CHARLESTON GYNECOLOGY PLLC (NPI# 1881009181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881009181 |
| Entity Type | Organization |
| Organization Name | CHARLESTON GYNECOLOGY PLLC |
| Practice Address |
500 Poplar St Suite 203 South Charleston WV 25309-1474 |
| Practice Telephone | 3044144810 |
| Practice Fax Number | 3044144819 |
| Mailing Telephone | 3044144810 |
| Mailing Fax Number | 3044144819 |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2014-06-25 |
| Authorized Official Name | MRS. MICHAELA ELAINE KESSLER (PHYSICIAN) |
| Authorized Official Telephone | 3044144810 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 2105 | WV | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810012911 | 05 |
| Street Address |
500 POPLAR ST SUITE 203 |
| City | SOUTH CHARLESTON |
| State | WV |
| Zip Code | 25309-1474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447257787 | Emad A Kowatli | Internal Medicine | 500 Poplar St, Suite 204, South Charleston, WV 25309-1474 | 2005-07-01 |
| 1083013353 | Lisa Marie Mcclure | Nurse Practitioner | 500 Poplar St, Suite 202, South Charleston, WV 25309-1474 | 2014-08-22 |
| 1467768804 | Richard W Craddock | Physician Assistant | 500 Poplar St, South Charleston, WV 25309-1474 | 2010-08-24 |
| 1720262546 | Osterman Cotes, M.d. Pllc | Obstetrics & Gynecology | 500 Poplar St, Suite 200, South Charleston, WV 25309-1474 | 2007-12-28 |
| 1497944136 | Neurology & Pain Center Pllc | Psychiatry & Neurology | 500 Poplar St, Suite 201, South Charleston, WV 25309-1474 | 2007-10-18 |
| 1003013681 | Comprehensive Surgical Associates Pllc | Surgery | 500 Poplar St, Suite 304, South Charleston, WV 25309-1474 | 2007-06-28 |
| 1255537999 | Johnna Michelle Jackson | Surgery | 500 Poplar St, Suite 304, South Charleston, WV 25309-1474 | 2007-06-21 |
| 1942429790 | Kristen Price Eads | Surgery | 500 Poplar St, Suite 304, South Charleston, WV 25309-1474 | 2007-04-24 |
| 1477623775 | Greta Virginia Guyer | Internal Medicine | 500 Poplar St, Suite 202, South Charleston, WV 25309-1474 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376905 | Lovie Bradshaw | Technician | 4823 Tennessee St., South Charleston, WV 25309 | 2020-11-03 |
| 1306447735 | Barbara Mackenzie | Technician | 4224 Kanawha Turnpike, South Charleston, WV 25309 | 2020-11-03 |
| 1548861974 | Sarah Nichols | Technician | 4990 Colonial Park Dr. Apt. F, South Charleston, WV 25309 | 2020-11-03 |
| 1629690177 | Jennifer Mabry-goins | Technician | 4505 River Avenue, S Charleston, WV 25309 | 2020-05-07 |
| 1811537715 | Brandon C Dean | Psychologist | 4857 Macorkle Ave. Sw, South Charleston, WV 25309 | 2020-01-09 |
| 1467096057 | Linda Mullins | Technician | 60 Hayvon Lane, South Charleston, WV 25309 | 2019-11-06 |
| 1831743616 | Ann Myriah Beck | Nurse Practitioner | 4610 Maccorkle Ave Sw # 300, South Charleston, WV 25309 | 2019-07-30 |
| 1942671227 | Edward W Eskew | Family Medicine | 4605 Maccorkle Avenue, Sw, Thspp-psychiatry, South Charleston, WV 25309 | 2015-10-13 |
| 1720468218 | Link Investments LLC | Pharmacy | 5151 Macorkle Avenue, South Charleston, WV 25309 | 2015-06-01 |
| 1366840951 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 304 Southbridge Blvd., S.ccharleston, WV 25309 | 2014-12-12 |
| Find all providers in zip 25309 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518371988 | Wv Medical Services, Inc | Specialist | 4816 1/2 Pennsylvania Ave Sw, South Charleston, WV 25309-1337 | 2014-06-13 |
| 1700126257 | Gilbert Goliath Md Pllc | Specialist | 4607 Maccorkle Ave Sw Suite 400, South Charleston, WV 25309 | 2013-02-20 |
| 1053594267 | Mary Elizabeth Taylor | Specialist | 117 7th Avenue, South Charleston, WV 25303 | 2007-12-11 |
| 1700086717 | Charleston Obstetrics and Gynecology Associates Pllc | Specialist | 4607 Maccorkle Ave Sw Ste 201, South Charleston, WV 25309-1364 | 2007-07-19 |
| 1649475914 | Solutions Positive Behavior Strategies, LLC | Specialist | 1 Oak Drive, South Charleston, WV 25309 | 2007-06-18 |
| 1710198858 | Kimberly Dawn Warren | Specialist | 4834 Maccorkle Ave Sw, South Charleston, WV 25309-1340 | 2007-05-24 |
| 1750594529 | Bassam N Shamma, M.d., Pllc | Specialist | 4607 Maccorkle Ave Sw Ste 301, South Charleston, WV 25309-1364 | 2007-05-08 |
| 1669508438 | Kanawha Valley Heart Specialists | Specialist | 4610 Kanawha Ave, Sw, Suite 200, South Charleston, WV 25309-1320 | 2007-02-26 |
| 1578620696 | Badshah J. Wazir | Specialist | 428 Division St, South Charleston, WV 25309-1469 | 2007-01-02 |
| 1730280694 | Osterman Cotes | Specialist | 500 Poplar Street, Suite 200, South Charleston, WV 25309-1474 | 2006-09-25 |
| Find all providers in SOUTH CHARLESTON | ||||
| City | SOUTH CHARLESTON |
| Zip Code | 25309 |
Please comment or provide details below to improve the information on CHARLESTON GYNECOLOGY PLLC.
| 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.