DR. ANGELA MARIE PENDLETON (NPI# 1568729267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568729267 |
Entity Type | Individual |
Full Name | DR. ANGELA MARIE PENDLETON |
Credential | D.O. |
Practice Address |
2157 Ritter Dr Daniels WV 25832-9371 |
Practice Telephone | 3047634326 |
Mailing Telephone | 3047634326 |
Enumeration Date | 2012-04-19 |
Last Update Date | 2012-04-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
2157 RITTER DR |
City | DANIELS |
State | WV |
Zip Code | 25832-9371 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932291234 | Amy L Brown | Family Medicine | 2157 Ritter Dr, Daniels, WV 25832-9371 | 2006-09-28 |
1801317680 | Bryce Mcdaniel | Family Medicine | 2157 Ritter Dr, Daniels, WV 25832-9371 | 2017-06-30 |
1316468192 | Lance Shinn | Internal Medicine | 2157 Ritter Dr, Daniels, WV 25832-9371 | 2017-06-30 |
1114448321 | James C Garvin | Family Medicine | 2157 Ritter Dr, Daniels, WV 25832-9371 | 2017-06-28 |
1164874798 | Richard Dwight Meadows Jr. | Family Medicine | 2157 Ritter Dr, Daniels, WV 25832-9371 | 2016-07-07 |
1629461546 | Community Health Systems Inc | Pharmacy | 2157 Ritter Dr, Daniels, WV 25832-9371 | 2015-03-17 |
1780099655 | Zachary Tyler Halsey | Family Medicine | 2157 Ritter Dr, Daniels, WV 25832-9371 | 2014-06-30 |
1851659387 | Michael Louis Antolini | Family Medicine | 2157 Ritter Dr, Daniels, WV 25832-9371 | 2012-05-03 |
1235405671 | Jamie Yahya Blankenship | Family Medicine | 2157 Ritter Dr, Daniels, WV 25832-9371 | 2012-03-29 |
1780719609 | Community Health Systems Inc. | Pharmacy | 2157 Ritter Dr, Daniels, WV 25832-9371 | 2007-02-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437757028 | Ashley Dawn Smith | Technician | 1197 C&o Dam Rd, Daniels, WV 25832 | 2020-10-15 |
1558974725 | Amber Burgess | Technician | 102 Wood Ave, Daniels, WV 25832 | 2020-08-27 |
1457716359 | Performance Physical Therapy and Rehabilitation | Clinic/Center | 1338 Ritter Dr., Daniels, WV 25832 | 2015-12-18 |
1982040846 | Kaitlyn Martha Brown | Physical Therapist | 1338 Ritter Drive, Daniels, WV 25832 | 2013-05-20 |
1952650343 | Linguacare Associates | Clinic/Center | 120 Hanworth Lane, Daniels, WV 25832 | 2012-08-31 |
1922169705 | Jarrells Pharmacy Inc | Pharmacy | 2122 Ritter Drive, Daniels, WV 25832 | 2006-12-13 |
1548328800 | Michael Merritt Kostenko | Family Medicine | 3050 C & O Dam Road, Daniels, WV 25832 | 2006-12-05 |
1386008522 | Cynthia Walker | Pharmacist | 2122 Ritter Dr, Jarrell's Pharmacy, Daniels, WV 25832 | 2016-04-13 |
1528599800 | Angela Dawn Harold | Specialist | 2241 Ritter Dr, Daniels, WV 25832-2241 | 2017-03-27 |
1922530427 | Chad Hinz | Specialist | 2241 Ritter Dr, Daniels, WV 25832-2241 | 2017-04-03 |
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Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396358149 | Jamara Washington | Student in an Organized Health Care Education/Training Program | 5000 Domain Dr Apt 715, Morgantown, WV 26501-2528 | 2020-08-30 |
1710590021 | Jasmine Maynard | Student in an Organized Health Care Education/Training Program | 1538 Charleston Ave, Huntington, WV 25703 | 2020-08-26 |
1336752674 | Brock Riley Hapney | Student in an Organized Health Care Education/Training Program | 1538 Charelston Avenue, Huntington, WV 25701 | 2020-08-26 |
1275146540 | Virginia Fay Honaker | Student in an Organized Health Care Education/Training Program | 5000 Station St Apt 1012, Morgantown, WV 26508-7442 | 2020-08-26 |
1417560053 | Chelsea Dawn Fields | Student in an Organized Health Care Education/Training Program | 408 Harbour Ln, Hurricane, WV 25526-9646 | 2020-08-24 |
1386257061 | Dellani Fix | Student in an Organized Health Care Education/Training Program | 788 W Union Rd, Clendenin, WV 25045-6200 | 2020-08-24 |
1144833823 | Shadi Adib Bashai | Student in an Organized Health Care Education/Training Program | 743 1/2 Washington St W, Charleston, WV 25302-1844 | 2020-08-24 |
1952914657 | Stamper Danielle Stamper | Student in an Organized Health Care Education/Training Program | Stephen J Kopp Hall 1538 Charleston Avenue, Huntington, WV 25755-0001 | 2020-08-24 |
1992322309 | Sarah Heath | Student in an Organized Health Care Education/Training Program | 20 Maxwell Cir, Milton, WV 25541-1449 | 2020-07-01 |
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 |
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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.