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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 19163 | WV | Allopathic & Osteopathic Physicians |
| Street Address |
120 CORNWALL LN |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25314-2493 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033559 | Nancy Galvan | Technician | 4587 Kanawha State Forrest Dr., Charleston, WV 25314 | 2020-11-04 |
| 1093316424 | Emma Mccloud | Technician | 710 Colony Dr., Charleston, WV 25314 | 2020-11-03 |
| 1699376137 | Amanda Gail Evans | Technician | 11 Happy Hl, Charleston, WV 25314 | 2020-11-02 |
| 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 |
| Find all providers in zip 25314 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| 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 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 25314 |
Please comment or provide details below to improve the information on DR. REBECCA THAXTON.
| 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.