JOHN DAVID BERRYMAN (NPI# 1396735981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396735981 |
| Entity Type | Individual |
| Full Name | JOHN DAVID BERRYMAN |
| Credential | MD |
| Practice Address |
200 Veterans Ave Beckley WV 25801-6444 |
| Mailing Address |
109 Virginia St Beckley WV 25801-4349 |
| Practice Telephone | 3042552121 |
| Mailing Telephone | 2022701001 |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2007-09-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | 0101018540 | VA | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | MD25778 | WA | Allopathic & Osteopathic Physicians |
| Y | 207V00000X | Obstetrics & Gynecology | 20020275 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 65653041 | 05 | |
| NM | MOLINA SALUD | QMYPR0067187 | 01 |
| NM | LOVELACE HEALTH PLAN | 10013194 | 01 |
| NM | LOVELACE SALUD | 10013194 | 01 |
| NM | BCBS OF NEW MEXICO | NM009X99 | 01 |
| NM | HMO OF NEW MEXICO | NM009X99 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114056561 | John Myron Berryman | Dentist | 4793 Hayes Rd, Madison, WI 53704-3256 | 2007-03-03 |
| Street Address |
200 VETERANS AVE |
| City | BECKLEY |
| State | WV |
| Zip Code | 25801-6444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031991 | Kristy Lea Moeller | Nurse Practitioner | 200 Veterans Ave, Beckley, WV 25801-6444 | 2020-10-23 |
| 1316546047 | Candice Marie Young | Registered Nurse | 200 Veterans Ave, Beckley, WV 25801-6444 | 2020-10-23 |
| 1902403686 | Ashley Brooke Dorsey | Pharmacist | 200 Veterans Ave, Beckley, WV 25801-6444 | 2020-10-05 |
| 1487251450 | Victoria Ann Redden | Registered Nurse | 200 Veterans Ave, Beckley, WV 25801-6444 | 2020-10-02 |
| 1598371726 | Robert David Estepp II | Recreation Therapist | 200 Veterans Ave, Beckley, WV 25801-6444 | 2020-09-22 |
| 1316562978 | Leila Ann Tilley | Pharmacist | 200 Veterans Ave, Beckley, WV 25801-6444 | 2020-06-10 |
| 1811510001 | Hannah Davidson Keeney | Pharmacist | 200 Veterans Ave, Beckley, WV 25801-6444 | 2020-05-21 |
| 1841820628 | Staci Morgan Little | Social Worker | 200 Veterans Ave, Beckley, WV 25801-6444 | 2020-01-22 |
| 1104473354 | Liem Nguyen | Pharmacist | 200 Veterans Ave, Beckley, WV 25801-6444 | 2019-08-22 |
| 1619535465 | Samantha Farah | Pharmacist | 200 Veterans Ave, Beckley, WV 25801-6444 | 2019-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144835190 | Misty Dawn Chambers | Psychologist | 154 Lagoon Way, Beckley, USA 25801 | 2020-09-15 |
| 1912511437 | Katherine Lynne Mcghee | Technician | 120 Schlager Dr., Beckley, WV 25801 | 2020-09-02 |
| 1255942421 | Tyesha Burger | Technician | 442 Industrial Dr, Beckley, WV 25801 | 2020-08-12 |
| 1053920553 | Angela Sanches | Case Manager/Care Coordinator | 134 Gooseberry Ln, Beckley, WV 25801 | 2020-07-30 |
| 1871119933 | Tiffani Michelle Dale | Counselor | 111 Coral Court, Apt 5, Beckley, WV 25801 | 2020-06-24 |
| 1679046049 | Liberty Dental Centers | Dentist | 102 Galleria Plaza, Beckley, WV 25801 | 2019-01-08 |
| 1952884942 | Susan Rae Rash | Nurse Practitioner | 250 Stanaford Rd Ste 203, Beckley, WV 25801 | 2018-09-14 |
| 1689169039 | Megan Rae Walker | Dentist | 3153 Robert C. Byrd Drive, Beckley, WV 25801 | 2018-06-28 |
| 1104318625 | Mountain State Vascular, Inc. | Surgery | 121 George Street, Beckley, WV 25801 | 2018-05-31 |
| 1356841100 | Harper Road Treatment Center LLC | Family Medicine | 1802 Harper Rd Ste 202, Beckley, WV 25801 | 2018-02-19 |
| Find all providers in zip 25801 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891044970 | Rae Anne Bailey | Obstetrics & Gynecology | 410 Carriage Drive, Beckley, WV 25801 | 2012-09-05 |
| 1154535433 | Gina Jereza-harris | Obstetrics & Gynecology | Community Health Systems Inc., 410 Carriage Dr, Beckley, WV 25801 | 2007-05-09 |
| 1821151796 | David M Rainey | Obstetrics & Gynecology | 410 Carriage Dr, Beckley, WV 25801-2806 | 2006-12-19 |
| 1356513311 | Prakash Puranik Pllc | Obstetrics & Gynecology | 250 Stanaford Rd, Suite One, Beckley, WV 25801-3140 | 2008-03-31 |
| 1851510002 | Community Health Systems, Inc. | Obstetrics & Gynecology | 410 Carriage Dr, Beckley, WV 25801-2806 | 2007-04-25 |
| 1023171089 | Marcia Bohn Khalil | Obstetrics & Gynecology | 410 Carriage Dr, Beckley, WV 25801-2806 | 2006-12-19 |
| 1578626529 | Angel L Rosas-acevedo | Obstetrics & Gynecology | 410 Carriage Dr, Beckley, WV 25801-2806 | 2006-12-19 |
| 1245393107 | Juddson D.a. Lindley | Obstetrics & Gynecology | 410 Carriage Dr, Beckley, WV 25801-2806 | 2006-12-19 |
| 1801959853 | Michael T Webb | Obstetrics & Gynecology | 410 Carriage Dr, Beckley, WV 25801-2806 | 2006-12-19 |
| 1487717419 | Norman L Siegel | Obstetrics & Gynecology | 410 Carriage Dr, Beckley, WV 25801-2806 | 2006-12-19 |
| Find all providers in BECKLEY | ||||
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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.