JULIE N MCCALLLISTER (NPI# 1386858447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386858447 |
| Entity Type | Individual |
| Full Name | JULIE N MCCALLLISTER |
| Credential | MD |
| Practice Address |
4607 Maccorkle Ave Sw Ste 400 South Charleston WV 25309-1364 |
| Mailing Address |
4607 Maccorkle Ave Ste 400 South Charleston WV 25309 |
| Practice Telephone | 3047664400 |
| Practice Fax Number | 3047664417 |
| Mailing Telephone | 3047664400 |
| Mailing Fax Number | 3047664417 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2011-07-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 23689 | WV | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810015753 | 05 |
| Street Address |
4607 MACCORKLE AVE SW STE 400 |
| City | SOUTH CHARLESTON |
| State | WV |
| Zip Code | 25309-1364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326044413 | Bassam Nicholas Shamma | Obstetrics & Gynecology | 4607 Maccorkle Ave Sw, Ste 301, South Charleston, WV 25309-1364 | 2005-06-23 |
| 1992254494 | Frances Nicole Pauley | Physician Assistant | 4607 Maccorkle Ave Sw, Suite 300, South Charleston, WV 25309-1364 | 2016-09-25 |
| 1487033007 | Sharon G. Lake | Nurse Practitioner | 4607 Maccorkle Ave Sw, Suite 300, South Charleston, WV 25309-1364 | 2015-05-28 |
| 1437589280 | David Anthony Baldwin | Physician Assistant | 4607 Maccorkle Ave Sw, Suite 400, South Charleston, WV 25309-1364 | 2013-11-14 |
| 1124456074 | Cynthia Coleman | Nurse Practitioner | 4607 Maccorkle Ave Sw, South Charleston, WV 25309-1364 | 2013-10-30 |
| 1548554488 | Lesley Ann Ross | Nurse Practitioner | 4607 Maccorkle Ave Sw, Suite 401, South Charleston, WV 25309 | 2011-06-08 |
| 1124277587 | Womyn, Inc. | Specialist | 4607 Maccorkle Ave Sw, Suite 201, South Charleston, WV 25309-1364 | 2008-09-10 |
| 1124212527 | Melissa N. Bacchus, Md, Pllc | Pediatrics | 4607 Maccorkle Ave Sw, Medical Pavilion Suite 204, South Charleston, WV 25309-1364 | 2007-08-29 |
| 1841408978 | C. Edwin Childers, Jr., Md, Pllc | Pediatrics | 4607 Maccorkle Ave Sw, Mp Ste 204, South Charleston, WV 25309-1364 | 2007-05-21 |
| 1265650592 | Elizabeth L. Brown, Md, Pllc | Internal Medicine | 4607 Maccorkle Ave Sw, Suite Mp200, South Charleston, WV 25309-1364 | 2007-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376905 | Lovie Bradshaw | Technician | 4823 Tennessee St., South Charleston, WV 25309 | 2020-11-03 |
| 1306447735 | Barbara Mackenzie | Technician | 4224 Kanawha Turnpike, South Charleston, WV 25309 | 2020-11-03 |
| 1548861974 | Sarah Nichols | Technician | 4990 Colonial Park Dr. Apt. F, South Charleston, WV 25309 | 2020-11-03 |
| 1629690177 | Jennifer Mabry-goins | Technician | 4505 River Avenue, S Charleston, WV 25309 | 2020-05-07 |
| 1811537715 | Brandon C Dean | Psychologist | 4857 Macorkle Ave. Sw, South Charleston, WV 25309 | 2020-01-09 |
| 1467096057 | Linda Mullins | Technician | 60 Hayvon Lane, South Charleston, WV 25309 | 2019-11-06 |
| 1831743616 | Ann Myriah Beck | Nurse Practitioner | 4610 Maccorkle Ave Sw # 300, South Charleston, WV 25309 | 2019-07-30 |
| 1942671227 | Edward W Eskew | Family Medicine | 4605 Maccorkle Avenue, Sw, Thspp-psychiatry, South Charleston, WV 25309 | 2015-10-13 |
| 1720468218 | Link Investments LLC | Pharmacy | 5151 Macorkle Avenue, South Charleston, WV 25309 | 2015-06-01 |
| 1366840951 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 304 Southbridge Blvd., S.ccharleston, WV 25309 | 2014-12-12 |
| Find all providers in zip 25309 | ||||
| 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 |
|---|---|---|---|---|
| 1316032360 | Sharmila Matcheswalla Jones | Pediatrics | 4607 Maccorkle Ave, Ste 400, South Charleston, WV 25309 | 2006-10-04 |
| 1437155991 | Gilbert Goliath | Pediatrics | 4607 Maccorkle Ave Sw Ste 400, South Charleston, WV 25309-1364 | 2005-06-21 |
| 1124212527 | Melissa N. Bacchus, Md, Pllc | Pediatrics | 4607 Maccorkle Ave Sw, Medical Pavilion Suite 204, South Charleston, WV 25309-1364 | 2007-08-29 |
| 1841408978 | C. Edwin Childers, Jr., Md, Pllc | Pediatrics | 4607 Maccorkle Ave Sw, Mp Ste 204, South Charleston, WV 25309-1364 | 2007-05-21 |
| 1780725796 | Harmony Margaret Brown | Pediatrics | 4607 Maccorkle Ave Sw, Suite 400, South Charleston, WV 25309-1364 | 2007-02-11 |
| 1841365640 | Tarek Anderson | Pediatrics | 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 | 2006-11-21 |
| 1184793150 | Clark Edwin Childers Jr. | Pediatrics | 4607 Maccorkle Ave Sw, Mp Ste 204, South Charleston, WV 25309-1364 | 2006-11-06 |
| 1033291422 | Kara Michelle White | Pediatrics | 4607 Maccorkle Ave Sw, Ste 400, South Charleston, WV 25309-1364 | 2006-10-19 |
| 1053406017 | Melanie Anne Winnings | Pediatrics | 4607 Maccorkle Ave, Ste 400, South Charleston, WV 25309 | 2006-10-04 |
| 1821183849 | Alatheia Foster Stickler | Pediatrics | 4607 Maccorkle Ave, Ste 400, South Charleston, WV 20309 | 2006-10-04 |
| Find all providers in SOUTH CHARLESTON | ||||
| City | SOUTH CHARLESTON |
| Zip Code | 25309 |
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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.