SHERIDAN HEALTHCARE OF WEST VIRGINIA, INC. (NPI# 1457644726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457644726 |
| Entity Type | Organization |
| Organization Name | SHERIDAN HEALTHCARE OF WEST VIRGINIA, INC. |
| Practice Address |
1717 Harper Rd Beckley WV 25801-3373 |
| Mailing Address |
Po Box 452045 Sunrise FL 33345-2045 |
| Practice Telephone | 3042564186 |
| Mailing Telephone | 9548382371 |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2019-09-18 |
| Authorized Official Name | KATHLEEN KONDAS (OFFICER) |
| Authorized Official Telephone | 9548382371 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians |
| Street Address |
1717 HARPER RD |
| City | BECKLEY |
| State | WV |
| Zip Code | 25801-3373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770587594 | George M. Charron | Specialist | 1717 Harper Rd, Second Floor Suite A, Beckley, WV 25801-3373 | 2005-06-09 |
| 1114475746 | Raleigh General Hospital LLC | Internal Medicine | 1717 Harper Rd, Suite G, Beckley, WV 25801-3373 | 2016-09-12 |
| 1750731600 | Carissa Bennett | Nurse Practitioner | 1717 Harper Rd, Beckley, WV 25801-3373 | 2016-06-21 |
| 1639530975 | Mansour Alvi | Orthopaedic Surgery | 1717 Harper Rd, Beckley, WV 25801-3373 | 2016-03-15 |
| 1245695212 | Raleigh General Hospital LLC | Internal Medicine | 1717 Harper Rd, Second Floor, Suite C, Beckley, WV 25801-3373 | 2015-12-17 |
| 1124406350 | West Virginia Pain Institute Inc | Pain Medicine | 1717 Harper Rd, Second Floor, Suite D, Beckley, WV 25801-3373 | 2015-05-07 |
| 1861801078 | Advanced Specialties, P LLC | Urology | 1717 Harper Rd, 3rd Floor, Suite A, Beckley, WV 25801-3373 | 2014-08-13 |
| 1518210012 | Jeanine Rae Robinson | Nurse Practitioner | 1717 Harper Rd, Suite A, Beckley, WV 25801-3373 | 2012-10-22 |
| 1407106339 | Matthew K. Nelson Md | Orthopaedic Surgery | 1717 Harper Rd, Second Floor, Suite B, Beckley, WV 25801-3373 | 2012-09-18 |
| 1952651309 | Patience Agbonavbare | Internal Medicine | 1717 Harper Rd, Second Floor, Suite C, Beckley, WV 25801-3373 | 2012-09-13 |
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| 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 | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093943516 | Matthew Delph | Anesthesiology | 1710 Harper Rd, Beckley, WV 25801-3357 | 2009-06-23 |
| 1184659849 | Miguel A. Montejo | Anesthesiology | 1802 Harper Rd, Suite 102, Beckley, WV 25801-3375 | 2006-07-11 |
| 1679530422 | Cirilo Zafra Villanueva | Anesthesiology | 200 Veterans Ave, Beckley, WV 25801-6444 | 2006-04-26 |
| 1184680639 | Raleigh Anesthesia Associates, Inc | Anesthesiology | 1710 Harper Rd, Beckley, WV 25801-3357 | 2006-04-25 |
| 1861487217 | Bruce W Cannon | Anesthesiology | 1710 Harper Rd, Beckley, WV 25801-3357 | 2005-09-13 |
| 1851386205 | Edgar S Cornett | Anesthesiology | 1710 Harper Rd, Beckley, WV 25801-3357 | 2005-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710392949 | Timothy Stooksberry | Anesthesiology | 1 Medical Center Dr # 9235, Morgantown, WV 26506-1200 | 2014-06-26 |
| 1427317973 | Brian G Ferguson | Anesthesiology | 1320 Hal Greer Blvd, Huntington, WV 25701-3662 | 2012-05-03 |
| 1568782928 | Michael Kyle Ritchie | Anesthesiology | 272 Palisades Dr, Morgantown, WV 26508-9009 | 2010-06-08 |
| 1336465996 | Jeremie A Walker | Anesthesiology | 14 Willow Ln, Morgantown, WV 26505-2871 | 2010-04-07 |
| 1376794842 | Adam D Tune | Anesthesiology | 40 Medical Park Ste 507, Wheeling, WV 26003-6392 | 2008-10-02 |
| 1417129230 | Christopher Michael Spiess | Anesthesiology | 60 Robinson Way, Charles Town, WV 25414-1381 | 2008-04-01 |
| 1427184274 | Stephen Moore Howell | Anesthesiology | 3618 Health Science Center South, Morgantown, WV 26506-9134 | 2007-02-26 |
| 1134265697 | Doctors' Anesthesia Associates Inc | Anesthesiology | 109 Morrison Drive, Princeton, WV 24740 | 2007-01-30 |
| 1508924671 | Sherri B Ross | Anesthesiology | 109 Morrison Dr, Princeton, WV 24740-2322 | 2006-12-04 |
| 1255402681 | Frederick David Adams | Anesthesiology | 5699 Us Route 60, Huntington, WV 25705-2145 | 2006-11-09 |
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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.