GREENBRIER PHYSICIANS, INC (NPI# 1154442028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154442028 |
| Entity Type | Organization |
| Organization Name | GREENBRIER PHYSICIANS, INC |
| Practice Address |
200 Maplewood Ave Ronceverte WV 24970-1334 |
| Practice Telephone | 3046471140 |
| Practice Fax Number | 3046473006 |
| Mailing Telephone | 3046471140 |
| Mailing Fax Number | 3046473006 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JOHN D TROUT (CLINIC ADMINISTRATOR) |
| Authorized Official Telephone | 3046471140 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 246XS1301X |
Spec/Tech, Cardiovascular Specialization: Sonography |
Technologists, Technicians & Other Technical Service Providers | ||
| X | 247100000X | Radiologic Technologist | Technologists, Technicians & Other Technical Service Providers | ||
| X | 2471B0102X |
Radiologic Technologist Specialization: Bone Densitometry |
Technologists, Technicians & Other Technical Service Providers | ||
| X | 2471C3402X |
Radiologic Technologist Specialization: Radiography |
Technologists, Technicians & Other Technical Service Providers | ||
| X | 2471M2300X |
Radiologic Technologist Specialization: Mammography |
Technologists, Technicians & Other Technical Service Providers | ||
| X | 2471S1302X |
Radiologic Technologist Specialization: Sonography |
Technologists, Technicians & Other Technical Service Providers | ||
| X | 2471V0105X |
Radiologic Technologist Specialization: Vascular Sonography |
Technologists, Technicians & Other Technical Service Providers | ||
| X | 2472D0500X |
Technician, Other Specialization: Darkroom |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
200 MAPLEWOOD AVE |
| City | RONCEVERTE |
| State | WV |
| Zip Code | 24970-1334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639170814 | Steven Christian Miller | Orthopaedic Surgery | 200 Maplewood Ave, Greenbrier Physicians, Inc, Ronceverte, WV 24970-1334 | 2005-08-10 |
| 1720349475 | Jamie Louise Dilly | Family Medicine | 200 Maplewood Ave, Ronceverte, WV 24970-1361 | 2012-05-30 |
| 1447533203 | George Rusty Nelson | Physical Therapist | 200 Maplewood Ave, Ronceverte, WV 24970-1361 | 2011-09-27 |
| 1659675742 | Jessica Lynn White | Physician Assistant | 200 Maplewood Ave, Ronceverte, WV 24970-1334 | 2011-01-04 |
| 1861629917 | Greenbrier Physicians, Inc. Optical Shop | Technician/Technologist | 200 Maplewood Ave, Ronceverte, WV 24970-1334 | 2009-06-16 |
| 1811139116 | Rick Leatherman | Pharmacist | 200 Maplewood Ave, Greenbrier Medical Arts Pharmacy, Ronceverte, WV 24970-1334 | 2009-04-01 |
| 1982821336 | Katherine Michelle Morrison | Pediatrics | 200 Maplewood Ave, Ronceverte, WV 24970-1334 | 2007-04-19 |
| 1790806651 | Greenbrier Physicians, Inc. | Clinical Medical Laboratory | 200 Maplewood Ave, Ronceverte, WV 24970-1334 | 2007-04-02 |
| 1982770244 | Greenbrier Physicians, Inc. | Family Medicine | 200 Maplewood Ave, Ronceverte, WV 24970-1334 | 2006-11-28 |
| 1578581948 | Steven Vess | Orthopaedic Surgery | 200 Maplewood Ave, Ronceverte, WV 24970-1334 | 2006-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770197980 | Susan Linton | Technician | 3776 Holes Mill Rd, Ronceverte, WV 24970 | 2020-09-04 |
| 1417561143 | Lori Selene Pickler | Technician | 974 C.west Main St, Ronceverte, WV 24970 | 2020-09-01 |
| 1184237257 | Jotina Hamrick | Technician | 194 Sellers St. Apt.a, Ronceverte, WV 24970 | 2020-08-28 |
| 1871072066 | Blink, Inc. | Eyewear Supplier (Equipment, not the service) | 3942 David Stuart Road, Suite 1, Ronceverte, WV 24970 | 2018-08-09 |
| 1407233976 | Rocky Mountain Holdings, LLC | Ambulance | 584 Airport Road, Box 9 (hangar 4), Lewisburg, WV 24970 | 2015-05-04 |
| 1245500040 | Seneca Family Foot Care, Pllc | Podiatrist | 336 Seneca Trail, Ronceverte, WV 24970 | 2012-01-10 |
| 1922301035 | Dwan Shasta Hamons | Pharmacist | 180 Red Oaks Shopping Center, Ronceverte, WV 24970 | 2010-12-10 |
| 1427351840 | Xuan Le Berry | Pharmacist | 180 Red Oaks Shopping Ctr., Ronceverte, WV 24970 | 2010-12-07 |
| 1104129683 | James P Meadows | Pharmacist | 180 Red Oak Shopping Center, Ronceverte, WV 24970 | 2010-12-06 |
| 1891924676 | Blink, Inc. | Optometrist | 101 Davis Stuart Road, Ronceverte, WV 24970 | 2009-07-14 |
| Find all providers in zip 24970 | ||||
| Taxonomy Code | 246XS1301X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Spec/Tech, Cardiovascular |
| Specialization | Sonography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457600819 | Brandy Michelle Doty | Spec/Tech, Cardiovascular | 2533 Spring Street, South Charleston, WV 25303-2502 | 2012-08-31 |
| 1982909800 | Kimalisa Kay Shamblin | Spec/Tech, Cardiovascular | 428 Division St, South Charleston, WV 25309-1469 | 2011-01-25 |
| City | RONCEVERTE |
| Zip Code | 24970 |
Please comment or provide details below to improve the information on GREENBRIER PHYSICIANS, INC.
| 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.