JASON CLONNIE TRUSTY (NPI# 1467566463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467566463 |
| Entity Type | Individual |
| Full Name | JASON CLONNIE TRUSTY |
| Credential | PA C |
| Practice Address |
208 Maccorkle Ave Se Charleston WV 25314-1160 |
| Practice Telephone | 3043434300 |
| Practice Fax Number | 3043435476 |
| Mailing Telephone | 3043434300 |
| Mailing Fax Number | 3043435476 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2010-05-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 01157 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
208 MACCORKLE AVE SE |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25314-1160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720192826 | Jane Thomas Christenson | Physician Assistant | 208 Maccorkle Ave Se, Charleston, WV 25314-1160 | 2006-08-18 |
| 1780152553 | David Tomczyk | Physician Assistant | 208 Maccorkle Ave Se, Charleston, WV 25314-1197 | 2018-11-09 |
| 1093191124 | Leann Mckay | Physician Assistant | 208 Maccorkle Ave Se, Charleston, WV 25314-1160 | 2015-07-30 |
| 1033558465 | Krystal Smithers | Physician Assistant | 208 Maccorkle Ave Se, Charleston, WV 25314-1160 | 2013-06-19 |
| 1144595026 | Jessica Jean Dearman | Physician Assistant | 208 Maccorkle Ave Se, Charleston, WV 25314-1160 | 2012-03-12 |
| 1376828095 | Caroline A. Williams | Family Medicine | 208 Maccorkle Ave Se, Charleston, WV 25314-1160 | 2011-10-13 |
| 1629280664 | Siwat Kiratiseavee | Allergy & Immunology | 208 Maccorkle Ave Se, Charleston, WV 25314-1160 | 2007-05-03 |
| 1316013295 | Wv Asthma & Allergy Centers, Inc. | Allergy & Immunology | 208 Maccorkle Ave Se, Charleston, WV 25314-1160 | 2006-11-24 |
| 1114005477 | Wv Asthma and Allergy Centers, Inc. | Allergy & Immunology | 208 Maccorkle Ave Se, Charleston, WV 25314-1160 | 2006-11-02 |
| 1184715948 | Melissa Jose Gamponia | Family Medicine | 208 Maccorkle Ave Se, Charleston, WV 25314-1160 | 2006-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033559 | Nancy Galvan | Technician | 4587 Kanawha State Forrest Dr., Charleston, WV 25314 | 2020-11-04 |
| 1093316424 | Emma Mccloud | Technician | 710 Colony Dr., Charleston, WV 25314 | 2020-11-03 |
| 1699376137 | Amanda Gail Evans | Technician | 11 Happy Hl, Charleston, WV 25314 | 2020-11-02 |
| 1457879074 | Samantha Pennington | Pharmacist | 1100 Fledderjohn Rd Kroger #785, Charleston, WV 25314 | 2017-09-04 |
| 1992180335 | John Anthony Palmer IIi | Dentist | 867 Oakwood Road, Charleston, WV 25314 | 2015-07-28 |
| 1285039727 | West Virginia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 885 Oakwood Rd., Charleston, WV 25314 | 2014-10-27 |
| 1386980381 | Miranda L Broyles | Nurse Practitioner | 3200 Maccorkle Avenue Southwest, Charleston, WV 25314 | 2012-12-19 |
| 1548482896 | Christina M. Arco, Phd Pllc | Psychologist | 1013 B Oakhurst Drive, Charleston, WV 25314 | 2007-05-03 |
| 1578780359 | S & W Meeks Inc | Eyewear Supplier (Equipment, not the service) | 426 Division Street, South Charleston, WV 25314 | 2007-04-20 |
| 1669511853 | Gregory Alan Simmerman | Audiologist | 1105 Fledderjohn Road, Charleston, WV 25314 | 2007-02-05 |
| Find all providers in zip 25314 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475326 | Rebecca Whealen | Physician Assistant | 2026 Huber Rd, Charleston, WV 25314-2236 | 2020-10-23 |
| 1275131054 | Ethan Brody Clontz | Physician Assistant | 1953 Pinehurst Ave, Charleston, SC 29414-6483 | 2020-10-13 |
| 1386251635 | Caitlin Estep | Physician Assistant | 3100 Maccorkle Ave Se Ste 802, Charleston, WV 25304-1233 | 2020-09-29 |
| 1487261509 | Reilly Kilpatrick | Physician Assistant | 1518 Blaze Ln, Charleston, SC 29412-8652 | 2020-09-24 |
| 1083228514 | Andrea Denise Boan | Physician Assistant | 12 Commercial Row Apt A, Charleston, SC 29412-3641 | 2020-09-02 |
| 1194343673 | Andrew N Brewer | Physician Assistant | 171 Ashley Ave Ste 419, Charleston, SC 29425-8908 | 2020-07-10 |
| 1396361309 | Jacquelyn Joseph | Physician Assistant | 134 Howard Mary Dr Apt A, Charleston, SC 29412-9581 | 2020-06-25 |
| 1639719990 | Jessy Marie Hamrick | Physician Assistant | 149 Dutch Rd Apt 105, Charleston, WV 25302-2530 | 2020-01-14 |
| 1093355521 | Virginia Noemi Escobar-cheng | Physician Assistant | 310 Red Mulberry Way Apt 3, Charleston, WV 25306-6395 | 2020-01-13 |
| 1598300279 | Breanne Marie Wiekamp | Physician Assistant | 20 Scarlet Oak Ln Apt 3, Charleston, WV 25306-1128 | 2019-11-17 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 25314 |
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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.