JEFFERY F ADDISON (NPI# 1972548618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972548618 |
| Entity Type | Individual |
| Full Name | JEFFERY F ADDISON |
| Credential | MD |
| Practice Address |
331 Laidley St Ste 307 Charleston WV 25301-1605 |
| Practice Telephone | 3042081414 |
| Practice Fax Number | 3043442108 |
| Mailing Telephone | 3042081414 |
| Mailing Fax Number | 3043442108 |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2010-05-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
15775 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CIGNA | 6608290 | 01 | |
| PEIA | 197254861 | 01 | |
| AETNA | 1972548618 | 01 | |
| WV | 3810000347 | 05 | |
| FEDERAL WORKERS COMP | 614835100 | 01 | |
| OH | 2496080 | 05 | |
| TRICARE | 271503047 | 01 | |
| WV | BRICKSTREET | 10010042 | 01 |
| WV | MSBCBS | 271503047 | 01 |
| OHIO JOB & FAMILY SERVICES | 2496080 | 01 |
| Street Address |
331 LAIDLEY ST STE 307 |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25301-1605 |
| 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 | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1811512353 | Maria Creciun Browne | Internal Medicine | Musc 96 Jonathan Lucas Str Room 822, Msc 629, Charleston, SC 29425-0001 | 2020-06-10 |
| 1437718889 | Samar Medani | Internal Medicine | Division of Nephrology, Medical Univ of South Carolina, 96 Jonathan Lucas Street, Room 822, Msc 629, Charleston, SC 29425 | 2019-06-10 |
| 1245719939 | Keisuke Okamoto | Internal Medicine | 96 Jonathan Lucas Street, Suite 822, Msc 629, Charleston, SC 29425 | 2018-08-13 |
| 1104332774 | Darius Lucian Lazarus | Internal Medicine | 96 Jonathan Lucas Street Musc - Csb 822 / Msc 629, Charleston, SC 29425-0001 | 2017-12-19 |
| 1396198800 | Karim Soliman | Internal Medicine | 171 Ashley Ave # Msc629, Charleston, SC 29425 | 2016-07-20 |
| 1639552615 | Manzar Hussain | Internal Medicine | 2345 Chesterfield Ave Ste 301, Charleston, WV 25304-1064 | 2015-07-08 |
| 1427455393 | Jennifer Kinnard | Internal Medicine | 8 Orange St, Charleston, SC 29401-2408 | 2014-11-20 |
| 1700070943 | Dialysis Clinic Inc. | Internal Medicine | 1427 King Street, Charleston, SC 29403 | 2007-08-30 |
| 1265447031 | Howard Garfinkel | Internal Medicine | 237 Confederate Cir, Charleston, SC 29407-7428 | 2006-07-30 |
| 1629016647 | Julie Ann Haddy | Internal Medicine | 2345 Chesterfield Avenue, Ste 301, Charleston, WV 25304 | 2006-06-03 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 25301 |
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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.