CAROL A SHIREY (NPI# 1922065879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922065879 |
| Entity Type | Individual |
| Full Name | CAROL A SHIREY |
| Credential | MD |
| Practice Address |
1370 Johnson Ave Ste 102 Bridgeport WV 26330-1492 |
| Practice Telephone | 6813423453 |
| Mailing Telephone | 6813423453 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2017-02-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 0101251193 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
1370 JOHNSON AVE STE 102 |
| City | BRIDGEPORT |
| State | WV |
| Zip Code | 26330-1492 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619946936 | James J Demarco | Internal Medicine | 1370 Johnson Ave, Ste 203, Bridgeport, WV 26330-1378 | 2006-03-17 |
| 1962036509 | Maria Bridgette Scudere | Nurse Practitioner | 1370 Johnson Ave, Bridgeport, WV 26330-1492 | 2020-02-22 |
| 1841663127 | Carrie Renee Arbogast | Physician Assistant | 1370 Johnson Ave, Ste 102, Bridgeport, WV 26330-1492 | 2015-11-09 |
| 1750674149 | Tammy Lou Yazevac | Physician Assistant | 1370 Johnson Ave, Bridgeport, WV 26330-1492 | 2011-05-18 |
| 1740508779 | Raetta Lynn Wentz | Physician Assistant | 1370 Johnson Ave, Bridgeport, WV 26330-1492 | 2010-05-14 |
| 1023332699 | Jaclyn K Swick | Physician Assistant | 1370 Johnson Ave, Bridgeport, WV 26330-1492 | 2010-03-25 |
| 1750565800 | United Hospital Center, Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1370 Johnson Ave, Suite 201, Bridgeport, WV 26330-1492 | 2007-12-26 |
| 1578692679 | Medbrook Medical Assoc. Inc. | Clinical Medical Laboratory | 1370 Johnson Ave, Bridgeport, WV 26330-1382 | 2007-03-05 |
| 1720142391 | Timothy M Peasak | Emergency Medicine | 1370 Johnson Ave, 1st Floor, Bridgeport, WV 26330 | 2006-12-20 |
| 1649292228 | Medbrook Medical Associates Inc | Pharmacy | 1370 Johnson Ave, Bridgeport, WV 26330-1492 | 2006-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303036 | Gage Mackenzie Chichester | Nurse Anesthetist, Certified Registered | 2673 Medical Park Drive, Bridgeport, WV 26330 | 2020-10-12 |
| 1851914105 | Melany Langhurst | Social Worker | 64 Professional Place, Suite 102, Bridgeport, WV 26330 | 2020-05-21 |
| 1245704980 | Adam Christopher Stonestreet | Social Worker | Community Care of Bridgeport, 65 Professional Place, Bridgeport, WV 26330 | 2019-01-16 |
| 1588146658 | Bridgeport Physical Therapy Services, Inc. | Occupational Therapist | 25 Sweetbrier Lane, Suite 105, Bridgeport, WV 26330 | 2018-09-05 |
| 1275040685 | White Oaks Assisted Living | Assisted Living Facility | 140 Professional Place White Oaks, Bridgeport, WV 26330 | 2018-01-08 |
| 1275049371 | Regional Eye Associates, Inc | Ophthalmology | 220 Southview Drive, Bridgeport, WV 26330 | 2017-12-27 |
| 1528586187 | Savanna Tamia Brown | Social Worker | 65 Professinal Place Suites 101,102103, Bridgeport, WV 26330 | 2017-09-05 |
| 1184079642 | Karla Kay Rinehart | Social Worker | 27 Trovato St., Suite 103, Bridgeport, WV 26330 | 2016-05-03 |
| 1396176756 | Willo Group LLC | Pharmacy | 460 E. Main Street, Bridgeport, WV 26330 | 2013-12-10 |
| 1891031878 | Sherri Michelle Dobson | Occupational Therapy Assistant | 1000 Maplewood Dr, Bridgeport, WV 26330 | 2012-12-20 |
| Find all providers in zip 26330 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619525466 | Ilja Hulinsky Md PC | Internal Medicine | 4641 Main St Ste 3, Bridgeport, CT 06606-1827 | 2019-08-26 |
| 1801245931 | United Hospital Center, Inc. | Internal Medicine | 527 Medical Park Dr Ste 307, Bridgeport, WV 26330-9010 | 2016-06-09 |
| 1972957819 | Diana Rachel Stern Ferrante | Internal Medicine | 267 Grant St., Bridgeport, CT 06610 | 2016-04-18 |
| 1053711879 | Louis Ernest D'onofrio Jr. | Internal Medicine | 3180 Main St Unit 1b, Bridgeport, CT 06606-4237 | 2014-08-28 |
| 1548603384 | Gerald E. Hedley | Internal Medicine | 390 Charles Street Unit #101, Bridgeport, CT 06606 | 2013-04-11 |
| 1477849354 | Hervey Weitzman, Md, LLC | Internal Medicine | 4699 Main St Ste 213, Bridgeport, CT 06606-1830 | 2011-06-20 |
| 1598086506 | Saurabh Ranjan | Internal Medicine | 267 Grant Street, Gme 4th Floor, Bridgeport Hospital, Bridgeport, CT 06610 | 2010-06-14 |
| 1013143130 | Kevin B Panzer | Internal Medicine | 1381 Reservoir Ave., Bridgeport, CT 06606 | 2009-06-03 |
| 1720228455 | Wayne S Levin Md | Internal Medicine | 3690 Main St, Bridgeport, CT 06606-3610 | 2009-02-20 |
| 1992908537 | Jonathan Edmund Stanley | Internal Medicine | 527 Medical Park Dr Ste 302, Bridgeport, WV 26330-9009 | 2007-06-11 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 26330 |
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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.