DR. SOPHIA A SIBOLD (NPI# 1366440661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366440661 |
| Entity Type | Individual |
| Full Name | DR. SOPHIA A SIBOLD |
| Other Name | DR. SOPHIA A SIMMS |
| Credential | D.O. |
| Practice Address |
200 Health Center Drive Union WV 24983-0000 |
| Practice Telephone | 3047723064 |
| Practice Fax Number | 3047723296 |
| Mailing Telephone | 3047723064 |
| Mailing Fax Number | 3047723296 |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2012-02-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 2102 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | BC/BS | 001714321 | 01 |
| WV | ANTHEM BC/BS-UNION | 176557 | 01 |
| WV | MAMSI | 8130658 | 01 |
| WV | PETERSTOWN | 176558 | 01 |
| WV | 3810001719 | 05 | |
| VA | GROUP PTAN | VAA104451 | 01 |
| WV | AETNA | 5611053 | 01 |
| WV | RAILROAD MEDICARE | P00206497 | 01 |
| Street Address |
200 HEALTH CENTER DRIVE |
| City | UNION |
| State | WV |
| Zip Code | 24983-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548268980 | James H Wright | Family Medicine | 200 Health Center Drive, Union, WV 24983 | 2005-07-11 |
| 1992052823 | Robin Lynn Johnson | Nurse Practitioner | 200 Health Center Drive, Union, WV 24983-0590 | 2012-08-09 |
| 1346435906 | Mountain View School | Family Medicine | 200 Health Center Drive, Union, WV 24983 | 2007-09-07 |
| 1861610974 | Monroe Health Center-union Lab | Clinical Medical Laboratory | 200 Health Center Drive, Union, WV 24983 | 2007-04-23 |
| 1609901099 | Erica Dowdy | Physician Assistant | 200 Health Center Drive, Monroe Health Center, Union, WV 24983 | 2007-02-23 |
| 1992734487 | Monroe County Health Center Board of Trustees | Clinic/Center | 200 Health Center Drive, Union, WV 24983 | 2006-06-30 |
| 1134108210 | Marie B Fearon-jewell | Family Medicine | 200 Health Center Drive, Union, WV 24983 | 2006-01-17 |
| 1124019880 | Steven K Jameson | Family Medicine | 200 Health Center Drive, Union, WV 24983-0000 | 2005-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639578917 | Sarah Brackenrich | Specialist/Technologist | 330 Willow Bend Road, Union, WV 24983 | 2014-08-22 |
| 1699904409 | Katherine L Kilcollin, Dds Pllc | Dentist | 247 Health Center Drive, Union, WV 24983 | 2009-07-14 |
| 1427242882 | James Monroe Wellness Center | Family Medicine | 200 Health Center Dr, Union, WV 24983 | 2007-08-29 |
| 1598838450 | Creekside Chiropractic Clinic Inc | Chiropractor | Rt 1 Box 104, Union, WV 24983 | 2006-11-16 |
| 1598844748 | Mark C Kilcollin | Dentist | Health Center Drive, Health Center Building, Union, WV 24983 | 2006-11-06 |
| 1619987773 | Melinda Ann Mcconnell | Physical Therapist | 76 Bud Ridge Rd, Union, WV 24983 | 2006-08-09 |
| 1578563425 | Union Rescue & Monroe Transp Ambulance Service Inc | Ambulance | 78 Pump St, Union, WV 24983 | 2005-07-21 |
| 1518960111 | Greenbrier Medical Arts Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 335 S Main St, Union, WV 24983 | 2005-05-27 |
| 1508266172 | Suzanne F Meadows | Pharmacist | 100 Main Street, Union, WV 24983 | 2014-09-02 |
| 1295168979 | Keri Galford | Family Medicine | 620 School Street, Union, WV 24983 | 2013-08-16 |
| Find all providers in zip 24983 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104325984 | Vama Medical Health Center | Family Medicine | 113 Plum Tree Ln, Union, NJ 07083-5553 | 2018-02-07 |
| 1740718220 | Afnan Talat | Family Medicine | 2317 Center Island, Route 22, Union, NJ 07083 | 2017-05-30 |
| 1538459698 | Tiffany Elizabeth Marie Toliver | Family Medicine | 1000 Galloping Hill Rd Ste 108, Union, NJ 07083 | 2011-04-11 |
| 1871732271 | Union Hospital District Dba Cha Family Medicine | Family Medicine | 801 West Main St, Union, SC 29379 | 2009-02-10 |
| 1851546352 | Alina Borkowska | Family Medicine | 1050 Galloping Hill Rd Ste 204, Union, NJ 07083-7980 | 2008-11-25 |
| 1114194156 | Mohammad Fattal | Family Medicine | 2575 Saint Charles Cir, Union, KY 41091-8696 | 2008-05-09 |
| 1427242882 | James Monroe Wellness Center | Family Medicine | 200 Health Center Dr, Union, WV 24983 | 2007-08-29 |
| 1134326010 | Kafilat Adewunmi | Family Medicine | 2333 Morris Ave Ste A117, Union, NJ 07083 | 2007-07-02 |
| 1033261383 | Gelderman Medical Care, Inc. | Family Medicine | 219 South Dunlap Street, Union, WV 24983-0500 | 2007-01-17 |
| 1316005101 | Union Family Medicine | Family Medicine | 2300 Vauxhall Road, Suite C, Union, NJ 07083 | 2006-12-05 |
| Find all providers in UNION | ||||
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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.