ELY JEAN SALON


Address: 200 Raleigh Ave, Beckley, WV 25801-5989
Phone: 3042528541

ELY JEAN SALON (NPI# 1396766051) 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) 1396766051
Entity Type Individual
Full Name ELY JEAN SALON
Credential MD
Practice Address 200 Raleigh Ave
Beckley
WV 25801-5989
Mailing Address 252 Rural Acres Dr
Beckley
WV 25801-3503
Practice Telephone 3042528541
Practice Fax Number 3042532507
Mailing Telephone 3042528324
Mailing Fax Number 3042527372
Enumeration Date 2006-07-21
Last Update Date 2010-10-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 18381 WV Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WV 0079492000 05
WV MEDICATE PTAN 2032422 01
WV BLUE CROSS BLUE SHIELD 001722335 01

Office Location

Street Address 200 RALEIGH AVE
City BECKLEY
State WV
Zip Code 25801-5989

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699168492 Community Health Systems Inc Pharmacy 200 Raleigh Ave, Beckley, WV 25801-0002 2015-03-18
1942567763 Crystal Y Clark Nurse Practitioner 200 Raleigh Ave, Beckley, WV 25801-5961 2012-04-18
1518190776 Community Health Systems Inc Pharmacy 200 Raleigh Ave, Beckley, WV 25801-5961 2009-09-03
1811139165 Community Health Systems Inc. Clinic/Center 200 Raleigh Ave, Beckley, WV 25801-3503 2009-04-01
1699819219 E J Salon Md Inc Internal Medicine 200 Raleigh Ave, Beckley, WV 25801-5944 2007-02-16
1700920485 R.c. Jereza M.d., Inc. Internal Medicine 200 Raleigh Ave, Beckley, WV 25801-5944 2007-02-16
1639213481 L.c. Maramba, M.d., Inc. Internal Medicine 200 Raleigh Ave, Beckley, WV 25801-5944 2007-02-16
1538203153 Iligino Fernandez Salon, Md, Inc Internal Medicine 200 Raleigh Ave, Beckley, WV 25801-5944 2007-02-16
1891864716 Jennifer Marie Smith Pharmacist 200 Raleigh Ave, Beckley, WV 25801-0002 2006-11-07
1588685424 Lamberto Cendana Maramba Internal Medicine 200 Raleigh Ave, Beckley, WV 25801-5944 2006-07-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144835190 Misty Dawn Chambers Psychologist 154 Lagoon Way, Beckley, USA 25801 2020-09-15
1912511437 Katherine Lynne Mcghee Technician 120 Schlager Dr., Beckley, WV 25801 2020-09-02
1255942421 Tyesha Burger Technician 442 Industrial Dr, Beckley, WV 25801 2020-08-12
1053920553 Angela Sanches Case Manager/Care Coordinator 134 Gooseberry Ln, Beckley, WV 25801 2020-07-30
1871119933 Tiffani Michelle Dale Counselor 111 Coral Court, Apt 5, Beckley, WV 25801 2020-06-24
1679046049 Liberty Dental Centers Dentist 102 Galleria Plaza, Beckley, WV 25801 2019-01-08
1952884942 Susan Rae Rash Nurse Practitioner 250 Stanaford Rd Ste 203, Beckley, WV 25801 2018-09-14
1689169039 Megan Rae Walker Dentist 3153 Robert C. Byrd Drive, Beckley, WV 25801 2018-06-28
1104318625 Mountain State Vascular, Inc. Surgery 121 George Street, Beckley, WV 25801 2018-05-31
1356841100 Harper Road Treatment Center LLC Family Medicine 1802 Harper Rd Ste 202, Beckley, WV 25801 2018-02-19
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760701437 Quartel-ayne Amjad Internal Medicine 166 George Street, Beckley, WV 25801 2010-05-20
1336233626 Billy J Cole II Internal Medicine 302 Carriage Dr, Beckley, WV 25801-2812 2006-10-03
1568569788 Oscar F Munoz Md PC Internal Medicine 1002 W Neville St, Beckley, WV 25801 2006-09-20
1740398239 Hassan Asghar Jafary Internal Medicine 451 Stanaford Rd, Stanaford Medical Clinic, Beckley, WV 25801 2006-08-26
1871601377 William R Powers Internal Medicine 316 Timber Ridge Dr, Beckley, WV 25801-3650 2006-08-26
1225010861 Irene M Wasylyk Internal Medicine 224 Professional Park, Beckley, WV 25801-3624 2005-11-18
1447241468 Laura Jane Graybeal Internal Medicine 921 W Neville St, Suite 200, Beckley, WV 25801-4360 2005-10-31
1760473870 George Edward Lovegrove Internal Medicine 4130 Robert C Byrd Dr, Beckley, WV 25801-2206 2005-10-31
1316466741 Pinnacle Health Inc Internal Medicine 3157 Robert C Byrd Dr, Beckley, WV 25801-3724 2017-09-18
1245695212 Raleigh General Hospital LLC Internal Medicine 1717 Harper Rd, Second Floor, Suite C, Beckley, WV 25801-3373 2015-12-17
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Competitor

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City BECKLEY
Zip Code 25801

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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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