Victoria Boldman (NPI# 1356852081, PAC ID# 6002177219) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1356852081 |
| PAC ID by PECOS | 6002177219 |
| Professional Enrollment ID | I20180306002026 |
| Full Name | Victoria Boldman |
| Organization Legal Name | COMMUNITY HEALTH ASSOCIATION |
| Address |
122 Pinnell St Morad Hughes Health Ctr Ripley WV 25271-9101 |
| Phone Number | 3043731578 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1759291313 |
| Number of Group Practice Members | 33 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 511320 | JACKSON GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 122 Pinnell St, Morad Hughes Health Ctr, Ripley, WV 25271-9101 | 3043731578 | COMMUNITY HEALTH ASSOCIATION |
| Organization Legal Name | COMMUNITY HEALTH ASSOCIATION |
| Physicians | 32 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Staci D Cummings | Nurse Practitioner | Community Health Association | 200 Academy Dr, Ripley, WV 25271-1157 |
| Shirin M Morad | Internal Medicine | Community Health Association | 174 Pinnell St, Suite C, Ripley, WV 25271-9105 |
| Shannon Lynn Tennant | Physical Therapy | Community Health Association | 511 Washington St, Ravenswood, WV 26164-1733 |
| Jennifer C Simon | Nurse Practitioner | Community Health Association | Pinnell St, Ripley, WV 25271 |
| Matthew L Parsons | Physician Assistant | Community Health Association | 509 Church St S, Ripley, WV 25271-1615 |
| Edward E Stewart Jr. | Emergency Medicine | Community Health Association | 122 Pinnell St, Ripley, WV 25271-9101 |
| Jeffrey S Barton | General Surgery | Community Health Association | 122 Pinnell St, Ripley, WV 25271-9101 |
| Kevin S Boyce | Physician Assistant | Community Health Association | 122 Pinnell St, Ripley, WV 25271-9101 |
| Terry Carr | Emergency Medicine | Community Health Association | 122 Pinnell St, Ripley, WV 25271-9101 |
| Betsy L Sayre | Certified Registered Nurse Anesthetist (crna) | Community Health Association | 122 Pinnell St, Ripley, WV 25271-9101 |
| Street Address |
122 PINNELL ST MORAD HUGHES HEALTH CTR |
| City | RIPLEY |
| State | WV |
| Zip | 25271-9101 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hemant C Modi | Cardiovascular Disease (cardiology) | Camden-clark Physician Corporation | 122 Pinnell St, Ripley, WV 25271-9101 |
| Edward E Stewart Jr. | Emergency Medicine | Community Health Association | 122 Pinnell St, Ripley, WV 25271-9101 |
| Jeffrey S Barton | General Surgery | Community Health Association | 122 Pinnell St, Ripley, WV 25271-9101 |
| John A. Goddard | Cardiovascular Disease (cardiology) | Camden-clark Physician Corporation | 122 Pinnell St, Ripley, WV 25271-9101 |
| Kevin S Boyce | Physician Assistant | Community Health Association | 122 Pinnell St, Ripley, WV 25271-9101 |
| Terry Carr | Emergency Medicine | Community Health Association | 122 Pinnell St, Ripley, WV 25271-9101 |
| Betsy L Sayre | Certified Registered Nurse Anesthetist (crna) | Community Health Association | 122 Pinnell St, Ripley, WV 25271-9101 |
| Sara Haile | Physician Assistant | Community Health Association | 122 Pinnell St, Ripley, WV 25271-9101 |
| Angelia D Slack | Certified Registered Nurse Anesthetist (crna) | Community Health Association | 122 Pinnell St, Ripley, WV 25271-9101 |
| David Allen Gnegy | Cardiovascular Disease (cardiology) | Camden-clark Physician Corporation | 122 Pinnell St, Ripley, WV 25271-9101 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer C Simon | Nurse Practitioner | Community Health Association | Pinnell St, Ripley, WV 25271 |
| Clinton C Mills | Internal Medicine | Community Health Association | Pinnell St, Ripley, WV 25271 |
| Arif M Malik | Internal Medicine | Community Health Association | Pinnell St, Ripley, WV 25271 |
| Jason B Fincham | Family Medicine | Community Health Association | Pinnell St, Ripley, WV 25271 |
| Staci D Cummings | Nurse Practitioner | Community Health Association | 200 Academy Dr, Ripley, WV 25271-1157 |
| Benjamin C Fisher | Optometry | 200 Academy Dr, Ripley, WV 25271-1157 | |
| Danielle Harrison | Nurse Practitioner | Community Health Association | 200 Academy Dr, Ripley, WV 25271-1157 |
| John C. Caldwell | Nurse Practitioner | Community Health Association | 200 Academy Dr, Ripley, WV 25271-1157 |
| Sue Anne Meadows | Nurse Practitioner | Community Health Association | 200 Academy Dr, Ripley, WV 25271-1157 |
| Byron Hal Black | Oral Surgery | 102 Memorial Dr, Ripley, WV 25271-1164 | |
| Find all physicians in zip 25271 | |||
| City | RIPLEY |
| Zip Code | 25271 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | RIPLEY + NURSE PRACTITIONER |
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| 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.