Joe Jackson White Jr.
CHARLESTON GASTROENTEROLOGY ASSOCIATES


Address: 3100 Maccorkle Ave Se, Suite 509, Charleston, WV 25304-1215
Phone: 3043420821

Joe Jackson White Jr. (NPI# 1013925957, PAC ID# 3375717234) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.

Physician Overview

Nation Provider ID (NPI) 1013925957
PAC ID by PECOS 3375717234
Professional Enrollment ID I20111111000153
Full Name Joe Jackson White Jr.
Organization Legal Name CHARLESTON GASTROENTEROLOGY ASSOCIATES
Address 3100 Maccorkle Ave Se
Suite 509
Charleston
WV 25304-1215
Phone Number 3043420821
Gender M
Medical School WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1982
Primary Specialty GASTROENTEROLOGY
Group Practice PAC ID 6709922966
Number of Group Practice Members 7
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
510022 CHARLESTON AREA MEDICAL CENTER

Other Locations

Address Phone Organization
3100 Maccorkle Ave Se, Suite 509, Charleston, WV 25304-1215 3043420821 CHARLESTON GASTROENTEROLOGY ASSOCIATES

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PHCDRR_1 Immunization Registry Reporting %
ACI_EC_TRANS_PHCDRR_2 Syndromic Surveillance Reporting %
ACI_EC_TRANS_PHCDRR_3 Specialized Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Organization Legal Name CHARLESTON GASTROENTEROLOGY ASSOCIATES
Physicians 3

Physicians with the same organization

Name Specialty Organization Address
Kimberly D Myers-light Nurse Practitioner Charleston Gastroenterology Associates 3100 Maccorkle Ave Se, Suite 509, Charleston, WV 25304-1215
Sarah C Fletcher Nurse Practitioner Charleston Gastroenterology Associates 3100 Maccorkle Ave Se, Suite 509, Charleston, WV 25304-1215

Office Location

Street Address 3100 MACCORKLE AVE SE
SUITE 509
City CHARLESTON
State WV
Zip 25304-1215

Physicians in the same location

Name Specialty Organization Address
Venkata R Moningi Hospitalist Charleston Area Medical Center, Inc. 3100 Maccorkle Ave Se, Suite 101, Charleston, WV 25304-1215
Prasuna Jami Endocrinology 3100 Maccorkle Ave Se, Suite 810, Charleston, WV 25304-1264
Jennifer J. Hancock Psychologist, Clinical Charleston Area Medical Center, Inc. 3100 Maccorkle Ave Se, Suite 101, Charleston, WV 25304-1215
Cyrus Mali Urology 3100 Maccorkle Ave Se, Suite 500, Charleston, WV 25304-1226
Michael Elmore Surgical Oncology West Virginia University Medical Corporation Charleston Division 3100 Maccorkle Ave Se, Suite 700, Charleston, WV 25304-1230
Billie Jo Thomas Nurse Practitioner Charleston Area Medical Center, Inc. 3100 Maccorkle Ave Se, Suite 101, Charleston, WV 25304-1215
Amanda Dawn Haddox Nurse Practitioner Charleston Area Medical Center, Inc. 3100 Maccorkle Ave Se, Suite 101, Charleston, WV 25304-1215
Lavinia Petruta Mitulescu Cardiovascular Disease (cardiology) Charleston Area Medical Center, Inc. 3100 Maccorkle Ave Se, Suite 101, Charleston, WV 25304-1215
Jennifer Terrice Classen Nurse Practitioner Neurology and Headache Clinic Pllc 3100 Maccorkle Ave Se, Suite 411, Charleston, WV 25304-1230
Todd A Witsberger General Surgery West Virginia University Medical Corporation Charleston Division 3100 Maccorkle Ave Se, Suite 700, Charleston, WV 25304-1230
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Physicians in the same zip code

Name Specialty Organization Address
Stephen K Milroy Dermatology 3100 Mccorkle Ave Se, Suite 809, Charleston, WV 25304
Jeffrey L Summers Chiropractic 4317 Mac Corkle Ave Se, Charleston, WV 25304
Harry Richard Reynolds Dermatology 2345 Chesterfield Ave, Suite 204, Charleston, WV 25304-1063
Asif Rahman Nephrology Kanawha Nephrology, Inc. 2345 Chesterfield Ave, Suite 301, Charleston, WV 25304-1064
Sarah A Cuffee Nurse Practitioner Kanawha Nephrology, Inc. 2345 Chesterfield Ave, Suite 301, Charleston, WV 25304-1064
Megan E Hall Nurse Practitioner Kanawha Nephrology, Inc. 2345 Chesterfield Ave, Suite 301, Charleston, WV 25304-1064
Khan A Shabih Nephrology Kanawha Nephrology, Inc. 2345 Chesterfield Ave, Suite 301, Charleston, WV 25304-1064
James J Pettit Ii Internal Medicine Mountaineer Cardiology Pllc 2345 Chesterfield Ave, Suite 302, Charleston, WV 25304-1064
Julie Ann Haddy Internal Medicine Kanawha Nephrology, Inc. 2345 Chesterfield Ave, Suite 301, Charleston, WV 25304-1064
Glenn Robert Goldfarb Neurology 2345 Chesterfield Ave, Suite 303, Charleston, WV 25304-1064
Find all physicians in zip 25304

Competitor

Search similar physicians

City CHARLESTON
Zip Code 25304
Specialty GASTROENTEROLOGY
City + Specialty CHARLESTON + GASTROENTEROLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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