MR. NICHOLAS C VANCE (NPI# 1528007705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528007705 |
| Entity Type | Individual |
| Full Name | MR. NICHOLAS C VANCE |
| Credential | PA |
| Practice Address |
1325 Locust Ave Fairmont WV 26554-1435 |
| Mailing Address |
Po Box 634715 Cincinnati OH 45263-0001 |
| Practice Telephone | 3043677100 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2007-11-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Q48962 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | RAILROAD MEDICARE | P00290270 | 01 |
| WV | RRGA | P00290270 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760774616 | Nicholas Vance | Orthopaedic Surgery | 569 Skyline Dr Ste 100, Jackson, TN 38301-3911 | 2011-05-11 |
| Street Address |
1325 LOCUST AVE |
| City | FAIRMONT |
| State | WV |
| Zip Code | 26554-1435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750343125 | Fairmont General Hospital, Inc. | Specialist | 1325 Locust Ave, Fairmont, WV 26554-1435 | 2006-04-03 |
| 1407477912 | West Virginia University Hospitals, Inc. | General Acute Care Hospital | 1325 Locust Ave, Fairmont, WV 26554-1435 | 2020-05-06 |
| 1679119762 | Jennifer Lea Sayers | Counselor | 1325 Locust Ave, Fairmont, WV 26554-1435 | 2019-11-23 |
| 1073088506 | Paige Nicole Berkhouse | Physician Assistant | 1325 Locust Ave, Fairmont, WV 26554-1435 | 2018-10-11 |
| 1932615689 | Kudora Melody Maize | Nurse Practitioner | 1325 Locust Ave, Fairmont, WV 26554 | 2017-12-18 |
| 1932637881 | Ryan Patrick Dolan | Physical Therapist | 1325 Locust Ave, Fairmont, WV 26554-1435 | 2017-05-23 |
| 1801338298 | Emergency Solutions Inc | Emergency Medicine | 1325 Locust Ave, Fairmont, WV 26554-1435 | 2016-11-16 |
| 1609325232 | Amanda Marie Skrinjorich | Physician Assistant | 1325 Locust Ave, Fairmont, WV 26554 | 2016-09-23 |
| 1740688167 | Frmc Physicians, Inc. | Psychiatry & Neurology | 1325 Locust Ave, Fairmont, WV 26554-1435 | 2014-12-17 |
| 1033516646 | Michael L Ferrebee, M.d., Pllc | Emergency Medicine | 1325 Locust Ave, Fairmont, WV 26554-1435 | 2014-11-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497680 | Vanquisha Clay | Technician | 118 Conaway St, Fairmont, WV 26554 | 2020-11-06 |
| 1851903363 | Denise S Greer | Technician | 1029 Prickett Road, Fairmont, WV 26554 | 2020-08-18 |
| 1730790775 | Darla Lee Mcrobie | Technician | 105 C'anna Square, Fairmont, WV 26554 | 2020-08-13 |
| 1376025718 | Jason Batten | Counselor | 621 Maryland Ave, Fairmont, WV 26554 | 2018-09-02 |
| 1437669066 | Ultimate Health & Wellness, LLC | Naturopath | 2862 Whitehall Blvd, Whitehall, WV 26554 | 2017-10-10 |
| 1457872376 | Michele R Lilley | Nurse Practitioner | 177 Middletown Rd, Ste1, Upc Whitehall Medical, Fairmont, WV 26554 | 2017-06-30 |
| 1477906154 | Rebecca Hayes-merrill | Counselor | 212 Adams St., 3rd Floor, Fairmont, WV 26554 | 2016-07-19 |
| 1790173417 | Dennis Michael Lynch | Counselor | 5 Turf Lane, Fairmont, WV 26554 | 2015-01-05 |
| 1336558725 | Nicole Savage | Home Health Aide | 122 Abbott St, Fairmont, WV 26554 | 2014-08-11 |
| 1124434550 | Achuta Ram Aynampudi | Psychiatry & Neurology | 100 Stoney Hill Rd, Fairmont, WV 26554 | 2014-07-07 |
| Find all providers in zip 26554 | ||||
| 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 |
|---|---|---|---|---|
| 1821302605 | David Adam Anthou | Physician Assistant | 9404 Carriage Ln, Fairmont, WV 26554-7834 | 2010-08-04 |
| 1265588271 | Ann Louise Nicely | Physician Assistant | 60 Roxbury Rd, Whitehall Medical, Pllc, Fairmont, WV 26554-8223 | 2007-01-25 |
| 1104887405 | Rubina K Dasilva | Physician Assistant | 1322 Locust Ave, Fairmont, WV 26554 | 2006-03-28 |
| 1265424634 | Richard Lee Cook | Physician Assistant | 1228 Country Club Rd, Suite 800, Fairmont, WV 26554-2369 | 2005-08-22 |
| 1821549833 | Ravi Chandra Devabhakthuni | Physician Assistant | 1322 Locust Ave, Fairmont, WV 26554-1436 | 2016-10-14 |
| 1609325232 | Amanda Marie Skrinjorich | Physician Assistant | 1325 Locust Ave, Fairmont, WV 26554 | 2016-09-23 |
| 1407219587 | Adam Gregory Myers | Physician Assistant | 1212 S Walnut St, Fairmont, NC 28340-1848 | 2016-04-05 |
| 1043579121 | Binta Tambedou | Physician Assistant | 800 Medical Center Dr, Fairmont, MN 56031 | 2012-05-10 |
| 1902100415 | Kaylynn R Steinkamp | Physician Assistant | 1950 Center Creek Dr, Suite 100, Fairmont, MN 56031-3428 | 2010-12-28 |
| 1720312861 | Tyson E Bubnar | Physician Assistant | 1325 Locust Ave, Fairmont, WV 26554-1435 | 2009-09-22 |
| Find all providers in FAIRMONT | ||||
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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.