DR. JEREMY DAVID CUMBERLEDGE (NPI# 1487912465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487912465 |
| Entity Type | Individual |
| Full Name | DR. JEREMY DAVID CUMBERLEDGE |
| Practice Address |
3100 Maccorkle Ave Se Ste 502 Charleston WV 25304-1226 |
| Practice Telephone | 9999999999 |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2020-01-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 48215 | KY | Allopathic & Osteopathic Physicians |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
27042 | WV | Allopathic & Osteopathic Physicians |
| Street Address |
3100 MACCORKLE AVE SE STE 502 |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25304-1226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053312314 | Kurt M. Nellhaus, M.d. | Internal Medicine | 3100 Maccorkle Ave Se, Suite 806, Charleston, WV 25304-1223 | 2005-08-09 |
| 1124575907 | Cmc Pharmacy, LLC | Pharmacy | 3100 Maccorkle Ave Se, Suite 100, Charleston, WV 25304-1223 | 2016-09-08 |
| 1386191575 | William F. Brogan | Nurse Practitioner | 3100 Maccorkle Ave Se, Suite 301, Charleston, WV 25304-1223 | 2016-09-06 |
| 1083161475 | Amanda L. Newcomer | Nurse Practitioner | 3100 Maccorkle Ave Se, Suite 301, Charleston, WV 25304-1223 | 2016-09-02 |
| 1437508868 | Brandon Waskey | Nurse Practitioner | 3100 Maccorkle Ave Se, Suite 700, Charleston, WV 25304-1223 | 2016-06-07 |
| 1992177984 | Sandra Henline | Physician Assistant | 3100 Maccorkle Ave Se, Suite 411, Charleston, WV 25304-1223 | 2015-10-29 |
| 1598157430 | Wv Heart and Vascular Institute Charleston | Internal Medicine | 3100 Maccorkle Ave Se, Suite 610, Charleston, WV 25304-1223 | 2015-03-02 |
| 1922403435 | Chad L. Miller | Physician Assistant | 3100 Maccorkle Ave Se, Suite 101, Charleston, WV 25304-1223 | 2014-10-27 |
| 1114321809 | Jennifer J. Hancock | Psychologist | 3100 Maccorkle Ave Se, Suite 101, Charleston, WV 25304-1223 | 2014-10-09 |
| 1720487267 | Deborah Rectenwald | Nurse Practitioner | 3100 Maccorkle Ave Se, Suite 406, Charleston, WV 25304-1223 | 2014-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740893908 | Sade Yvonne Rice | Technician | 392 B South Parkd Rd, Charleston, WV 25304 | 2020-08-27 |
| 1053931410 | Pir Ali Shah | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Avenue Southeast Robert C. Bind Clinical, Charleston, WV 25304 | 2020-04-25 |
| 1649807603 | Jasmine Shah | Student in an Organized Health Care Education/Training Program | 3110 Maccorkle Avenue, Se, Student Services Department - Wvu Building, 4th Floor, Charleston, WV 25304 | 2020-03-26 |
| 1447811872 | Kwasi Amponsah Gambrah | Student in an Organized Health Care Education/Training Program | 3200 Mac Corkle Ave. Se, Robert C. Byrd Clinical Teaching Center, 5th Floor, Charlestoni, WV 25304 | 2019-06-26 |
| 1457916751 | Divya Kalluru | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Avenue Southeast, Robert C. Bird Clinica, 4th Floor Internal Medicine Department, Charleston, WV 25304 | 2019-05-02 |
| 1841854965 | Sean Michael Percy Losier | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Ave., Se, Camc Family Medicine Center Robert C. Byrd Clinical Tea, Charleston, WV 25304 | 2019-04-24 |
| 1700440047 | Priyanka Chowdhry | Student in an Organized Health Care Education/Training Program | Robert C. Bird Clinical Training Center, 4th Floor, 3200 Maccorkle Avenue, Southeast, Charleston, WV 25304 | 2019-04-23 |
| 1568925469 | Saranya Dinesan | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Ave. Se, 4th Floor, Robert C. Byrd Clini, Charleston, WV 25304 | 2019-04-09 |
| 1043771694 | Mary Elizabeth Novak | Student in an Organized Health Care Education/Training Program | Camc Memorial Hospital, Surgicare Center, 3200 Maccorkle Ave Se, Charleston, WV 25304 | 2019-03-27 |
| 1124518600 | Abdullah Sohail | Student in an Organized Health Care Education/Training Program | 4th Floor, 3200 Maccorkle Ave, South East Robert C. Bir, Charleston, WV 25304 | 2018-05-10 |
| Find all providers in zip 25304 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497398721 | Brooke Alexa Brooks | Internal Medicine | 25 Courtenay Dr # 7018, Charleston, SC 29425-8911 | 2019-10-18 |
| 1982134508 | Future Medical, Pllc | Internal Medicine | 2335 Chesterfield Ave Ste 302, Charleston, WV 25304-1066 | 2017-06-15 |
| 1184934952 | Shailendra Singh | Internal Medicine | 3100 Maccorkle Ave Se # Se509, Charleston, WV 25304-1223 | 2010-10-14 |
| 1558687111 | Hamza Walid Shah | Internal Medicine | 3100 Maccorkle Ave Se Ste 509, Charleston, WV 25304-1226 | 2010-04-07 |
| 1760691596 | Logan Gastroenterology | Internal Medicine | 6 Woodcrest Ln, Charleston, WV 25314-2472 | 2007-05-21 |
| 1336257294 | Joseph Romagnuolo | Internal Medicine | 109 Bee St Ste C413, Charleston, SC 29401-5703 | 2006-08-29 |
| 1780692277 | Harry Earl Duncan Jr. | Internal Medicine | 3100 Maccorkle Avenue, Suite 509, Charleston, WV 25304-1226 | 2006-08-03 |
| 1811941982 | Kassamo Dayemo | Internal Medicine | 1606 Ashley River Rd, Charleston, SC 29407-5902 | 2006-05-21 |
| 1811975923 | Todd Ellis Dantzler | Internal Medicine | 25 Courtenay Dr # 7100a, Msc 290, Charleston, SC 29425-2900 | 2006-01-09 |
| 1639154206 | Lee Michael Oberman | Internal Medicine | 1919 Westminster Rd, Charleston, SC 29407-3330 | 2005-12-07 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 25304 |
Please comment or provide details below to improve the information on DR. JEREMY DAVID CUMBERLEDGE.
| 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.