RAFAEL MODESTO RODIGHIERO (NPI# 1881969475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881969475 |
| Entity Type | Individual |
| Full Name | RAFAEL MODESTO RODIGHIERO |
| Credential | PA-C |
| Practice Address |
122 Nick Savas Dr Logan WV 25601-3468 |
| Mailing Address |
7400 Lynn Ave Hamlin WV 25523-1138 |
| Practice Telephone | 3047528081 |
| Practice Fax Number | 3047528083 |
| Mailing Telephone | 3048245806 |
| Mailing Fax Number | 3048245804 |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2013-02-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
01624 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810022963 | 05 |
| Street Address |
122 NICK SAVAS DR |
| City | LOGAN |
| State | WV |
| Zip Code | 25601-3468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265717250 | Martin L. Codispoti | Nurse Practitioner | 122 Nick Savas Dr, Logan, WV 25601-3468 | 2011-10-21 |
| 1336648245 | Rikki Lynn Evans | Nurse Practitioner | 122 Nick Savas Dr, Logan, WV 25601-3468 | 2018-02-06 |
| 1366833576 | Timothy Deskins | Physician Assistant | 122 Nick Savas Dr, Logan, WV 25601-3468 | 2015-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689805 | Appalachian Medical LLC | Durable Medical Equipment & Medical Supplies | 218 Dingess St, Logan, WV 25601 | 2020-11-04 |
| 1184224909 | Pamela Gail Hamlin | Technician | 123 Cassick Street, Logan, WV 25601 | 2020-10-30 |
| 1134607344 | Allyson Christa Mckinney | Occupational Therapy Assistant | 55 Lmmh Center Road, Logan, WV 25601 | 2018-07-31 |
| 1841783727 | Erica Lupson | Nurse Practitioner | 3 Mile Curve, Logan, WV 25601 | 2018-06-14 |
| 1861930836 | Joseph Michael Mounts | Counselor | 312 Hudgins St, Logan, WV 25601 | 2017-02-09 |
| 1932647385 | Melissa Campbell | Occupational Therapy Assistant | Wv-10, Logan, WV 25601 | 2017-02-06 |
| 1356891659 | Brooke Bell | Pharmacist | Route 44 Holden Rd, Logan, WV 25601 | 2016-10-11 |
| 1760886469 | April Workman | Massage Therapist | 19 A Main Avenue, Logan, WV 25601 | 2014-10-09 |
| 1366889081 | Ashley Leann Dingess | Physical Therapy Assistant | 55 Logan Mingo Mental Health, Logan, WV 25601 | 2013-06-04 |
| 1528361466 | Health Care Management, LLC | Pharmacy | 369 George Kostas Drive, Logan, WV 25601 | 2010-12-15 |
| Find all providers in zip 25601 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245377811 | Heather Kaye Robinson | Physician Assistant | 313 Hudgins St., Suite 200, Logan, WV 25601 | 2007-01-31 |
| 1487269080 | Sean Nicholas Wright | Physician Assistant | 630 E 1400 N Ste 150, Logan, UT 84341-2549 | 2020-09-10 |
| 1770034761 | Bradley Curtis Bybee | Physician Assistant | 500 E 1400 N, Logan, UT 84341 | 2016-10-14 |
| 1295187938 | Caitlyn Rose Jennings | Physician Assistant | 630 E 1400 N Ste 135, Logan, UT 84341-2549 | 2016-07-06 |
| 1386946838 | Brandon D Durfee | Physician Assistant | 1400 N 500 E, Logan, UT 84341-2455 | 2010-12-02 |
| 1447400734 | Elm Emergency Group Pllc | Physician Assistant | 20 Hospital Dr, Logan, WV 25601-3452 | 2008-09-24 |
| 1881876860 | Brent Pitcher | Physician Assistant | 1350 N 500 E, Logan, UT 84341-2400 | 2007-11-30 |
| 1285756825 | Marc Lawson | Physician Assistant | 1400 N 500 E, Logan, UT 84341-2455 | 2007-04-04 |
| 1699826149 | Kenneth Alan Wade | Physician Assistant | 1325 N 600 E, Suite 102, Logan, UT 84341-6738 | 2007-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386270908 | Bonnie Lynn Blackburn | Physician Assistant | 10 Amalia Dr Ste C5, Buckhannon, WV 26201-2270 | 2020-03-15 |
| 1922638824 | Sara B Johnson | Physician Assistant | 1000 Mon Health Medical Park Dr Ste 1100, Morgantown, WV 26505-1143 | 2020-01-19 |
| 1659835072 | Kristen Nicole Williams | Physician Assistant | 26 Portsmouth Ct N, Falling Waters, WV 25419-1430 | 2019-01-30 |
| 1629588876 | Robert Theodore Hartman | Physician Assistant | 620 National Rd Ste 300, Wheeling, WV 26003-6560 | 2017-10-02 |
| 1366967986 | Terri Leanne Belcher | Physician Assistant | 395 Emily Dr, Clarksburg, WV 26301-5505 | 2017-08-04 |
| 1760937056 | Ryan Aston | Physician Assistant | 58 16th St Fl 4, Wheeling, WV 26003-3660 | 2016-08-17 |
| 1821470113 | Lesley E. Weiss | Physician Assistant | 3200 Maccorkle Seave, Charleston, WV 25304-1227 | 2015-06-23 |
| 1891197323 | Rachelle Lyle Stewart | Physician Assistant | 1500 Terrace St Ste 105, Hinton, WV 25951-9768 | 2014-09-16 |
| 1285043224 | Sarah Gutman Brammer | Physician Assistant | 30 Medical Park Ste 211, Wheeling, WV 26003-6391 | 2014-08-04 |
| 1841603529 | Timothy Douglas | Physician Assistant | 4202 Mccorkle Ave Sw Ste 200, South Charleston, WV 25309-1513 | 2014-06-10 |
| Find all providers with the same taxonomy | ||||
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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.