DR. SUSANNA A. KAPOURALES (NPI# 1265726681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265726681 |
| Entity Type | Individual |
| Full Name | DR. SUSANNA A. KAPOURALES |
| Credential | M.D. |
| Practice Address |
300 Corporate Center Drive Scott Depot WV 25560 |
| Mailing Address |
1600 Medical Center Dr Ste 3500 Huntington WV 25701-3655 |
| Practice Telephone | 3046918870 |
| Practice Fax Number | 3046916751 |
| Mailing Telephone | 3046911300 |
| Mailing Fax Number | 3046911375 |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2018-06-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 25680 | WV | Allopathic & Osteopathic Physicians |
| Street Address |
300 CORPORATE CENTER DRIVE |
| City | SCOTT DEPOT |
| State | WV |
| Zip Code | 25560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255317640 | Christopher Andrew Kennedy | Physician Assistant | 300 Corporate Center Drive, Scott Depot, WV 25560 | 2005-12-19 |
| 1235326901 | Gina Lee Quijano | Nurse Practitioner | 300 Corporate Center Drive, Scott Depot, WV 25560 | 2007-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891297248 | Nutrisense Nutrition Consulting, LLC | Dietitian, Registered | 18 Meadow Lane, Scott Depot, WV 25560 | 2018-03-01 |
| 1508224916 | Stephanie Leigh Bowman | Nurse Practitioner | 95 Heidi Way, Scott Depot, WV 25560 | 2016-02-01 |
| 1457798266 | Jodi H Biller | Nurse Practitioner | 300 Corporate Center Dr., Scott Depot, WV 25560 | 2013-06-03 |
| 1730427469 | Teays Valley Volunteer Fire Department, Inc | Ambulance | 105 Popular Fork Rd, Scott Depot, WV 25560 | 2013-01-31 |
| 1073862991 | Scott A Cyrus | Pharmacist | 201 Teays Ctr Kroger 02900784, Scott Depot, WV 25560 | 2012-09-06 |
| 1578625596 | Harold Alan Morris | Dentist | Carls Lane, Scott Depot, WV 25560 | 2006-12-15 |
| 1457427429 | Martha Cook Carter | Registered Nurse | 301 6 Great Teays Blvd, Scott Depot, WV 25560 | 2006-11-28 |
| 1649360827 | Jan Byrnside Frame | Registered Nurse | 21 Thoroughbred Rd, Scott Depot, WV 25560 | 2006-10-16 |
| 1639271836 | Laberta S Salamacha | Counselor | 4031 Teays Valley Road, Scott Depot, WV 25560 | 2006-09-01 |
| 1588683767 | Kim D Lopes | Advanced Practice Midwife | 3016 Great Teays Blvd, Scott Depot, WV 25560 | 2006-07-19 |
| Find all providers in zip 25560 | ||||
| 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 |
|---|---|---|---|---|
| 1700446929 | Valley Health Systems, Inc. | Pediatrics | 111 Great Teays Blvd, Scott Depot, WV 25560-9548 | 2019-06-19 |
| 1043453814 | Nedaa N Issa | Pediatrics | 301 Great Teays Blvd Ste 6, Scott Depot, WV 25560-9552 | 2009-04-09 |
| 1295953065 | Mary J Bailey | Pediatrics | 97 Great Teays Blvd, Suite 6, Scott Depot, WV 25560-9815 | 2007-04-24 |
| 1366420614 | Angela Beth Ferguson | Pediatrics | 301-6 Great Teays Blvd, Scott Depot, WV 25560 | 2006-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902404395 | Williamson Health & Wellness Center, Inc | Pediatrics | 859 Alderson St Ste 4000, Williamson, WV 25661-3215 | 2020-10-16 |
| 1770127516 | Nicole Danielle Clendenin | Pediatrics | 314 Goff Mountain Rd Ste 16, Charleston, WV 25313-6600 | 2019-11-05 |
| 1760914691 | Bradley Gilbert Marple | Pediatrics | 401 6th Ave Ste 101, Montgomery, WV 25136-2116 | 2017-03-30 |
| 1447645007 | Jordan Beckett | Pediatrics | 414 Grand Park Dr Ste 1, Parkersburg, WV 26105-4065 | 2015-03-31 |
| 1235489931 | Spring Mills Medical Center | Pediatrics | 1179 T J Jackson Dr, Falling Waters, WV 25419-4698 | 2012-09-11 |
| 1982963278 | Lauren M Thompson | Pediatrics | 179 Station Pl, Suite 200, Hurricane, WV 25526-6578 | 2012-05-08 |
| 1215203500 | Valley Health Systems, Inc. | Pediatrics | 5b Rr 2, Poca, WV 25159-9601 | 2012-03-30 |
| 1609142983 | Valley Health Systems, Inc. | Pediatrics | 2550 Us Route 60, Hurricane, WV 25526-9436 | 2012-03-30 |
| 1154697431 | Valley Health Systems, Inc. | Pediatrics | 1246 Mcclellan Hwy, Harts, WV 25524 | 2012-03-30 |
| 1124303151 | Samuel P Rojas Md Inc | Pediatrics | 143 1/2 Stollings Ave, Logan, WV 25601-4010 | 2011-10-21 |
| Find all providers with the same taxonomy | ||||
| City | SCOTT DEPOT |
| Zip Code | 25560 |
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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.