PAMELA S BUTCHER (NPI# 1730172297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730172297 |
| Entity Type | Individual |
| Full Name | PAMELA S BUTCHER |
| Credential | DO |
| Practice Address |
645 Kanawha Ave Rainelle WV 25962-1013 |
| Practice Telephone | 3044386188 |
| Practice Fax Number | 3044386819 |
| Mailing Telephone | 3044386188 |
| Mailing Fax Number | 3044386819 |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2012-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 1829 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 1802427000 | 05 | |
| WV | AETNA | 7652215 | 01 |
| WV | RR MEDICARE | 80190394 | 01 |
| WV | BC/BS | 1713064 | 01 |
| WV | TRICARE | H22519 | 01 |
| Street Address |
645 KANAWHA AVE |
| City | RAINELLE |
| State | WV |
| Zip Code | 25962-1013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326534298 | Laura Ruth Kusrashvili | Social Worker | 645 Kanawha Ave, Rainelle, WV 25962-1095 | 2018-07-03 |
| 1942681390 | Heather Gail Heaster | Dentist | 645 Kanawha Ave, Rainelle, WV 25962-1013 | 2015-06-11 |
| 1265705909 | Jerra Leigh Shuff | Nurse Practitioner | 645 Kanawha Ave, Rainelle, WV 25962-1013 | 2012-02-10 |
| 1376837757 | Lisa Marie Kessler | Family Medicine | 645 Kanawha Ave, Rainelle, WV 25962-1013 | 2011-06-03 |
| 1487956173 | Vicki Lynn Gallaher | Nurse Practitioner | 645 Kanawha Ave, Rainelle, WV 25962-1013 | 2010-12-01 |
| 1669616918 | Kay Mccoy | Social Worker | 645 Kanawha Ave, Rainelle, WV 25962-1013 | 2009-04-29 |
| 1467632505 | John Timothy Runnion | Physician Assistant | 645 Kanawha Ave, Rainelle, WV 25962-1013 | 2007-11-06 |
| 1538285077 | Makisha Tamsen Ramsey | Physician Assistant | 645 Kanawha Ave, Rainelle, WV 25962-1013 | 2007-03-22 |
| 1750419966 | Jaclyn Lea Adkins | Physician Assistant | 645 Kanawha Ave, Rainelle, WV 25962-1013 | 2007-03-01 |
| 1770685992 | Colleen Roshau | Physician Assistant | 645 Kanawha Ave, Rainelle, WV 25962-1013 | 2006-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235622168 | Hannah Dawn Hellems | Nurse Practitioner | 658 Main St Ste A, Rainelle, WV 25962 | 2018-06-14 |
| 1528572070 | Sandra Arretha Swartz | Technician | 164 Fayette Avenue, Rainelle, WV 25962 | 2017-11-20 |
| 1912256959 | Jessica Belcher | Pharmacist | 518 Park Center, Rainelle, WV 25962 | 2012-09-06 |
| 1215946009 | Vicki Bowers Kerwin | Nurse Practitioner | 1401 Earl Core Road, Suite D, Morgantown, WV 25962 | 2006-08-08 |
| 1538331053 | Western Greenbrier Internal Medicine Pllc | Internal Medicine | 512 Main Street, Rainelle, WV 25962 | 2008-03-25 |
| 1235741497 | Teresa Louise Young | Technician | 227 Cherry St, Rainelle, WV 25962-1003 | 2020-08-19 |
| 1730626052 | Kaleb Ellison | Student in an Organized Health Care Education/Training Program | 227 Cherry St, Rainelle, WV 25962-1003 | 2017-01-24 |
| 1073125209 | Bridgett J Clark | Technician | 180 Chestnut St, Rainelle, WV 25962-1006 | 2020-08-19 |
| 1689286981 | Bonnie Irene Brackenridge | Technician | 242 Locust St, Rainelle, WV 25962-1024 | 2020-08-18 |
| 1114359783 | Fritz's Pharmacy, Inc. | Pharmacy | 499 Kanawha Ave, Rainelle, WV 25962-1045 | 2013-08-05 |
| Find all providers in zip 25962 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609411974 | Raven Wood Medical, Pllc | Family Medicine | 660 Sunset Dr, Rainelle, WV 25962-9412 | 2019-11-11 |
| 1750660502 | Charles Robert Burdette Jr. | Family Medicine | 1515 Snowden Rd, Rainelle, WV 25962-6585 | 2011-08-11 |
| 1518968031 | Robert Eugene Olexo | Family Medicine | 176 Medical Center Dr, Rainelle, WV 25962-1064 | 2005-08-09 |
| 1558365171 | David P Allen | Family Medicine | 1102 Main St, Ste A, Rainelle, WV 25962-1253 | 2005-06-10 |
| 1659711166 | Kelly E Allen-lopez | Family Medicine | 1102 Main St, Rainelle, WV 25962-1297 | 2013-06-28 |
| 1376837757 | Lisa Marie Kessler | Family Medicine | 645 Kanawha Ave, Rainelle, WV 25962-1013 | 2011-06-03 |
| 1083889323 | Ashley Marie Fritzius | Family Medicine | 176 Medical Center Dr, Rainelle, WV 25962-1064 | 2008-04-28 |
| 1851407142 | Christopher A. Martin | Family Medicine | 645 Kanawha Ave, Rainelle, WV 25962-1013 | 2006-08-21 |
| 1326071184 | James David Scott | Family Medicine | 176 Medical Center Dr, Rainelle, WV 25962-1064 | 2006-07-07 |
| 1528050655 | Rainelle Medical Center, Inc. | Family Medicine | 176 Medical Center Dr, Rainelle, WV 25962-1064 | 2005-08-16 |
| Find all providers in RAINELLE | ||||
Please comment or provide details below to improve the information on PAMELA S BUTCHER.
| 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.