ARVESSA SKIN CARE CENTER LLC (NPI# 1750916011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750916011 |
| Entity Type | Organization |
| Organization Name | ARVESSA SKIN CARE CENTER LLC |
| Practice Address |
710 Somerset Blvd Ste 103 Charles Town WV 25414-4998 |
| Mailing Address |
109 Chagall Ln Martinsburg WV 25403-8317 |
| Practice Telephone | 3042619038 |
| Mailing Telephone | 3042619038 |
| Enumeration Date | 2020-03-06 |
| Last Update Date | 2020-03-06 |
| Authorized Official Name | MS. KERRY COLE (NURSE PRACTITIONER/OWNER) |
| Authorized Official Telephone | 3042619038 |
| Authorized Official Credential | APRN-BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Street Address |
710 SOMERSET BLVD STE 103 |
| City | CHARLES TOWN |
| State | WV |
| Zip Code | 25414-4998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154581973 | Maryland Surgical Care PC | Surgery | 710 Somerset Blvd Ste 103, Charles Town, WV 25414-4998 | 2008-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720687478 | E & A Pediatric Home Health Services | Home Health | 207 W. Washington Street, Charles Town, WV 25414 | 2020-10-23 |
| 1013435668 | Ashley Wertman | Physical Therapist | 46 Trifecta Place Ste 104, Charlestown, WV 25414 | 2017-09-05 |
| 1053763532 | Lisa Craft | Social Worker | 138 Wall Street, Charles Town, WV 25414 | 2016-07-07 |
| 1053782227 | Charles William Fellers Jr. | Physical Therapy Assistant | 50 Mulberry St, Charles Town, WV 25414 | 2015-10-14 |
| 1881015055 | Sara Fragale | Student in an Organized Health Care Education/Training Program | 100 Mordington Avenue, Charles Town, WV 25414 | 2013-12-13 |
| 1548519879 | Priyankar Sharma | Family Medicine | University Urgent Care, 912 Somerset Blvd., Suitre 102, Charles Town, WV 25414 | 2012-08-31 |
| 1528316957 | Citizens Fire Company | Ambulance | 245 Citizens Way, Charles Town, WV 25414 | 2012-08-15 |
| 1609101682 | Wendy K Joseph | Speech-Language Pathologist | 109 South College Street, Resa Viii, Martinsburg, WV 25414 | 2009-10-09 |
| 1457595738 | Brittany C Lamb | Speech-Language Pathologist | 50 Mulberry St., Charles Town, WV 25414 | 2009-04-30 |
| 1578703138 | Allison E Miller | Speech-Language Pathologist | 110 Ashby Street, Jefferson County Board of Education, Charles Town, WV 25414 | 2009-02-23 |
| Find all providers in zip 25414 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093345894 | Beyond Limits Mobile Outpatient Therapy, LLC | Clinic/Center | 41 Baltusrol Dr, Charles Town, WV 25414-3884 | 2020-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083178081 | Robert Phares Pllc | Clinic/Center | 6 N Wind Way, Morgantown, WV 26508-1117 | 2019-01-24 |
| 1174099527 | Wellness With Whitney, LLC | Clinic/Center | 1206 Virginia St E, Charleston, WV 25301-2945 | 2018-10-23 |
| 1124453964 | West Virginia Health Right, Inc. | Clinic/Center | 1520 Washington St. E., Charleston, WV 25311 | 2013-09-12 |
| 1407162696 | A E Landis Md PC | Clinic/Center | 417 Carriage Dr, Beckley, WV 25801-2805 | 2010-08-25 |
| 1306178165 | Usimc of West Virginia Medical Corporation | Clinic/Center | 3707 Buffalo Rd, Buffalo, WV 25033-9436 | 2010-02-04 |
| 1558696641 | Lab Collection Specialists, LLC | Clinic/Center | 1505 Grand Central Ave Ste 9, Vienna, WV 26105-1074 | 2009-10-07 |
| 1346458023 | Health Access, Inc. | Clinic/Center | 489 Washington Avenue, Clarksburg, WV 26301 | 2007-05-18 |
| 1952416265 | Huntington Pediatric Clinic Inc | Clinic/Center | 1448 10th Ave Ste 313, Huntington, WV 25701-3554 | 2006-08-20 |
| 1851793582 | White Hall Pharmacy, LLC | Clinic/Center | 177 Middletown Rd Ste 2, Fairmont, WV 26554-8254 | 2014-09-25 |
| 1851703813 | Deborah Yutzey | Clinic/Center | 510 Butler Ave, Martinsburg, WV 25405-9990 | 2014-05-27 |
| Find all providers with the same taxonomy | ||||
| City | CHARLES TOWN |
| Zip Code | 25414 |
Please comment or provide details below to improve the information on ARVESSA SKIN CARE CENTER LLC.
| 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.