GERALD EDWIN NIEUSMA (NPI# 1124101670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124101670 |
| Entity Type | Individual |
| Full Name | GERALD EDWIN NIEUSMA |
| Credential | DDS |
| Practice Address |
1 Med Center Drive Morgantown WV 26506 |
| Practice Telephone | 3042932240 |
| Mailing Telephone | 3042932240 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
3113 | WV | Dental Providers |
| Street Address |
1 MED CENTER DRIVE |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740732361 | West Virginia University Dental Corporation | Dentist | 1 Med Center Drive, Morgantown, WV 26506 | 2016-10-31 |
| 1609011741 | Uha-pathology | Pathology | 1 Med Center Drive, West Virginia University Hosp-clinical Lab, Morgantown, WV 26506 | 2008-12-03 |
| 1568584522 | Louise Tupta Veselicky | Dentist | 1 Med Center Drive, Morgantown, WV 26506 | 2007-04-03 |
| 1295810935 | Elizabeth C Kao | Dentist | 1 Med Center Drive, Morgantown, WV 26506 | 2006-10-25 |
| 1326120817 | Mark Warren Richards | Dentist | 1 Med Center Drive, Morgantown, WV 26506 | 2006-10-20 |
| 1366524852 | Chris Alan Martin | Dentist | 1 Med Center Drive, Morgantown, WV 26506 | 2006-10-20 |
| 1497838940 | George W Harper | Dentist | 1 Med Center Drive, Morgantown, WV 26506 | 2006-10-20 |
| 1730262288 | Thomas Frank Razmus | Dentist | 1 Med Center Drive, Morgantown, WV 26506 | 2006-10-20 |
| 1508949058 | Bryan Douglas Weaver | Dentist | 1 Med Center Drive, Morgantown, WV 26506 | 2006-10-20 |
| 1740362243 | Lester H Bakos | Dentist | 1 Med Center Drive, Morgantown, WV 26506 | 2006-10-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124656491 | Lauren Bakos | Student in an Organized Health Care Education/Training Program | Department of Oral Surgery Room 1200 Hsc North, Morgantown, WV 26506 | 2020-03-31 |
| 1720613888 | Katharina Marie Mitchell | Student in an Organized Health Care Education/Training Program | Wvu Hospitals Ruby Memorial & Physician Office Center, 1 Medical Center Drive, Morgantown, WV 26506 | 2020-03-10 |
| 1811533961 | Hongyan Wu | Nurse Practitioner | Neurology Clinic, Wvu Eye Institute, 1 Medical Center Drive, Morgantown, WV 26506 | 2019-11-25 |
| 1871054569 | Brandon Chase Neeley | Student in an Organized Health Care Education/Training Program | 1 Stadium Dr Fl 3 Eye Institute, Morgantown, WV 26506 | 2019-03-26 |
| 1588125223 | Temitope Michael Kehinde | Student in an Organized Health Care Education/Training Program | 64 Medical Center Drive 2305hscn, Morgantown, WV 26506 | 2019-03-26 |
| 1417412743 | West Virginia University Hospitals, Inc. | Substance Abuse Rehabilitation Facility | 751 Benefactor Drive, Morgantown, WV 26506 | 2019-01-31 |
| 1932603024 | Emma Bacharach | Student in an Organized Health Care Education/Training Program | J.w. Ruby Memorial Hospital, 1 Medical Center Drive, Morgantown, WV 26506 | 2018-03-22 |
| 1982108270 | Qaisar Syed | Student in an Organized Health Care Education/Training Program | Wvu Medicine Anesthesiology, 1 Medical Center Drive, Morgantown, WV 26506 | 2018-03-21 |
| 1417451063 | Michael Savilla | Student in an Organized Health Care Education/Training Program | Wvu Medicine Anesthesiology, 1 Medical Center Drive, Morgantown, WV 26506 | 2018-03-20 |
| 1194255620 | William Black | Dentist | Room 1200 Hsc North, P.o. Box 9475, Morgantown, WV 26506 | 2017-06-18 |
| Find all providers in zip 26506 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194255620 | William Black | Dentist | Room 1200 Hsc North, P.o. Box 9475, Morgantown, WV 26506 | 2017-06-18 |
| 1104359959 | Appalachian Oral Surgery Center | Dentist | 3433 University Ave, Suite 1, Morgantown, WV 26505-3052 | 2017-04-09 |
| 1023318201 | James G Bryant Dmd | Dentist | 5000 Hampton Ctr Ste 1, Morgantown, WV 26505-1709 | 2010-10-22 |
| 1164646725 | William A. Myers II Dmd Ltd | Dentist | 1191 Pineview Dr Ste D, Morgantown, WV 26505-2778 | 2007-04-12 |
| 1326122797 | James Gregory Bryant | Dentist | 5000 Hampton Center, Suite 1, Morgantown, WV 26505 | 2006-10-24 |
| 1437184496 | Thaddus Rusiecki | Dentist | 2602 Cranberry Square, Morgantown, WV 26505 | 2006-07-11 |
| 1750589362 | Matthew Comiskey | Dentist | 1 Medical Center Dr, West Virginia University, Morgantown, WV 26506-9475 | 2007-07-05 |
| 1992921092 | Thad Rusiecki, Dds, Pllc | Dentist | 2602 Cranberry Square, Morgantown, WV 26505 | 2007-04-17 |
| 1811032071 | John Montgomery Carson | Dentist | 2199 Cheat Rd, Morgantown, WV 26508-4451 | 2007-02-21 |
| 1598832941 | William Andrew Myer II | Dentist | 1191 Pineview Dr, Suite D, Morgantown, WV 26505-2778 | 2006-11-29 |
| Find all providers in MORGANTOWN | ||||
| City | MORGANTOWN |
| Zip Code | 26506 |
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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.