HOWARD M. GRODMAN (NPI# 1790891455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790891455 |
| Entity Type | Individual |
| Full Name | HOWARD M. GRODMAN |
| Credential | M.D. |
| Practice Address |
830 Pennsylvania Ave Suite 103 Charleston WV 25302-3302 |
| Practice Telephone | 3043881552 |
| Practice Fax Number | 3043881577 |
| Mailing Telephone | 3043881552 |
| Mailing Fax Number | 3043881577 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2015-06-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
171678 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | MEDICAL | 171678 | 01 |
| Street Address |
830 PENNSYLVANIA AVE SUITE 103 |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25302-3302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447253497 | Scott Alan Naegele | Obstetrics & Gynecology | 830 Pennsylvania Ave, Suite 108, Charleston, WV 25302-3389 | 2005-05-23 |
| 1134678071 | Meredith Anne Chapman | Dietitian, Registered | 830 Pennsylvania Ave, Suite 103, Charleston, WV 25302-3302 | 2016-10-03 |
| 1790168409 | Muhammad Farhan Khaliq | Internal Medicine | 830 Pennsylvania Ave, Women and Children's Medical Staff Office, Suite 103, Charleston, WV 25302-3302 | 2015-06-30 |
| 1467869537 | Amarah Shakoor | Student in an Organized Health Care Education/Training Program | 830 Pennsylvania Ave, Suite 102, Charleston, WV 25302-3302 | 2014-07-21 |
| 1154734465 | Thomas Hunter & Associates, Pllc | Obstetrics & Gynecology | 830 Pennsylvania Ave, Ste 402, Charleston, WV 25302-3302 | 2014-06-04 |
| 1881031557 | Integrated Health Care Providers, Inc. | Surgery | 830 Pennsylvania Ave, Suite 305, Charleston, WV 25302-3302 | 2013-06-04 |
| 1528300829 | Brandi Elizabeth Sentz | Dietitian, Registered | 830 Pennsylvania Ave, Suite 103, Charleston, WV 25302-3302 | 2013-03-25 |
| 1821338047 | Abc Pediatrics, Pllc | Pediatrics | 830 Pennsylvania Ave, Ste. 200, Charleston, WV 25302-3302 | 2013-02-25 |
| 1174842140 | Ashley E Meyer | Pediatrics | 830 Pennsylvania Ave, Ste 103, Charleston, WV 25302-3302 | 2010-05-28 |
| 1134456171 | Marsha Harris | Registered Nurse | 830 Pennsylvania Ave, Ste 104, Charleston, WV 25302-3302 | 2009-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871963 | Sha'la Wright | Technician | 713 Orchard Street Apt. G, Charleston, WV 25302 | 2020-11-03 |
| 1154929446 | Christine Balser | Technician | 3324 Pennsylvania Avenue, Charleston, WV 25302 | 2020-10-09 |
| 1629698865 | Umer Muhammad | Student in an Organized Health Care Education/Training Program | Childrens Medicine Center, 800 Pennsylvania Ave, Charleston, WV 25302 | 2020-04-17 |
| 1689209660 | Annedie Beauty Equipment Wholesale | Prosthetic/Orthotic Supplier | 3406 Pennsylvania Avenue, Charleston, WV 25302 | 2020-03-10 |
| 1932753530 | Northwest Pharmacy, LLC | Pharmacy | 708 Bigley Ave, Ste A, Charleston, WV 25302 | 2019-07-31 |
| 1831753185 | Philip Rhoney Fending | Student in an Organized Health Care Education/Training Program | Camc Ob/gyn Center, 800 Pennsylvania Ave, Charleston, WV 25302 | 2019-04-23 |
| 1851854491 | Amee Atulkumar Amin | Student in an Organized Health Care Education/Training Program | Familycare/ Children's Medicine Center, 800 Pennsylvania Ave, Charleston, WV 25302 | 2019-04-10 |
| 1790276525 | Womencare Inc | Clinic/Center | 812 Park Ave # 35, Charleston, WV 25302 | 2018-05-29 |
| 1245729771 | Zunaira Mahmood | Student in an Organized Health Care Education/Training Program | 800 Pennsylvania Ave., Familycare/children's Medicine C, Charleston, WV 25302 | 2018-05-10 |
| 1093212383 | Rahiya Binte Rehman | Student in an Organized Health Care Education/Training Program | 800 Pennsylvania Ave Family Care / Children's Medicine, Charleston, WV 25302 | 2018-04-12 |
| Find all providers in zip 25302 | ||||
| Taxonomy Code | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902880081 | Allen Russell Chauvenet | Pediatrics | 830 Pennsylvania Avenue, West Virginia University, Charleston, WV 25302 | 2005-12-02 |
| 1568849511 | Mahvish Qureshi Rahim | Pediatrics | 830 Pennsylvania Ave, Suite 103, Women & Children's Medical Staff Office Building Peds, Charleston, WV 25302 | 2015-04-29 |
| 1386037026 | Sandeepkumar Kuril | Pediatrics | 171 Ashley Ave, Charleston, SC 29425 | 2015-03-05 |
| 1184062275 | Jason Norberto Payne | Pediatrics | 169 Ashley Ave Rm 202, Main Hospital Msc 333, Charleston, SC 29425-8905 | 2013-06-11 |
| 1174842140 | Ashley E Meyer | Pediatrics | 830 Pennsylvania Ave, Ste 103, Charleston, WV 25302-3302 | 2010-05-28 |
| 1619292851 | Miguel R Abboud | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-0100 | 2010-03-31 |
| 1346493251 | University Medical Associates | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-8908 | 2008-10-23 |
| 1528148848 | Lisa Johnson | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-0001 | 2006-10-17 |
| 1679654834 | Heather Dawn Escoto | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-0001 | 2006-10-17 |
| 1891885554 | Jennifer Jaroscak | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-0100 | 2006-10-13 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 25302 |
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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.