DR. REBECCA THAXTON


Address: 120 Cornwall Ln, Charleston, WV 25314-2493
Phone: 3042054719

DR. REBECCA THAXTON (NPI# 1336456722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336456722
Entity Type Individual
Full Name DR. REBECCA THAXTON
Credential M.D.
Practice Address 120 Cornwall Ln
Charleston
WV 25314-2493
Practice Telephone 3042054719
Practice Fax Number 3042054719
Mailing Telephone 3042054719
Mailing Fax Number 3042054719
Enumeration Date 2010-09-07
Last Update Date 2010-09-07
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice 19163 WV Allopathic & Osteopathic Physicians

Office Location

Street Address 120 CORNWALL LN
City CHARLESTON
State WV
Zip Code 25314-2493

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1457879074 Samantha Pennington Pharmacist 1100 Fledderjohn Rd Kroger #785, Charleston, WV 25314 2017-09-04
1992180335 John Anthony Palmer IIi Dentist 867 Oakwood Road, Charleston, WV 25314 2015-07-28
1285039727 West Virginia Cvs Pharmacy, L.L.C. Durable Medical Equipment & Medical Supplies 885 Oakwood Rd., Charleston, WV 25314 2014-10-27
1386980381 Miranda L Broyles Nurse Practitioner 3200 Maccorkle Avenue Southwest, Charleston, WV 25314 2012-12-19
1548482896 Christina M. Arco, Phd Pllc Psychologist 1013 B Oakhurst Drive, Charleston, WV 25314 2007-05-03
1578780359 S & W Meeks Inc Eyewear Supplier (Equipment, not the service) 426 Division Street, South Charleston, WV 25314 2007-04-20
1669511853 Gregory Alan Simmerman Audiologist 1105 Fledderjohn Road, Charleston, WV 25314 2007-02-05
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144747528 Susan L Cavender M.d. Pllc General Practice 1115 Lee St E, Charleston, WV 25301-2412 2017-08-25
1376958058 Nadezda Samples General Practice 3110 Maccorkle Ave Se Rm 58, Charleston, WV 25304-1210 2014-06-21
1144663881 Joseph William Rubin General Practice 22 River Reach Way, Charleston, SC 29407-3372 2013-04-11
1013256023 Doctors Care Sc, Pa General Practice 1014 Saint Andrews Blvd, Charleston, SC 29407-7139 2013-02-11
1295030674 Capital Management Services Company General Practice 231 Capitol St, Suite 301, Charleston, WV 25301-2200 2011-01-17
1013212497 Capitol United Support Inc General Practice 415 Quarrier St, Suite 213, Charleston, WV 25301-2009 2011-01-17
1841501210 Audiahealth, LLC General Practice 192 Tradd St, Charleston, SC 29401-1817 2010-06-30
1013150093 Richard David Lindsay General Practice 1223 Virginia St E, Charleston, WV 25301-2908 2009-04-07
1851563753 Frederick Morton Cooley General Practice 904 Chappell Rd, Charleston, WV 25304-2708 2008-03-31
1629142674 Milton S Costa General Practice 325 Folly Rd Ste 102a, Charleston, SC 29412-2507 2006-11-20
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Competitor

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City CHARLESTON
Zip Code 25314

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Dataset Information

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.

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