ADVANCED PHYSICAL MEDICINE OF WEST VIRGINIA INC (NPI# 1215375415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215375415 |
| Entity Type | Organization |
| Organization Name | ADVANCED PHYSICAL MEDICINE OF WEST VIRGINIA INC |
| Practice Address |
699 Burroughs St Morgantown WV 26505-3346 |
| Practice Telephone | 3042259356 |
| Practice Fax Number | 3042259358 |
| Mailing Telephone | 3042259356 |
| Mailing Fax Number | 3042414510 |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2020-02-17 |
| Authorized Official Name | KRISTYN BILLINGS (CREDENTIALING) |
| Authorized Official Telephone | 4126554362 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
699 BURROUGHS ST |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26505-3346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366542599 | Kevin D Trembush | Chiropractor | 699 Burroughs St, Morgantown, WV 26505-3361 | 2006-09-25 |
| 1588135511 | Louma Sebaihi | Nurse Practitioner | 699 Burroughs St, Morgantown, WV 26505-3346 | 2018-12-17 |
| 1922587823 | Michele A Libell | Physical Therapist | 699 Burroughs St, Morgantown, WV 26505 | 2018-08-10 |
| 1841703105 | Abigail Anne Tonkin | Nurse Practitioner | 699 Burroughs St, Morgantown, WV 26505-3346 | 2017-11-08 |
| 1851789028 | Ruth Ann Thompson | Nurse Practitioner | 699 Burroughs St, Morgantown, WV 26505-3346 | 2014-12-22 |
| 1083943484 | Advantage Health & Wellness Pllc | Physical Therapist | 699 Burroughs St, Morgantown, WV 26505-3361 | 2009-12-14 |
| 1881843258 | Lucinda J Mccartney | Nurse Practitioner | 699 Burroughs St, Morgantown, WV 26505-3346 | 2008-09-10 |
| 1154531044 | Alissa Nicole Barnes | Massage Therapist | 699 Burroughs St, Morgantown, WV 26505-3346 | 2007-05-22 |
| 1326256041 | Advantage Health & Wellness, Pllc | Chiropractor | 699 Burroughs St, Morgantown, WV 26505-3346 | 2007-05-18 |
| 1699849513 | Misty Ann Brady | Physical Therapist | 699 Burroughs St, Morgantown, WV 26505-3361 | 2006-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535208 | Robert Howard Taylor | Pharmacist | 1608 Earl Core Rd, Morgantown, WV 26505 | 2020-10-13 |
| 1194366757 | Grace Catherine Clonch | Student in an Organized Health Care Education/Training Program | 3450 Monogahela Blvd, Morgantown, WV 26505 | 2019-10-04 |
| 1538629852 | Alexander Gross | Student in an Organized Health Care Education/Training Program | : 64 Medical Center Drive, Room 4601, Morgantown, WV 26505 | 2019-03-22 |
| 1194284018 | Ana Isabel Gomez Velazquez | Student in an Organized Health Care Education/Training Program | 64 Medical Center Dr., Room 4601, Morgantown, WV 26505 | 2019-03-19 |
| 1922584242 | Lisa Kate Hostutler | Pharmacist | 1851 Earl L. Core Rd, Morgantown, WV 26505 | 2018-07-19 |
| 1760983779 | Ashley Garner | Social Worker | 3602 Collins Ferry Road, Morgantown, WV 26505 | 2018-02-24 |
| 1861992174 | Usa Vein Clinics of West Virginia Pllc | Surgery | 1010 Suncrest Towne Centre, Morgantown, WV 26505 | 2018-02-14 |
| 1396272092 | Essential Foundations, Pllc | Community/Behavioral Health | 1287 Suncrest Towne Centre, Morgantown, WV 26505 | 2017-05-12 |
| 1689111452 | Good Heart Therapy Services, Pllc | Public Health or Welfare | 235 Hgh Street, Suite 311, Morgantown, WV 26505 | 2017-01-31 |
| 1982141776 | Heidi Otoole | Counselor | 235 High Street, Suite 720, Morgantown, WV 26505 | 2017-01-31 |
| Find all providers in zip 26505 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467749473 | Jung Jin Lee | General Practice | 390 Birch St, Morgantown, WV 26505 | 2011-06-29 |
| 1194967430 | Leonard Robert Fina | General Practice | 30 Mast Road, Morgantown, PA 19543-0247 | 2009-04-01 |
| 1437369055 | Jeffrey David Lancaster | General Practice | Physician Office Center, 1 Medical Center Dr, Morgantown, WV 26506 | 2007-05-23 |
| 1124474689 | Sean M Hanlon | General Practice | 1 Medical Center Dr, Morgantown, WV 26506 | 2016-05-13 |
| 1013302140 | Ryan Budwany | General Practice | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2015-04-06 |
| 1447487004 | Terring Heironimus | General Practice | 341 Spruce St, Morgantown, WV 26505 | 2009-06-22 |
| 1760689012 | Matthew Blair Ellison | General Practice | 1 Medical Center Drive, Morgantown, WV 26506 | 2007-06-29 |
| 1285835678 | Meghann Elizabeth Mcgushin | General Practice | 1 Medical Center Drive, Box 9149, Morgantown, WV 26506-9149 | 2007-05-31 |
| 1588866818 | Gary James Miller | General Practice | 1255 Pineview Dr, Morgantown, WV 26505-2738 | 2007-05-31 |
| 1366653867 | Joseph Hahn | General Practice | Physician Office Center, 1 Medical Center Drive, Morgantown, WV 26506 | 2007-05-25 |
| Find all providers in MORGANTOWN | ||||
| City | MORGANTOWN |
| Zip Code | 26505 |
Please comment or provide details below to improve the information on ADVANCED PHYSICAL MEDICINE OF WEST VIRGINIA 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.