CHARLESTON AREA MEDICAL CENTER, INC. (NPI# 1972125995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972125995 |
| Entity Type | Organization |
| Organization Name | CHARLESTON AREA MEDICAL CENTER, INC. |
| Practice Address |
1320 Maplewood Ave Ronceverte WV 24970-8016 |
| Mailing Address |
Po Box 1547 Charleston WV 25326-1547 |
| Practice Telephone | 3047932220 |
| Practice Fax Number | 3047932277 |
| Mailing Telephone | 3043881724 |
| Mailing Fax Number | 3043881721 |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2020-05-13 |
| Authorized Official Name | STEPHEN ZECHARIAH BELL (VP FINANCE) |
| Authorized Official Telephone | 3043886251 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| CAMC GVMC Physician Department | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518579689 | Charleston Area Medical Center, Inc. | Clinic/Center | 702 Professional Park Dr Ste 102, Summersville, WV 26651-2033 | 2020-08-20 |
| 1053693697 | Charleston Area Medical Center, Inc. | Clinic/Center | 3100 Maccorkle Ave Se Ste 808, Charleston, WV 25304-1233 | 2011-09-09 |
| 1245544527 | Charleston Area Medical Center, Inc. | Radiologic Technologist | 60 Rhl, South Charleston, WV 25309-8278 | 2010-07-29 |
| 1134518186 | Charleston Area Medical Center, Inc. | Pharmacy | 3415 Maccorkle Ave Se, Charleston, WV 25304-1334 | 2015-01-14 |
| 1134517394 | Charleston Area Medical Center, Inc. | General Acute Care Hospital | 3200 Maccorkle Ave Se, Charleston, WV 25304-1227 | 2014-12-22 |
| 1912247750 | Charleston Area Medical Center, Inc. | Pharmacy | 501 Morris St, Charleston, WV 25301-1326 | 2013-02-14 |
| 1033482443 | Charleston Area Medical Center, Inc. | Clinic/Center | 3100 Maccorkle Ave Se Ste 808, Charleston, WV 25304-1233 | 2012-02-15 |
| 1316101819 | Charleston Area Medical Center, Inc. | General Acute Care Hospital | 3100 Maccorkle Ave Se, Suite 101, Charleston, WV 25304-1223 | 2008-07-14 |
| 1427270586 | Charleston Area Medical Center, Inc. | General Acute Care Hospital | 501 Morris St, Charleston, WV 25301-1326 | 2007-05-02 |
| 1336361492 | Charleston Area Medical Center, Inc. | General Acute Care Hospital | 501 Morris St, Charleston, WV 25301-1326 | 2007-05-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CHARLESTON AREA MEDICAL CENTER, INC. | 501 Morris St, Charleston, WV 25301-1326 |
| Street Address |
1320 MAPLEWOOD AVE |
| City | RONCEVERTE |
| State | WV |
| Zip Code | 24970-8016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639124142 | Greenbrier Vmc LLC | Anesthesiology | 1320 Maplewood Ave, Ronceverte, WV 24970-8016 | 2006-05-23 |
| 1952917254 | Kelsey Peters | Dietitian, Registered | 1320 Maplewood Ave, Ronceverte, WV 24970-8016 | 2020-09-22 |
| 1750994240 | Stephanie D Holliday | Nurse Practitioner | 1320 Maplewood Ave, Ronceverte, WV 24970-8016 | 2020-08-25 |
| 1184285728 | Savannah Foster | Dietitian, Registered | 1320 Maplewood Ave, Ronceverte, WV 24970-8016 | 2019-06-25 |
| 1598229551 | Brandy Lynn Anderson | Nurse Practitioner | 1320 Maplewood Ave, Ronceverte, WV 24970-8016 | 2019-01-24 |
| 1386198240 | Erin Allen | Dietitian, Registered | 1320 Maplewood Ave, Ronceverte, WV 24970-8016 | 2016-08-09 |
| 1326493750 | Jared Eames | Family Medicine | 1320 Maplewood Ave, Ronceverte, WV 24970-8016 | 2016-05-04 |
| 1922488956 | Theresa Elizabeth Mellette | Family Medicine | 1320 Maplewood Ave, Ronceverte, WV 24970-8016 | 2015-06-04 |
| 1609255082 | Jonathan Aaron Donahue | Hospitalist | 1320 Maplewood Ave, Ronceverte, WV 24970-8016 | 2015-05-19 |
| 1841680618 | Aaron Mark Taylor | Pharmacist | 1320 Maplewood Ave, Ronceverte, WV 24970-8016 | 2015-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770197980 | Susan Linton | Technician | 3776 Holes Mill Rd, Ronceverte, WV 24970 | 2020-09-04 |
| 1417561143 | Lori Selene Pickler | Technician | 974 C.west Main St, Ronceverte, WV 24970 | 2020-09-01 |
| 1184237257 | Jotina Hamrick | Technician | 194 Sellers St. Apt.a, Ronceverte, WV 24970 | 2020-08-28 |
| 1871072066 | Blink, Inc. | Eyewear Supplier (Equipment, not the service) | 3942 David Stuart Road, Suite 1, Ronceverte, WV 24970 | 2018-08-09 |
| 1407233976 | Rocky Mountain Holdings, LLC | Ambulance | 584 Airport Road, Box 9 (hangar 4), Lewisburg, WV 24970 | 2015-05-04 |
| 1245500040 | Seneca Family Foot Care, Pllc | Podiatrist | 336 Seneca Trail, Ronceverte, WV 24970 | 2012-01-10 |
| 1922301035 | Dwan Shasta Hamons | Pharmacist | 180 Red Oaks Shopping Center, Ronceverte, WV 24970 | 2010-12-10 |
| 1427351840 | Xuan Le Berry | Pharmacist | 180 Red Oaks Shopping Ctr., Ronceverte, WV 24970 | 2010-12-07 |
| 1104129683 | James P Meadows | Pharmacist | 180 Red Oak Shopping Center, Ronceverte, WV 24970 | 2010-12-06 |
| 1891924676 | Blink, Inc. | Optometrist | 101 Davis Stuart Road, Ronceverte, WV 24970 | 2009-07-14 |
| Find all providers in zip 24970 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609255082 | Jonathan Aaron Donahue | Hospitalist | 1320 Maplewood Ave, Ronceverte, WV 24970-8016 | 2015-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790164184 | Elizabeth P. Lane | Hospitalist | 3100 Maccorkle Ave Se Ste B16, Charleston, WV 25304 | 2015-05-19 |
| 1891134706 | Harish Pulluru | Hospitalist | 3200 Maccorkle Ave Se Ste B-16, Charleston, WV 25304-1227 | 2013-06-24 |
| 1750850319 | Integrated Wv LLC | Hospitalist | 500 Cherry St, Bluefield, WV 24701-3306 | 2018-11-13 |
| 1194232801 | South Branch Hospitalist and Internal Medicine Group Pllc | Hospitalist | 65 Hospital Dr Ste 102, Petersburg, WV 26847-9549 | 2018-01-03 |
| 1790231025 | Ridwaan Albeiruti | Hospitalist | 1 Medical Center Dr, Morgantown, WV 26506 | 2016-08-28 |
| 1740733187 | Shenell A Bernard | Hospitalist | 327 Medical Park Dr, Bridgeport, WV 26330-9006 | 2016-08-02 |
| 1225481443 | Muhammad Ijaz Pervez | Hospitalist | 3200 Maccorkle Ave Se, Charleston, WV 25304-1227 | 2016-07-22 |
| 1649626102 | Sean Regner | Hospitalist | 1 Medical Center Dr, Morgantown, WV 26506 | 2016-05-13 |
| 1962857888 | Vijayalakshmi Chinta | Hospitalist | 3200 Maccorkle Ave Se, Charleston, WV 25304-1227 | 2016-04-28 |
| 1013370998 | Christina Kitsos | Hospitalist | 327 Medical Park Dr, Bridgeport, WV 26330-9006 | 2016-03-30 |
| Find all providers with the same taxonomy | ||||
| City | RONCEVERTE |
| Zip Code | 24970 |
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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.