WIGBERTO C CAMOMOT (NPI# 1093808172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093808172 |
| Entity Type | Individual |
| Full Name | WIGBERTO C CAMOMOT |
| Practice Address |
329 Main Street Red Jacket WV 25692-0329 |
| Mailing Address |
Po Box 329 Red Jacket WV 25692-0329 |
| Practice Telephone | 3044266428 |
| Practice Fax Number | 3044268413 |
| Mailing Telephone | 3044266428 |
| Mailing Fax Number | 3044268413 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2008-03-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 13624 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0050600000 | 05 |
| Street Address |
329 MAIN STREET |
| City | RED JACKET |
| State | WV |
| Zip Code | 25692-0329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174790091 | Wigberto C Camomot Md Inc | Family Medicine | 329 Main Street, Red Jacket, WV 25692 | 2008-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779382 | Flora Ann Ratliff | Technician | Route 6 Newtown, Red Jacket, WV 25692 | 2020-10-30 |
| 1093314882 | Sherry Renee Gross | Technician | 2111 Mate Creek Road, Red Jacket, WV 25692 | 2020-10-22 |
| 1982203725 | Shane Keith Dillon | Technician | Shop Hollow Route 6 Mate Creek, Red Jacket, WV 25692 | 2020-10-22 |
| 1407461254 | Crystal Shantel Reynolds | Technician | 365 Mate Creek Road, Red Jacket, WV 25692 | 2020-09-09 |
| 1407469661 | Carolyn F Lecco | Technician | 177 Jacob Lane, Red Jacket, WV 25692 | 2020-08-27 |
| 1740893098 | Robert Dale Kennedy | Technician | 460 Mitchell Branch, Red Jacket, WV 25692 | 2020-08-26 |
| 1396358826 | Tabitha Leann Ferguson | Technician | 158 Mitchell Branch Road, Red Jacket, WV 25692 | 2020-08-25 |
| 1174136642 | Darlene Nmn Hensley | Technician | 224 Mitchell Branch Road, Red Jacket, WV 25692 | 2020-08-25 |
| 1427661917 | Dexter Jude Jr. | Technician | 720 Mitchell Branch Road, Red Jacket, WV 25692 | 2020-08-25 |
| 1427661131 | Janice M Hammond | Technician | 4555 Mate Creek Road, Meador, WV 25692 | 2020-08-24 |
| Find all providers in zip 25692 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144747528 | Susan L Cavender M.d. Pllc | General Practice | 1115 Lee St E, Charleston, WV 25301-2412 | 2017-08-25 |
| 1396284428 | Chapmanville Primary Care Clinic | General Practice | 462 Main Street, Chapmanville, WV 25508 | 2017-02-22 |
| 1952855264 | Mountaineer Family Care Center | General Practice | 318 S Mountaineer Hwy, Thornton, WV 26440-7152 | 2016-08-04 |
| 1720433451 | Samir Shah | General Practice | 3005 Jackson Ave, Point Pleasant, WV 25550-1717 | 2016-05-02 |
| 1376958058 | Nadezda Samples | General Practice | 3110 Maccorkle Ave Se Rm 58, Charleston, WV 25304-1210 | 2014-06-21 |
| 1932476249 | William Palmer Zitter | General Practice | 1637 Mccoy Rd, Huntington, WV 25701-4867 | 2011-11-30 |
| 1174806129 | Steven Ira Richman | General Practice | Hc 74 Box 98i, Hinton, WV 25951-9115 | 2011-09-26 |
| 1467749473 | Jung Jin Lee | General Practice | 390 Birch St, Morgantown, WV 26505 | 2011-06-29 |
| 1184914947 | Todd R Myers Md LLC | General Practice | 1113 Washington St, Suite 203, Ravenswood, WV 26164-1020 | 2011-04-13 |
| 1295030674 | Capital Management Services Company | General Practice | 231 Capitol St, Suite 301, Charleston, WV 25301-2200 | 2011-01-17 |
| Find all providers with the same taxonomy | ||||
| City | RED JACKET |
| Zip Code | 25692 |
Please comment or provide details below to improve the information on WIGBERTO C CAMOMOT.
| 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.