JASON S. KIDD (NPI# 1093939183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093939183 |
| Entity Type | Individual |
| Full Name | JASON S. KIDD |
| Credential | PA-C |
| Practice Address |
924 Liberty Street West Milford WV 26451 |
| Mailing Address |
Po Box 217 Rock Cave WV 26234-0217 |
| Practice Telephone | 3047454568 |
| Practice Fax Number | 3043263700 |
| Mailing Telephone | 3049246262 |
| Mailing Fax Number | 3049245460 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2013-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
01023 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810010365 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245845502 | Jason W Kidd | Nurse Practitioner | 104 Highway 15 N, New Albany, MS 38652-5313 | 2020-09-14 |
| 1760745335 | Jason Joseph Kidd | Social Worker | 5005 N Piedras Street, William Beaumont Amc, El Paso, TX 79920-5001 | 2012-06-19 |
| 1588824551 | Jason Michael Kidd | Internal Medicine | 1250 E Marshall St, Internal Medicine, Richmond, VA 23298-5051 | 2008-06-13 |
| 1609833656 | Jason S Kidd | Nurse Anesthetist, Certified Registered | 330 Arkansas St, Suite 210, Lawrence, KS 66044-1335 | 2006-04-26 |
| Street Address |
924 LIBERTY STREET |
| City | WEST MILFORD |
| State | WV |
| Zip Code | 26451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376644401 | Denzil W Hawkinberry II | Anesthesiology | 924 Liberty Street, West Milford, WV 26451 | 2006-09-25 |
| 1417212952 | Stephanie Marie Smith | Nurse Practitioner | 924 Liberty Street, West Milford, WV 26451 | 2012-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417352287 | Candis M Toothman | Nurse Practitioner | 597 Libert Street, Suite 15, West Milford, WV 26451 | 2014-10-23 |
| 1801186853 | Christina L Nolte | Physician Assistant | 597 Liberty Street, West Milford, WV 26451 | 2011-04-12 |
| 1730166596 | Robert William Benson | Counselor | Star Trek Drive, West Milford, WV 26451-0154 | 2005-12-22 |
| 1891830469 | Deana Mae Morrison Fernandez | Chiropractor | 620 Main Street, West Milford, WV 26451-0263 | 2007-02-21 |
| 1558563734 | Community Care of West Virginia, Inc. | Clinic/Center | 597 Liberty St, West Milford, WV 26451-6801 | 2007-06-01 |
| 1578176228 | Vanessa Short | Social Worker | 597 Liberty St, West Milford, WV 26451-6801 | 2020-08-24 |
| 1679901243 | Matya Drennen | Nurse Practitioner | 597 Liberty St, West Milford, WV 26451-6801 | 2013-10-17 |
| 1821349309 | Community Care of West Virginia, Inc. | Clinic/Center | 226 School St, West Milford, WV 26451-9700 | 2012-09-25 |
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386270908 | Bonnie Lynn Blackburn | Physician Assistant | 10 Amalia Dr Ste C5, Buckhannon, WV 26201-2270 | 2020-03-15 |
| 1922638824 | Sara B Johnson | Physician Assistant | 1000 Mon Health Medical Park Dr Ste 1100, Morgantown, WV 26505-1143 | 2020-01-19 |
| 1659835072 | Kristen Nicole Williams | Physician Assistant | 26 Portsmouth Ct N, Falling Waters, WV 25419-1430 | 2019-01-30 |
| 1629588876 | Robert Theodore Hartman | Physician Assistant | 620 National Rd Ste 300, Wheeling, WV 26003-6560 | 2017-10-02 |
| 1366967986 | Terri Leanne Belcher | Physician Assistant | 395 Emily Dr, Clarksburg, WV 26301-5505 | 2017-08-04 |
| 1760937056 | Ryan Aston | Physician Assistant | 58 16th St Fl 4, Wheeling, WV 26003-3660 | 2016-08-17 |
| 1821470113 | Lesley E. Weiss | Physician Assistant | 3200 Maccorkle Seave, Charleston, WV 25304-1227 | 2015-06-23 |
| 1891197323 | Rachelle Lyle Stewart | Physician Assistant | 1500 Terrace St Ste 105, Hinton, WV 25951-9768 | 2014-09-16 |
| 1285043224 | Sarah Gutman Brammer | Physician Assistant | 30 Medical Park Ste 211, Wheeling, WV 26003-6391 | 2014-08-04 |
| 1841603529 | Timothy Douglas | Physician Assistant | 4202 Mccorkle Ave Sw Ste 200, South Charleston, WV 25309-1513 | 2014-06-10 |
| Find all providers with the same taxonomy | ||||
| City | WEST MILFORD |
| Zip Code | 26451 |
Please comment or provide details below to improve the information on JASON S. KIDD.
| 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.