MRS. ALYSSA WRISTON (NPI# 1427486216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427486216 |
Entity Type | Individual |
Full Name | MRS. ALYSSA WRISTON |
Other Name | MISS ALYSSA FRYE |
Credential | PA-C |
Practice Address |
830 Pennsylvania Ave Ste 103 Charleston WV 25302-3389 |
Mailing Address |
Po Box 117 Logan WV 25601-0117 |
Practice Telephone | 3043881552 |
Practice Fax Number | 3045881577 |
Mailing Telephone | 3048310073 |
Mailing Fax Number | 3048310076 |
Enumeration Date | 2013-10-15 |
Last Update Date | 2019-01-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
01748 | WV | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
830 PENNSYLVANIA AVE STE 103 |
City | CHARLESTON |
State | WV |
Zip Code | 25302-3389 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487754065 | Pamela Celeste Smith | Nurse Practitioner | 830 Pennsylvania Ave Ste 103, Charleston, WV 25302-3389 | 2006-09-24 |
1629350970 | Mohamad Badawi | Pediatrics | 830 Pennsylvania Ave Ste 103, Charleston, WV 25302-3389 | 2011-09-13 |
1023234879 | Rose Mary Ayoob | Pediatrics | 830 Pennsylvania Ave Ste 103, Charleston, WV 25302-3389 | 2007-04-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649871963 | Sha'la Wright | Technician | 713 Orchard Street Apt. G, Charleston, WV 25302 | 2020-11-03 |
1154929446 | Christine Balser | Technician | 3324 Pennsylvania Avenue, Charleston, WV 25302 | 2020-10-09 |
1629698865 | Umer Muhammad | Student in an Organized Health Care Education/Training Program | Childrens Medicine Center, 800 Pennsylvania Ave, Charleston, WV 25302 | 2020-04-17 |
1689209660 | Annedie Beauty Equipment Wholesale | Prosthetic/Orthotic Supplier | 3406 Pennsylvania Avenue, Charleston, WV 25302 | 2020-03-10 |
1932753530 | Northwest Pharmacy, LLC | Pharmacy | 708 Bigley Ave, Ste A, Charleston, WV 25302 | 2019-07-31 |
1831753185 | Philip Rhoney Fending | Student in an Organized Health Care Education/Training Program | Camc Ob/gyn Center, 800 Pennsylvania Ave, Charleston, WV 25302 | 2019-04-23 |
1851854491 | Amee Atulkumar Amin | Student in an Organized Health Care Education/Training Program | Familycare/ Children's Medicine Center, 800 Pennsylvania Ave, Charleston, WV 25302 | 2019-04-10 |
1790276525 | Womencare Inc | Clinic/Center | 812 Park Ave # 35, Charleston, WV 25302 | 2018-05-29 |
1245729771 | Zunaira Mahmood | Student in an Organized Health Care Education/Training Program | 800 Pennsylvania Ave., Familycare/children's Medicine C, Charleston, WV 25302 | 2018-05-10 |
1093212383 | Rahiya Binte Rehman | Student in an Organized Health Care Education/Training Program | 800 Pennsylvania Ave Family Care / Children's Medicine, Charleston, WV 25302 | 2018-04-12 |
Find all providers in zip 25302 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821470113 | Lesley E. Weiss | Physician Assistant | 3200 Maccorkle Seave, Charleston, WV 25304-1227 | 2015-06-23 |
1063797447 | Michael B Carothers | Physician Assistant | 2030 Wambaw Crk, Charleston, SC 29492-8382 | 2011-10-17 |
1316228679 | Joanna Harvey | Physician Assistant | 2085 H Tecklenburg Dr, 2nd Floor, Charleston, SC 29414-7710 | 2011-08-31 |
1689825895 | Jeffrey Russell Pike | Physician Assistant | 2097 Henry Tecklenburg Dr Ste 305w, Charleston, SC 29414-5744 | 2008-10-07 |
1073662664 | Kenneth Neil Dippel | Physician Assistant | 3200 Maccorkle Ave. Se, Camc Memorial Hospital, Charleston, WV 25304 | 2007-01-10 |
1790873099 | Steven L Russell | Physician Assistant | 191 Rutledge Ave, Charleston, SC 29403-5822 | 2006-10-11 |
1376649723 | Irene Belinda Coley | Physician Assistant | Ralph H. Johnson Va Medical Center, 109 Bee Street, Charleston, SC 29401 | 2006-09-15 |
1578597480 | David Laurence Gross | Physician Assistant | 9313 Medical Plaza Dr Ste 102, Charleston, SC 29406-9153 | 2006-07-10 |
1851331714 | Caroline M Bailey | Physician Assistant | 1 Bishop Gadsden Way, Suite 97, Charleston, SC 29412-3506 | 2006-06-08 |
1952357899 | Constantina Helen Panos | Physician Assistant | 129 Queen St, Charleston, SC 29401-2424 | 2006-05-25 |
Find all providers in CHARLESTON |
City | CHARLESTON |
Zip Code | 25302 |
Please comment or provide details below to improve the information on MRS. ALYSSA WRISTON.
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.