WILFRIDO T TOLENTINO JR. (NPI# 1972535367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972535367 |
Entity Type | Individual |
Full Name | WILFRIDO T TOLENTINO JR. |
Credential | PA C |
Practice Address |
400 Court St Ste 100 Charleston WV 25301-1652 |
Practice Telephone | 3043476120 |
Practice Fax Number | 3043476142 |
Mailing Telephone | 3043476120 |
Mailing Fax Number | 3043476142 |
Enumeration Date | 2006-07-07 |
Last Update Date | 2020-06-11 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363AM0700X |
Physician Assistant Specialization: Medical |
573 | WV | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
00690 | WV | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WV | 0011253000 | 05 | |
WV | RR MEDICARE | P00116053 | 01 |
WV | RR MEDICARE | CI5175 | 01 |
Street Address |
400 COURT ST STE 100 |
City | CHARLESTON |
State | WV |
Zip Code | 25301-1652 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346236072 | Brad L Lindsey | Anesthesiology | 400 Court St Ste 100, Charleston, WV 25301-1652 | 2005-09-27 |
1235585027 | Tara L. Tackett | Nurse Practitioner | 400 Court St Ste 100, Charleston, WV 25301 | 2016-05-11 |
1962897272 | Alyson Marie Engle | Anesthesiology | 400 Court St Ste 100, Charleston, WV 25301-1652 | 2015-04-02 |
1902243447 | Rebecca Lynne Butcher | Registered Nurse | 400 Court St Ste 100, Charleston, WV 25301-1652 | 2013-05-23 |
1831116375 | Center for Pain Relief, Inc. | Anesthesiology | 400 Court St Ste 100, Charleston, WV 25301-1652 | 2006-07-17 |
1780619742 | Christopher Konkyo Kim | Anesthesiology | 400 Court St Ste 100, Charleston, WV 25301-1652 | 2006-07-11 |
1194759092 | Carolyn Sue Poston | Physical Therapist | 400 Court St Ste 100, Charleston, WV 25301-1652 | 2006-07-10 |
1629002522 | Mindy Beth Gardner | Physical Therapist | 400 Court St Ste 100, Charleston, WV 25301-1652 | 2006-07-10 |
1861424210 | Timothy Ray Deer | Anesthesiology | 400 Court St Ste 100, Charleston, WV 25301-1652 | 2006-07-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669087680 | Kerrie Rena Harris | Counselor | 16 Leon Sullivan Way Suite 300, Charleston, WV 25301 | 2020-09-15 |
1285123471 | Burgess Dental | Dentist | 405 Capitol Street, The Parlor Suite, Charleston, WV 25301 | 2018-05-03 |
1104322320 | Kara Caldwell | Psychologist | 333 Laidley St., 4'th Floor East, Charleston, WV 25301 | 2018-04-05 |
1740638022 | Christina Phalen | Pharmacy Technician | 701 Lee Street East, Charleston, WV 25301 | 2016-05-27 |
1366867079 | Brooke Powell Garnes | Speech-Language Pathologist | 1313 Quarrier Street, Suite A, Charleston, WV 25301 | 2014-03-04 |
1952648404 | Implanted Pump Management, LLC | Home Infusion | 311 Laidley St., Suite 202, Charleston, WV 25301 | 2013-01-03 |
1730435108 | Chaitanya Mishra | Internal Medicine | 501 Morris St Ste 357, Charleston, WV 25301 | 2012-08-03 |
1033477278 | James Stephen Harman | Neurological Surgery | 415 Morris St Ste 400, Charleston, WV 25301 | 2012-04-25 |
1265674329 | Howard and Howard Dental LLC | Dentist | 1321 Virginia St., Charleston, WV 25301 | 2009-04-03 |
1881856144 | Steven David Hollosi | Emergency Medicine | 501 Morris St., Charleston, WV 25301 | 2008-06-27 |
Find all providers in zip 25301 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821470113 | Lesley E. Weiss | Physician Assistant | 3200 Maccorkle Seave, Charleston, WV 25304-1227 | 2015-06-23 |
1063797447 | Michael B Carothers | Physician Assistant | 2030 Wambaw Crk, Charleston, SC 29492-8382 | 2011-10-17 |
1316228679 | Joanna Harvey | Physician Assistant | 2085 H Tecklenburg Dr, 2nd Floor, Charleston, SC 29414-7710 | 2011-08-31 |
1689825895 | Jeffrey Russell Pike | Physician Assistant | 2097 Henry Tecklenburg Dr Ste 305w, Charleston, SC 29414-5744 | 2008-10-07 |
1073662664 | Kenneth Neil Dippel | Physician Assistant | 3200 Maccorkle Ave. Se, Camc Memorial Hospital, Charleston, WV 25304 | 2007-01-10 |
1790873099 | Steven L Russell | Physician Assistant | 191 Rutledge Ave, Charleston, SC 29403-5822 | 2006-10-11 |
1376649723 | Irene Belinda Coley | Physician Assistant | Ralph H. Johnson Va Medical Center, 109 Bee Street, Charleston, SC 29401 | 2006-09-15 |
1578597480 | David Laurence Gross | Physician Assistant | 9313 Medical Plaza Dr Ste 102, Charleston, SC 29406-9153 | 2006-07-10 |
1851331714 | Caroline M Bailey | Physician Assistant | 1 Bishop Gadsden Way, Suite 97, Charleston, SC 29412-3506 | 2006-06-08 |
1952357899 | Constantina Helen Panos | Physician Assistant | 129 Queen St, Charleston, SC 29401-2424 | 2006-05-25 |
Find all providers in CHARLESTON |
City | CHARLESTON |
Zip Code | 25301 |
Please comment or provide details below to improve the information on WILFRIDO T TOLENTINO JR..
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.