EDDIE ALLEN (NPI# 1043245442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043245442 |
| Entity Type | Individual |
| Full Name | EDDIE ALLEN |
| Credential | CST, CLT |
| Practice Address |
166 Thompson Dr Bridgeport WV 26330-1644 |
| Practice Telephone | 3048426001 |
| Practice Fax Number | 3048426111 |
| Mailing Telephone | 3048426001 |
| Mailing Fax Number | 3048426111 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073675732 | Eddie D Allen | Pharmacist | 659 S Park Dr, Broken Bow, OK 74728-5331 | 2006-12-15 |
| Street Address |
166 THOMPSON DR |
| City | BRIDGEPORT |
| State | WV |
| Zip Code | 26330-1644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801830237 | Norma E Simbra | Dietitian, Registered | 166 Thompson Dr, Bridgeport, WV 26330-1644 | 2006-06-15 |
| 1932473055 | Kidney Dialysis & Transplant Group Incorporated | Dietitian, Registered | 166 Thompson Dr, Bridgeport, WV 26330-1644 | 2012-03-07 |
| 1538436753 | Gentle Dialysis Center LLC | Clinic/Center | 166 Thompson Dr, Bridgeport, WV 26330-1644 | 2011-11-17 |
| 1588747166 | Nabil Guirguis | Clinic/Center | 166 Thompson Dr, Suite B, Bridgeport, WV 26330-1644 | 2006-10-24 |
| 1306928734 | Marilyn K Aday | Internal Medicine | 166 Thompson Dr, Bridgeport, WV 26330-1644 | 2006-10-19 |
| 1609891548 | Tina Edgell | Social Worker | 166 Thompson Dr, Bridgeport, WV 26330-1644 | 2006-07-13 |
| 1295760668 | Diana Lynne Colassesano | Registered Nurse | 166 Thompson Dr, Bridgeport, WV 26330-1644 | 2006-07-12 |
| 1992730329 | Marcy Long | Specialist/Technologist, Other | 166 Thompson Dr, Bridgeport, WV 26330-1644 | 2006-07-12 |
| 1174558589 | Nabil Guirguis | Clinical Medical Laboratory | 166 Thompson Dr, Bridgeport, WV 26330-1644 | 2006-07-12 |
| 1578594594 | Geannine Britanak-gulas | Licensed Practical Nurse | 166 Thompson Dr, Bridgeport, WV 26330-1644 | 2006-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303036 | Gage Mackenzie Chichester | Nurse Anesthetist, Certified Registered | 2673 Medical Park Drive, Bridgeport, WV 26330 | 2020-10-12 |
| 1851914105 | Melany Langhurst | Social Worker | 64 Professional Place, Suite 102, Bridgeport, WV 26330 | 2020-05-21 |
| 1245704980 | Adam Christopher Stonestreet | Social Worker | Community Care of Bridgeport, 65 Professional Place, Bridgeport, WV 26330 | 2019-01-16 |
| 1588146658 | Bridgeport Physical Therapy Services, Inc. | Occupational Therapist | 25 Sweetbrier Lane, Suite 105, Bridgeport, WV 26330 | 2018-09-05 |
| 1275040685 | White Oaks Assisted Living | Assisted Living Facility | 140 Professional Place White Oaks, Bridgeport, WV 26330 | 2018-01-08 |
| 1275049371 | Regional Eye Associates, Inc | Ophthalmology | 220 Southview Drive, Bridgeport, WV 26330 | 2017-12-27 |
| 1528586187 | Savanna Tamia Brown | Social Worker | 65 Professinal Place Suites 101,102103, Bridgeport, WV 26330 | 2017-09-05 |
| 1184079642 | Karla Kay Rinehart | Social Worker | 27 Trovato St., Suite 103, Bridgeport, WV 26330 | 2016-05-03 |
| 1396176756 | Willo Group LLC | Pharmacy | 460 E. Main Street, Bridgeport, WV 26330 | 2013-12-10 |
| 1891031878 | Sherri Michelle Dobson | Occupational Therapy Assistant | 1000 Maplewood Dr, Bridgeport, WV 26330 | 2012-12-20 |
| Find all providers in zip 26330 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316302714 | Kimberly Ann Dedyne | Technician, Other | 5137 Eldorado Dr, Bridgeport, MI 48722-9529 | 2015-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619356698 | Chelsea Nicole Hicks | Technician, Other | 3758 Supper Club Rd, Letart, WV 25253-8469 | 2015-05-24 |
| 1669776076 | Ecp Clinics LLC | Technician, Other | 101 Carriage Way, Suite 103, Hurricane, WV 25526-1526 | 2010-12-28 |
| 1962643494 | Paula Irene Long | Technician, Other | 407 Spruce Ln, Beckley, WV 25801-2573 | 2009-03-12 |
| 1326671132 | Cassie Mcfarlan | Technician, Other | 812 Gorman Ave, Elkins, WV 26241-3181 | 2020-02-20 |
| 1407492697 | Theresa Parrish | Technician, Other | 1601 Earl L Core Rd, Morgantown, WV 26505-5889 | 2019-11-22 |
| 1881842771 | Ruth Kelley | Technician, Other | Rr 1 Box 55, Claylick Road, Ripley, WV 25271-9709 | 2008-09-04 |
| City | BRIDGEPORT |
| Zip Code | 26330 |
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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.