JONI M STRUCKMAN (NPI# 1619059177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619059177 |
| Entity Type | Individual |
| Full Name | JONI M STRUCKMAN |
| Other Name | JONI M. WALKER |
| Credential | PA C |
| Practice Address |
850 Independence Road Coal City WV 25823-1595 |
| Mailing Address |
Po Box 337 Scarbro WV 25917 |
| Practice Telephone | 3044692905 |
| Practice Fax Number | 3046836906 |
| Mailing Telephone | 3044651378 |
| Mailing Fax Number | 3044692981 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2020-05-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 454 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 01260 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810007575 | 05 |
| Street Address |
850 INDEPENDENCE ROAD |
| City | COAL CITY |
| State | WV |
| Zip Code | 25823-1595 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366749509 | New River Health Association Inc | Clinic/Center | 850 Independence Road, Coal City, WV 25823-1595 | 2011-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649886698 | Carmella Gross | Technician | 633 Lynn Winn Rd, Coal City, WV 25823 | 2020-09-16 |
| 1609481902 | Wallie F Cantrell Jr. | Technician | 113 Clark St, Coal City, WV 25823 | 2020-09-14 |
| 1891309522 | Jacob Tazewell Phillips | Technician | 433 Abney Rd, Coal City, WV 25823 | 2020-09-01 |
| 1699260224 | New River Health Association, Inc | Clinic/Center | 800 Independence Road, Coal City, WV 25823 | 2018-06-26 |
| 1174961023 | Shelia Blevins | Occupational Therapy Assistant | 343 Lynwinn Road, Coal City, WV 25823 | 2013-06-12 |
| 1235436478 | New River Health Association Inc | Clinic/Center | 900 Independence Road, Coal City, WV 25823-1240 | 2011-02-24 |
| 1942453261 | Crystal M. Cooper | Physician Assistant | 900 Independence Rd., Coal City, WV 25823-1240 | 2008-10-30 |
| 1700213436 | Lora J Fisher | Nurse Practitioner | 900 Independence Road, Coal City, WV 25823-1240 | 2013-09-26 |
| 1174135388 | Shari Denise Charles | Technician | 2084 Coal City Rd, Coal City, WV 25823-9615 | 2020-08-19 |
| 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 |
|---|---|---|---|---|
| 1942453261 | Crystal M. Cooper | Physician Assistant | 900 Independence Rd., Coal City, WV 25823-1240 | 2008-10-30 |
| 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 |
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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.