DR. AMELIA J. SANTIAGO (NPI# 1205871357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205871357 |
| Entity Type | Individual |
| Full Name | DR. AMELIA J. SANTIAGO |
| Credential | M.D. |
| Practice Address |
202 Larry Joe Harless Drive, Suite 205 Gilbert WV 25621-1842 |
| Mailing Address |
7400 Lynn Ave Hamlin WV 25523-1138 |
| Practice Telephone | 3046646270 |
| Practice Fax Number | 3046646272 |
| Mailing Telephone | 3048245806 |
| Mailing Fax Number | 3048245804 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2013-03-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 12861 | WV | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 21670 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0112321000 | 05 | |
| KY | 65920951 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962026344 | Amelia M Santiago | Physical Therapist | 54 Harvard St, Brookline, MA 02445-7940 | 2020-06-02 |
| Street Address |
202 LARRY JOE HARLESS DRIVE, SUITE 205 |
| City | GILBERT |
| State | WV |
| Zip Code | 25621-1842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730669524 | Williamson Health & Wellness Center Inc | Clinic/Center | 2475 Rte 52, Gilbert, WV 25621 | 2018-08-21 |
| 1265734347 | Larry Edward Cole | Dentist | Rt 52 Main Street, Gilbert, Gilbert, WV 25621 | 2010-11-23 |
| 1396053484 | Mary Jane Phipps | Nurse Practitioner | 202 Larry Joe Harless Dr, Gilbert, WV 25621 | 2010-09-22 |
| 1720206774 | Riverside Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 22 Larry Joe Harless, Gilbert, WV 25621 | 2007-04-23 |
| 1871719054 | Cameron Keith Hatfield | Pharmacist | 22 Larry Harless Drive, Gilbert, WV 25621 | 2007-04-17 |
| 1104042381 | Gary Lane Cunningham | Pharmacist | 22 Larry Joe Harless Dr., Gilbert, WV 25621 | 2007-04-17 |
| 1417022617 | Appalachian Rehab Centers, Inc. | Clinic/Center | 202 Larry Joe Harless Drive, Pob 1987, Gilbert, WV 25621 | 2006-11-22 |
| 1376572479 | Family Healthcare Associates Inc | Family Medicine | 6th Avenue & Vinus Street, Family Healthcare Associates Inc, Gilbert, WV 25621 | 2006-07-01 |
| 1225597628 | David Allen Hopkins II | Pharmacist | 292 Main Street, Gilbert, WV 25621 | 2019-03-15 |
| 1467925487 | Lincoln County Primary Care Center Inc | Pharmacy | 202 Larry Joe Harless Dr, Gilbert, WV 25621 | 2019-01-03 |
| Find all providers in zip 25621 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710254040 | Jumpstart Pediatrics LLC | Pediatrics | 2828 S Brett St, Gilbert, AZ 85295-6016 | 2011-12-01 |
| 1033437439 | Southwestern Pediatrics Pllc | Pediatrics | 2730 S Val Vista Dr Ste 161, Gilbert, AZ 85295-1680 | 2010-05-10 |
| 1538484357 | Jaclyn Marie Kepski | Pediatrics | 3921 E Baseline Rd Ste 102, Gilbert, AZ 85234-2730 | 2010-04-05 |
| 1396994273 | Stephen Eric Snesko | Pediatrics | 2630 S. Val Vista Dr., Bldg 12, Suite 167, Gilbert, AZ 85295 | 2008-09-16 |
| 1093862088 | Colin K Kelly | Pediatrics | 4132 E Morrison Ranch Pkwy, Gilbert, AZ 85296-3093 | 2007-01-04 |
| 1801816350 | East Valley Pediatrics, Plc | Pediatrics | 3921 E Baseline Rd # 120, Gilbert, AZ 85234-2727 | 2006-07-20 |
| 1689633323 | Sonja Raechel Stevenson | Pediatrics | 861 N Higley Rd, Suite B101, Gilbert, AZ 85234-9602 | 2006-03-21 |
| 1972572832 | Ivia Itsa Hess | Pediatrics | 2550 E Guadalupe Rd Ste 115, Gilbert, AZ 85234-5114 | 2006-03-14 |
| 1700859592 | Mark William Deardorff | Pediatrics | 120 S Val Vista Dr, Gilbert, AZ 85296-1370 | 2006-02-10 |
| 1215900063 | Aleta Dasilva | Pediatrics | 3592 S Atherton Blvd Ste 101, Gilbert, AZ 85297-7444 | 2006-02-10 |
| Find all providers in GILBERT | ||||
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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.