CHARLESTON AREA MEDICAL CENTER (NPI# 1770790396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770790396 |
Entity Type | Organization |
Organization Name | CHARLESTON AREA MEDICAL CENTER |
Practice Address |
3200 Maccorkle Ave Se Suite 906 Employee Health Charleston WV 25304-1227 |
Practice Telephone | 3043885532 |
Practice Fax Number | 3043885557 |
Mailing Telephone | 3043885532 |
Mailing Fax Number | 3043885557 |
Enumeration Date | 2007-05-16 |
Last Update Date | 2012-10-29 |
Authorized Official Name | DR. JACK L KINDER (MEDICAL DIRECTOR EMPLOYEE HEALTH) |
Authorized Official Telephone | 3043885520 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | 36304 | WV | Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114243680 | Charleston Area Medical Center | General Acute Care Hospital | 3103 Maccorkle Ave Se, Charleston, WV 25304-1217 | 2010-04-08 |
1518164037 | Charleston Area Medical Center | General Acute Care Hospital | 3110 Maccorkle Avenue Se, Charleston, WV 25304 | 2007-06-28 |
1427189661 | Charleston Area Medical Center | General Acute Care Hospital | 1694 Mount Alpha Rd, Charleston, WV 25304-2731 | 2007-03-08 |
1194740035 | Charleston Area Medical Center | General Acute Care Hospital | 3200 Maccorkle Avenue, Se, Charleston, WV 25304 | 2006-07-13 |
1962816470 | Charleston Area Medical Center | General Acute Care Hospital | 3110 Maccorkle Ave Se, Charleston, WV 25304-1210 | 2014-06-12 |
1821380841 | Charleston Area Medical Center | General Acute Care Hospital | 3200 Maccorkle Ave Se, Charleston, WV 25304-1227 | 2011-05-10 |
1568765964 | Charleston Area Medical Center | General Acute Care Hospital | 3200 Maccorkle Ave Se, Charleston, WV 25304-1227 | 2010-12-08 |
1396964185 | Charleston Area Medical Center | Specialist | 3100 Maccorkle Ave Se, Suite 202, Charleston, WV 25304-1223 | 2007-04-24 |
1831243930 | Charleston Area Medical Center | Clinic/Center | 800 Pennsylvania Ave, Children's Medicine Center, Charleston, WV 25302-3351 | 2007-01-23 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Virginia Business Entities | Charleston Area Medical Center Inc. | 1204 Kanawha Blvd East, Charleston, West Virginia 25301 |
System for Award Management (SAM) Entities | CHARLESTON AREA MEDICAL CENTER, INC. | 501 Morris St, Charleston, WV 25301-1326 |
Street Address |
3200 MACCORKLE AVE SE SUITE 906 EMPLOYEE HEALTH |
City | CHARLESTON |
State | WV |
Zip Code | 25304-1227 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881685550 | Balakrishnan Sridharan | Internal Medicine | 3200 Maccorkle Ave Se, Hospitalists Program, Charleston, WV 25304-1227 | 2005-11-02 |
1982217139 | Ashley Lauren Bowles | Nurse Practitioner | 3200 Maccorkle Ave Se, Charleston, WV 25304-1227 | 2020-08-27 |
1932717121 | Chan Myae | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Ave Se, Charleston, WV 25304-1227 | 2020-07-14 |
1639792971 | Victoria Morgan Bullman | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Ave Se, Charleston, WV 25304-1227 | 2020-05-21 |
1205459708 | Samantha Withrow | Nurse Practitioner | 3200 Maccorkle Ave Se, Charleston, WV 25304-1227 | 2020-05-19 |
1013530567 | Jennifer D Valdez | Nurse Anesthetist, Certified Registered | 3200 Maccorkle Ave Se, Charleston, WV 25304-1227 | 2020-05-19 |
1962025411 | Rhea N Lipscomb | Nurse Anesthetist, Certified Registered | 3200 Maccorkle Ave Se, Charleston, WV 25304-1227 | 2020-05-19 |
1780207233 | Bethany Noel Henson | Nurse Anesthetist, Certified Registered | 3200 Maccorkle Ave Se, Charleston, WV 25304-1297 | 2020-05-19 |
1598388043 | Travis O Ellis | Nurse Anesthetist, Certified Registered | 3200 Maccorkle Ave Se, Charleston, WV 25304-1227 | 2020-05-19 |
1679194849 | Joshua Zegeer | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Ave Se, Charleston, WV 25304-1227 | 2020-04-29 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740893908 | Sade Yvonne Rice | Technician | 392 B South Parkd Rd, Charleston, WV 25304 | 2020-08-27 |
1053931410 | Pir Ali Shah | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Avenue Southeast Robert C. Bind Clinical, Charleston, WV 25304 | 2020-04-25 |
1649807603 | Jasmine Shah | Student in an Organized Health Care Education/Training Program | 3110 Maccorkle Avenue, Se, Student Services Department - Wvu Building, 4th Floor, Charleston, WV 25304 | 2020-03-26 |
1447811872 | Kwasi Amponsah Gambrah | Student in an Organized Health Care Education/Training Program | 3200 Mac Corkle Ave. Se, Robert C. Byrd Clinical Teaching Center, 5th Floor, Charlestoni, WV 25304 | 2019-06-26 |
1457916751 | Divya Kalluru | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Avenue Southeast, Robert C. Bird Clinica, 4th Floor Internal Medicine Department, Charleston, WV 25304 | 2019-05-02 |
1841854965 | Sean Michael Percy Losier | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Ave., Se, Camc Family Medicine Center Robert C. Byrd Clinical Tea, Charleston, WV 25304 | 2019-04-24 |
1700440047 | Priyanka Chowdhry | Student in an Organized Health Care Education/Training Program | Robert C. Bird Clinical Training Center, 4th Floor, 3200 Maccorkle Avenue, Southeast, Charleston, WV 25304 | 2019-04-23 |
1568925469 | Saranya Dinesan | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Ave. Se, 4th Floor, Robert C. Byrd Clini, Charleston, WV 25304 | 2019-04-09 |
1043771694 | Mary Elizabeth Novak | Student in an Organized Health Care Education/Training Program | Camc Memorial Hospital, Surgicare Center, 3200 Maccorkle Ave Se, Charleston, WV 25304 | 2019-03-27 |
1124518600 | Abdullah Sohail | Student in an Organized Health Care Education/Training Program | 4th Floor, 3200 Maccorkle Ave, South East Robert C. Bir, Charleston, WV 25304 | 2018-05-10 |
Find all providers in zip 25304 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407218332 | Alliance Sound Imaging LLC | Clinic/Center | 1535 Hobby Street North, Charleston, SC 29405-9441 | 2016-03-21 |
1053422790 | Medical University of South Carolina | Clinic/Center | 60 Barre St, Charleston, SC 29401-1106 | 2006-08-31 |
1083130520 | Regenmd, LLC | Clinic/Center | 764 Saint Andrews Blvd, Charleston, SC 29407-7168 | 2017-08-16 |
1962882415 | Hilton Acupuncture Ltd. Co. | Clinic/Center | 912 Savannah Hwy, Charleston, SC 29407-7802 | 2015-05-30 |
1699188029 | Preferred Family Medical Care LLC | Clinic/Center | 9026 Hiwassee St Ne, Charleston, TN 37310-5305 | 2014-06-03 |
1326398470 | Grant S. Mason, Dds, Inc. | Clinic/Center | 3906 Maccorkle Ave Se, Charleston, WV 25304-1633 | 2012-09-17 |
1346404282 | Carnes Chiropractic | Clinic/Center | 307 40th St Se, Charleston, WV 25304-1621 | 2008-07-10 |
1740466986 | K4e-sc Chiropractic, PC | Clinic/Center | 310 Broad St, Suite 2e, Charleston, SC 29401-1200 | 2008-01-17 |
1912180860 | Medical University Hospital Authority | Clinic/Center | 169 Ashley Ave, Charleston, SC 29425-5836 | 2007-12-14 |
1861680761 | Robert E Peyser Md Pa | Clinic/Center | 1637 Savannah Hwy, Charleston, SC 29407 | 2007-10-05 |
Find all providers in CHARLESTON |
City | CHARLESTON |
Zip Code | 25304 |
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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.