LEAH D PETRUNGER


Address: 150 Misty Lane, Princeton, WV 24740
Phone: 3044254040

LEAH D PETRUNGER (NPI# 1104919828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104919828
Entity Type Individual
Full Name LEAH D PETRUNGER
Credential PA-C
Practice Address 150 Misty Lane
Princeton
WV 24740
Mailing Address 300 Hunter Park
Princeton
WV 24740-2533
Practice Telephone 3044254040
Practice Fax Number 3044254041
Mailing Telephone 3049205122
Enumeration Date 2006-10-02
Last Update Date 2016-12-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 564 WV Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
WV 3810002620 05

Office Location

Street Address 150 MISTY LANE
City PRINCETON
State WV
Zip Code 24740

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427658632 New Beginnings Therapy Services, LLC Community/Behavioral Health 616 Harrison Street, Princeton, WV 24740 2020-10-27
1215536222 Right At Home Home Health 313 Locus St, Princeton, WV 24740 2020-10-21
1881208098 Robin Lane Technician 174 Tea Kettle Road, Princeton, WV 24740 2020-09-04
1134739824 Nona Arthur Technician 708 Bluefiled Ave, Princeton, WV 24740 2020-08-06
1851909014 Tina B Altizer Speech-Language Pathologist 120 12th Street, Princeton, WV 24740 2020-07-14
1245712504 Tracy Jean Mitchell Speech-Language Pathologist 1200 Mercer St, Princeton, WV 24740 2018-09-04
1700305240 Tina Six Registered Nurse 1403 Honaker Avenue, Princeton, WV 24740 2017-09-15
1013449172 Karin Cappa Pharmacist 669 Cornfield Rd, Princeton, WV 24740 2017-03-29
1942661723 Virginia Chryssikos Social Worker 3016 E Cumberland Road, Bluestone Family Practice, Bluefield, WV 24740 2016-03-08
1477939460 Kathy Diane Wyrick Counselor 220 South Walker Street, Princeton, WV 24740 2015-08-03
Find all providers in zip 24740

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205464724 Shraddha S Patel Physician Assistant 29 Goldstar Dr, Princeton, NJ 08540-8578 2020-03-30
1538702154 Sahara Stanley Physician Assistant 104 Mahood Ave, Princeton, WV 24740-2617 2019-10-27
1205210853 Homer K Lester Physician Assistant 112 12th St, Princeton, WV 24740-2312 2015-07-14
1285039420 Deaconess Clinic, Inc. Physician Assistant 1414 W Broadway St, Princeton, IN 47670-1142 2014-10-30
1154738839 Brittany Hope Jewell Physician Assistant 508 New Hope Rd Ste 102, Princeton, WV 24740-2265 2014-07-15
1861638561 Adeyemi Babatunde Williams Physician Assistant 60 Hoover Ave, Princeton, NJ 08540-4639 2008-12-30
1184793556 Joseph Harold Thornton Physician Assistant Princeton University Health, Mccosh Health Center, Princeton, NJ 08544-0001 2006-11-07
1437756350 Olivia N Dudley Physician Assistant 325 Princeton Ave, Princeton, NJ 08540-1617 2020-10-04
1952919417 Madelyn L Schwartz Physician Assistant 325 Princeton Ave, Princeton, NJ 08540-1617 2020-07-21
1508418294 Jennifer L Hayden Physician Assistant 419 N Harrison St, Princeton, NJ 08540-3521 2019-07-12
Find all providers in PRINCETON

Competitor

Search similar providers

City PRINCETON
Zip Code 24740

Improve Information

Please comment or provide details below to improve the information on LEAH D PETRUNGER.

Dataset Information

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.

Trending Searches