Casto | Nurse Anesthetist, Certified Registered | 230 Hospital Plaza, Weston, WV 26452-8558 | 2006-09-13 |
| 1215039482 | Jack Charles Marcum | Nurse Anesthetist, Certified Registered | 230 Hospital Plaza, Weston, WV 26452-8558 | 2006-09-01 |
| 1689785677 | Fred Deshong Scott | Dermatology | 230 Hospital Plaza, Weston, WV 26452-8558 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316547136 | Sara Knotts | Technician | 102 Upper St, Weston, WV 26452 | 2020-10-30 |
| 1003414301 | Sarah Bowman | Technician | 55 4b Mobile Estates, Weston, WV 26452 | 2020-10-09 |
| 1962019752 | Victoria Louise Riggs | Pharmacist | 250 Court Street, Weston, WV 26452 | 2020-09-26 |
| 1710472188 | Brandi Nicole Miller | Occupational Therapist | 150 John St Ste C, Weston, WV 26452 | 2018-06-27 |
| 1184022428 | Community Care of West Virginia, Inc. | Pharmacy | 107 Staunton Dr, Weston, WV 26452 | 2014-12-19 |
| 1073944658 | Community Care of West Virginia, Inc. | Clinic/Center | 149 Staunton Drive, Weston, WV 26452 | 2013-12-06 |
| 1033452552 | Julie Ann Haddix | Nurse Practitioner | 29 Hospital Plz Ste E, Weston, WV 26452 | 2013-04-03 |
| 1972605608 | Phillip Mansfield Spaur | Chiropractor | 346 East 3rd Street, Weston, WV 26452 | 2006-09-02 |
| 1003918202 | Bio-medical Applications of West Virginia, Inc. | Clinic/Center | Market Place Plaza, Suite1c, Weston, WV 26452 | 2006-09-01 |
| 1093825432 | Khalid Mahmoud | Internal Medicine | 66 Hospital Plaza Suite 104, Weston, WV 26452 | 2006-08-30 |
| Find all providers in zip 26452 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639598279 | Jared S Cohen | Urology | 2950 Cleveland Clinic Blvd, Weston, FL 33331-3609 | 2014-04-10 |
| 1225266232 | Ishai Ross | Urology | 2950 Cleveland Clinic Blvd, Weston, FL 33331-3609 | 2009-06-29 |
| 1891957080 | Fernando Cabrera | Urology | 2950 Cleveland Clinic Blvd, Weston, FL 33331-3609 | 2008-06-28 |
| 1164625737 | Alok Shrivastava | Urology | 2950 Cleveland Clinic Blvd, Weston, FL 33331-3609 | 2007-06-08 |
| 1578661310 | Philip M Zickerman | Urology | 3501 Cranberry Blvd, Weston, WI 54476-5213 | 2006-09-20 |
| 1275631012 | Jason Wilson | Urology | 3501 Cranberry Blvd, Weston, WI 54476-5213 | 2006-09-20 |
| 1700813078 | Nicolas A Muruve | Urology | 2950 Cleveland Clinic Blvd, Weston, FL 33331-3609 | 2006-06-26 |
| 1477518165 | Arnold Felipe Gruspe | Urology | 474 Main St, Weston, WV 26452-0909 | 2006-04-18 |
| 1376508887 | Sneha S Vaish | Urology | 2950 Cleveland Clinic Blvd, 4th Floor, Weston, FL 33331-3609 | 2006-04-18 |
| 1003879453 | Lawrence S Hakim | Urology | 2950 Cleveland Clinic Blvd, Weston, FL 33331-3609 | 2006-04-07 |
| Find all providers in WESTON | ||||
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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.