APPALACHIANWELLNESS CLINIC INC (NPI# 1427563238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427563238 |
| Entity Type | Organization |
| Organization Name | APPALACHIANWELLNESS CLINIC INC |
| Practice Address |
451 Stanaford Rd Beckley WV 25801-3145 |
| Mailing Address |
56 Osprey Rd Beckley WV 25801-3684 |
| Practice Telephone | 3042225817 |
| Mailing Telephone | 3042225817 |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2020-01-08 |
| Authorized Official Name | MARYAM JAFARY RANA (PHYSICIAN ASSISTANT) |
| Authorized Official Telephone | 3042225817 |
| Authorized Official Credential | PA-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
451 STANAFORD RD |
| City | BECKLEY |
| State | WV |
| Zip Code | 25801-3145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740398239 | Hassan Asghar Jafary | Internal Medicine | 451 Stanaford Rd, Stanaford Medical Clinic, Beckley, WV 25801 | 2006-08-26 |
| 1649839150 | Lindsey Paige Cox | Social Worker | 451 Stanaford Rd, Beckley, WV 25801-3145 | 2019-06-08 |
| 1225526304 | Appalachian Wellness Clinic Inc | Clinic/Center | 451 Stanaford Rd, Beckley, WV 25801-3145 | 2018-04-25 |
| 1467542183 | Alwahido Medical Corporation M C | Internal Medicine | 451 Stanaford Rd, Beckley, WV 25801-3145 | 2006-10-13 |
| 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 |
| Find all providers in zip 25801 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093086233 | Ashlee Marie Thomas | Physician Assistant | 379 Stanaford Road, Beckley, WV 25801-3141 | 2012-01-19 |
| 1346203957 | Richard Michael Janney | Physician Assistant | 107 Highpoint Dr, Beckley, WV 25801-8850 | 2006-04-07 |
| 1730612219 | Jessica Dunkley | Physician Assistant | 321 S Eisenhower Dr, Beckley, WV 25801-5849 | 2017-04-11 |
| 1295118206 | Danielle Denise Ashley | Physician Assistant | 94 Brookshire Ln, Beckley, WV 25801-6765 | 2015-07-08 |
| 1043641566 | Ashley Copolo | Physician Assistant | 200 Veterans Ave, Beckley, WV 25801-6444 | 2013-12-09 |
| 1841628419 | Christina Renee Mccracken | Physician Assistant | 200 Veterans Ave, Beckley, WV 25801-6444 | 2013-10-17 |
| 1073882742 | Courtney Beth Stewart | Physician Assistant | 1709 Harper Rd, Beckley, WV 25801-3311 | 2011-12-23 |
| 1386927309 | Adam John Miller | Physician Assistant | 215 Brookshire Ln, Beckley, WV 25801-6729 | 2011-09-26 |
| 1083996383 | Chandra Kirk | Physician Assistant | 306 Stanaford Rd, Beckley, WV 25801-3142 | 2011-09-13 |
| 1396073656 | Mintie Pritchard | Physician Assistant | 230 George St Ste 2, Beckley, WV 25801-2620 | 2009-11-25 |
| Find all providers in BECKLEY | ||||
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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.