ASHLEY R ADKINS GRIMMETT (NPI# 1417047242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417047242 |
| Entity Type | Individual |
| Full Name | ASHLEY R ADKINS GRIMMETT |
| Credential | PAC |
| Practice Address |
6007 Us Rt 60 East Suite 130 Barboursville WV 25504 |
| Practice Telephone | 3047333333 |
| Practice Fax Number | 3047333666 |
| Mailing Telephone | 3047333333 |
| Mailing Fax Number | 3047333666 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2008-05-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207K00000X | Allergy & Immunology | 01210 | WV | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
01210 | WV | Allopathic & Osteopathic Physicians |
| Y | 363A00000X | Physician Assistant | 01210 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | BCBS | 001898831 | 01 |
| Street Address |
6007 US RT 60 EAST SUITE 130 |
| City | BARBOURSVILLE |
| State | WV |
| Zip Code | 25504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154411908 | Amy A Vaughan Dermatology Pllc | Dermatology | 6007 Us Rt 60 East, Suite 130, Barboursville, WV 25504 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376143115 | Jeff Thomas Slone | Technician | 3350 Holland Creek Road, Barboursville, WV 25504 | 2020-10-30 |
| 1134679061 | Ryan Young | Pharmacist | 6350 Us Route 60 East, Barboursville, WV 25504 | 2016-10-04 |
| 1447706361 | Jennifer M Bruce | Nurse Anesthetist, Certified Registered | 5840 Davis Creek Rd. Suite E, Barboursville, WV 25504 | 2016-08-31 |
| 1528447794 | Susan Berry | Licensed Practical Nurse | 1 Ohanlon Place, Barboursville, WV 25504 | 2015-05-21 |
| 1902209067 | Eric W Kutcher | Nurse Anesthetist, Certified Registered | 5840 Davis Creek Road Suite E, Barboursville, WV 25504 | 2014-10-03 |
| 1275940843 | Alex G Smith | Nurse Anesthetist, Certified Registered | 5840 Davis Creek Road, Suite E, Barboursville, WV 25504 | 2014-07-16 |
| 1225451297 | Carol Newlon | Counselor | 689 Central Avenue, Barboursville, WV 25504 | 2014-01-28 |
| 1598003386 | Amy E Crabtree | Pharmacist | 6414 Us 60 East, Barboursville, WV 25504 | 2013-01-29 |
| 1538428669 | Amy Beth Cope | Physician Assistant | 6171 Childers Road, Barboursville, WV 25504 | 2012-05-09 |
| 1508167867 | Tara J. Robinson | Dermatology | 6007 U.S.rt 60 E., Suite 130, Barboursville, WV 25504 | 2010-11-03 |
| Find all providers in zip 25504 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538428669 | Amy Beth Cope | Physician Assistant | 6171 Childers Road, Barboursville, WV 25504 | 2012-05-09 |
| 1689193609 | Natalie Stanley | Physician Assistant | 6171 Childers Rd, Barboursville, WV 25504-1227 | 2017-09-11 |
| 1922300219 | Cathy Michelle Tincher | Physician Assistant | 6007 Us Route 60 E, Suite 203, Barboursville, WV 25504-1042 | 2010-11-19 |
| 1891769485 | Regina D Grome | Physician Assistant | 143 Peyton Street, Barboursville, WV 25504 | 2006-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831798321 | Trenton Ryan Johnson | Physician Assistant | 174 Country Ln, Kenna, WV 25248-7225 | 2020-10-26 |
| 1609475326 | Rebecca Whealen | Physician Assistant | 2026 Huber Rd, Charleston, WV 25314-2236 | 2020-10-23 |
| 1720686066 | Ana Brandt | Physician Assistant | 33 Medical Center Dr, Morgantown, WV 26505-4024 | 2020-10-09 |
| 1518564012 | Lauren Brianne Peyton | Physician Assistant | 5322 Indiana St Apt 4, South Charleston, WV 25309-1055 | 2020-10-07 |
| 1386251635 | Caitlin Estep | Physician Assistant | 3100 Maccorkle Ave Se Ste 802, Charleston, WV 25304-1233 | 2020-09-29 |
| 1336754639 | Brittany Marie Herber | Physician Assistant | 22 Solomons Ct, Hedgesville, WV 25427-3683 | 2020-09-14 |
| 1417568312 | Kelsea Martin | Physician Assistant | 6 Dogwood St, Philippi, WV 26416-1660 | 2020-08-13 |
| 1720617889 | Keri Bedillion | Physician Assistant | 527 Medical Park Dr Ste 306, Bridgeport, WV 26330-9010 | 2020-04-02 |
| 1912539628 | Abigail Renee Grant | Physician Assistant | 123 Main Ave, Nitro, WV 25143-1270 | 2020-02-11 |
| 1639719990 | Jessy Marie Hamrick | Physician Assistant | 149 Dutch Rd Apt 105, Charleston, WV 25302-2530 | 2020-01-14 |
| Find all providers with the same taxonomy | ||||
| City | BARBOURSVILLE |
| Zip Code | 25504 |
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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.