DR. JULIE ANN DETEMPLE (NPI# 1376505206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376505206 |
| Entity Type | Individual |
| Full Name | DR. JULIE ANN DETEMPLE |
| Credential | MD |
| Practice Address |
509 2nd Ave South Charleston WV 25303-1310 |
| Practice Telephone | 3047203555 |
| Practice Fax Number | 3047203556 |
| Mailing Telephone | 3047203555 |
| Mailing Fax Number | 3047203556 |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2020-07-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 19920 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | GROUP MEDICAID | 0206415000 | 01 |
| WV | MEDICARE GROUP | 9328971 | 01 |
| Street Address |
509 2ND AVE |
| City | SOUTH CHARLESTON |
| State | WV |
| Zip Code | 25303-1310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952371320 | Kellie Anne Hansel | Physician Assistant | 509 2nd Ave, South Charleston, WV 25303-1310 | 2006-01-26 |
| 1003415282 | William L. Tanzey II | Counselor | 509 2nd Ave, South Charleston, WV 25303-1310 | 2020-10-20 |
| 1831573070 | Rachel P. Brill | Nurse Practitioner | 509 2nd Ave, South Charleston, WV 25303-1310 | 2015-07-17 |
| 1033525159 | Amanda Whaley | Family Medicine | 509 2nd Ave, South Charleston, WV 25303-1310 | 2014-07-09 |
| 1770885386 | Kelley Alina Whoolery | Physician Assistant | 509 2nd Ave, South Charleston, WV 25303-1310 | 2010-12-02 |
| 1902137177 | Nancy Chandler | Internal Medicine | 509 2nd Ave, South Charleston, WV 25303-1310 | 2010-01-27 |
| 1174686463 | Family Health Associates of The Kanawha Valley, Pllc | Family Medicine | 509 2nd Ave, South Charleston, WV 25303-1310 | 2006-12-18 |
| 1356307243 | Tasha Marie Elswick | Physician Assistant | 509 2nd Ave, South Charleston, WV 25303-1310 | 2006-04-21 |
| 1578526943 | Elizabeth Kristi Hensley | Family Medicine | 509 2nd Ave, South Charleston, WV 25303-1310 | 2006-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588009 | Shirley Ann Womack | Technician | 131 6th Ave. Apt.#305, South Charleston, WV 25303 | 2020-11-04 |
| 1407350713 | Special Touch Nursing Services, Inc. | In Home Supportive Care | 325 4th Ave Ste 1, South Charleston, WV 25303 | 2018-03-21 |
| 1003213471 | Neveah Health & Wellness Center, Pllc | Family Medicine | 538 3rd Avenue, South Charleston, WV 25303 | 2014-12-01 |
| 1760810444 | Martin, Dds Pllc | Dentist | 140 7th Ave, South Charlestown, WV 25303 | 2013-10-16 |
| 1053594267 | Mary Elizabeth Taylor | Specialist | 117 7th Avenue, South Charleston, WV 25303 | 2007-12-11 |
| 1093937633 | Loved Ones In Home Care | Home Health | 144 7th Ave, South Charleston, WV 25303 | 2007-05-03 |
| 1477643302 | William V. Jordan | Chiropractor | 411 D. Street, South Charleston, WV 25303 | 2006-10-13 |
| 1699864793 | Debora Lynn Wells | Counselor | 1418a Maccorkle Avenue Sw, Charleston, WV 25303 | 2006-10-12 |
| 1457443830 | Special Touch Nursing Services, Inc. | Home Health | 325 Fourth Ave, Suite #1, South Charleston, WV 25303 | 2006-09-29 |
| 1275625964 | Bryan Scott Eder | Dentist | 71 Maccorkle Ave Sw, South Charleston, WV 25303 | 2006-09-29 |
| Find all providers in zip 25303 | ||||
| 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 |
|---|---|---|---|---|
| 1003213471 | Neveah Health & Wellness Center, Pllc | Family Medicine | 538 3rd Avenue, South Charleston, WV 25303 | 2014-12-01 |
| 1376967471 | Camc Urgent Care Southridge | Family Medicine | 301 Rhl Ste 3, South Charleston, WV 25309-8275 | 2014-02-10 |
| 1578908703 | Patel Inc. | Family Medicine | 129 7th Ave, South Charleston, WV 25303-1417 | 2013-05-01 |
| 1467535450 | Patel & Patel Md Inc | Family Medicine | 401 Division St Ste 306, South Charleston, WV 25309-1455 | 2006-10-23 |
| 1073547097 | Adam J Breinig | Family Medicine | 1563 Sand Plant Rd, South Charleston, WV 25309-6120 | 2006-07-10 |
| 1598792202 | Delberta S Riffe | Family Medicine | 312 6th Ave Sw, Suite 3, South Charleston, WV 25303-1242 | 2006-06-27 |
| 1962453191 | Crystal H Bastin | Family Medicine | 4820 Kentucky St, South Charleston, WV 25309 | 2006-05-12 |
| 1568420586 | Richard D Hayes, Jr | Family Medicine | 312 6th Ave, Suite 3, South Charleston, WV 25303-1265 | 2006-05-01 |
| 1821058348 | Paul Timothy Kuryla | Family Medicine | 400 Division St Ste 6, South Charleston, WV 25309-1459 | 2006-03-27 |
| 1730174145 | D Duane Berry | Family Medicine | 5220 Maccorkle Ave Sw, South Charleston, WV 25309-1010 | 2005-09-13 |
| Find all providers in SOUTH CHARLESTON | ||||
| City | SOUTH CHARLESTON |
| Zip Code | 25303 |
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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.