DR. MERVAN NEWBOLD (NPI# 1255817060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255817060 |
Entity Type | Individual |
Full Name | DR. MERVAN NEWBOLD |
Credential | PHARMD |
Practice Address |
1 Med Center Dr Clarksburg WV 26301-4155 |
Mailing Address |
129 1/2 Calvin St Fairmont WV 26554-2209 |
Practice Telephone | 3046233461 |
Mailing Telephone | 2085627183 |
Enumeration Date | 2018-07-15 |
Last Update Date | 2020-08-12 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 183500000X | Pharmacist | P8067 | ID | Pharmacy Service Providers |
Y | 1835P1300X |
Pharmacist Specialization: Psychiatric |
P8067 | ID | Pharmacy Service Providers |
N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
P8067 | ID | Pharmacy Service Providers |
Street Address |
1 MED CENTER DR |
City | CLARKSBURG |
State | WV |
Zip Code | 26301-4155 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699374694 | Laura Ann Francis | Social Worker | 1 Med Center Dr, Clarksburg, WV 26301-4155 | 2020-10-21 |
1487267662 | Kelsey Marie Hinzman | Pharmacist | 1 Med Center Dr, Clarksburg, WV 26301-4155 | 2020-08-26 |
1003454133 | Lesa Yvonne Meinze | Social Worker | 1 Med Center Dr, Clarksburg, WV 26301-4155 | 2019-12-19 |
1689188724 | Morgan Long | Occupational Therapist | 1 Med Center Dr, Clarksburg, WV 26301-4155 | 2017-11-28 |
1487184586 | Sara Stover | Pharmacist | 1 Med Center Dr, Clarksburg, WV 26301-4155 | 2017-06-13 |
1508306127 | Gary Farley | Registered Nurse | 1 Med Center Dr, Clarksburg, WV 26301-4155 | 2017-03-01 |
1942745476 | Susan Michele Rogers | Pharmacist | 1 Med Center Dr, Clarksburg, WV 26301-4155 | 2016-12-19 |
1134679798 | Veterans Health Administration | Clinic/Center | 1 Med Center Dr, Clarksburg, WV 26301-4155 | 2016-10-07 |
1003365446 | Anna Besedich | Nurse Practitioner | 1 Med Center Dr, Clarksburg, WV 26301-4155 | 2016-09-27 |
1801242011 | Annalisa Delagarza | Pharmacist | 1 Med Center Dr, Clarksburg, WV 26301-4155 | 2016-05-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114539525 | Christina Burnside | Technician | 89 Green Acres, Clarksburg, WV 26301 | 2020-08-18 |
1447764907 | Jonathan Moore | Nurse Practitioner | 1 Medical Ctr. Drive, Clarksburg, WV 26301 | 2017-11-20 |
1003241936 | Jennifer Destito | Occupational Therapist | 308 E B Saunders Way, Clarksburg, WV 26301 | 2013-09-11 |
1215290481 | Dustin James Getz | Dentist | 200 Route 98 Medwood Plaza, Suite 302, Nutter Fort, WV 26301 | 2012-06-21 |
1326339987 | Debra Amos | Counselor | 200 Route 98, Nutter Fort, WV 26301 | 2011-04-29 |
1649572140 | Amanda Wilfong | Pharmacist | W Pike and Smith St, Clarksburg, WV 26301 | 2010-12-03 |
1265661060 | Jaclyn Elsey Rominger | Dentist | 2017 East Pike St, All Smiles Dental LLC, Clarksburg, WV 26301 | 2009-07-14 |
1588815732 | Kimberly Sue Waggy | Psychologist | 408 Eb Saunders Way, Clarksburg, WV 26301 | 2008-10-07 |
1659521862 | Eyemart Express, Ltd. | Durable Medical Equipment & Medical Supplies | 538 Emily Dr., Space 20, Clarksburg, WV 26301 | 2008-09-24 |
1477715753 | Roxanna L Rinehart | Registered Nurse | 1 Med Ctr Dr, Louis A Johnson Vamc, Clarksburg, WV 26301 | 2008-06-27 |
Find all providers in zip 26301 |
Taxonomy Code | 1835P1300X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Psychiatric |
A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing care of patients with psychiatric illness by assessing and monitoring patients, recognizing drug-induced problems, and recommending appropriate treatment plans. |
Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified title, added definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750868139 | Jeffrey Thomas Kreitzer | Pharmacist | 1 Medical Center Dr # 8045, Morgantown, WV 26506-1200 | 2018-07-27 |
1184799827 | Eugene H Makela | Pharmacist | 670 Colonial Dr, Morgantown, WV 26505-2423 | 2006-11-21 |
1205468295 | Alicia Lopez | Pharmacist | 510 Butler Ave, Martinsburg, WV 25405-9991 | 2020-02-07 |
1407300494 | Khristina Elizabeth Via | Pharmacist | 3377 Us Route 60, Huntington, WV 25705-2837 | 2016-08-08 |
City | CLARKSBURG |
Zip Code | 26301 |
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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.