DR. PRASOON JAIN (NPI# 1588777635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588777635 |
| Entity Type | Individual |
| Full Name | DR. PRASOON JAIN |
| Credential | MD |
| Practice Address |
1 Medical Center Drive Clarksburg WV 26301 |
| Mailing Address |
1 Faith Meadow Rd Fairmont WV 26554-8812 |
| Practice Telephone | 3046233461 |
| Practice Fax Number | 3046237650 |
| Mailing Telephone | 3043661033 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
18869 | WV | Allopathic & Osteopathic Physicians |
| Street Address |
1 MEDICAL CENTER DRIVE |
| City | CLARKSBURG |
| State | WV |
| Zip Code | 26301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912900457 | John Edward Damm | Psychologist | 1 Medical Center Drive, Clarksburg, WV 26301 | 2005-05-29 |
| 1396358461 | Karene Teresa Moses | Social Worker | 1 Medical Center Drive, Clarksburg, WV 26301-3859 | 2020-08-28 |
| 1437760964 | Lindsay M Pomp | Social Worker | 1 Medical Center Drive, Clarksburg, WV 26301 | 2020-08-10 |
| 1174084735 | Brianna Godfrey | Psychologist | 1 Medical Center Drive, Clarksburg, WV 26301 | 2019-03-27 |
| 1477018695 | Emma Elizabeth Cogar | Psychologist | 1 Medical Center Drive, Clarksburg, WV 26301 | 2019-02-01 |
| 1528539285 | Elizabeth Ann Masters | Nurse Practitioner | 1 Medical Center Drive, Clarksburg, WV 26301 | 2018-12-06 |
| 1407321748 | Maureen Gallagher Russell | Physician Assistant | 1 Medical Center Drive, Behavioral Health Department, Clarksburg, WV 26301 | 2018-10-12 |
| 1851806178 | Paul Jerome Robrecht Jr. | Psychologist | 1 Medical Center Drive, Clarksburg, WV 26301 | 2017-12-08 |
| 1265943856 | Amanda Marie Dent | Dietitian, Registered | 1 Medical Center Drive, Clarksburg, WV 26301 | 2017-10-23 |
| 1154848554 | Katrina Louise Durst | Pharmacist | 1 Medical Center Drive, Clarksburg, WV 26301 | 2017-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114539525 | Christina Burnside | Technician | 89 Green Acres, Clarksburg, WV 26301 | 2020-08-18 |
| 1447764907 | Jonathan Moore | Nurse Practitioner | 1 Medical Ctr. Drive, Clarksburg, WV 26301 | 2017-11-20 |
| 1003241936 | Jennifer Destito | Occupational Therapist | 308 E B Saunders Way, Clarksburg, WV 26301 | 2013-09-11 |
| 1215290481 | Dustin James Getz | Dentist | 200 Route 98 Medwood Plaza, Suite 302, Nutter Fort, WV 26301 | 2012-06-21 |
| 1326339987 | Debra Amos | Counselor | 200 Route 98, Nutter Fort, WV 26301 | 2011-04-29 |
| 1649572140 | Amanda Wilfong | Pharmacist | W Pike and Smith St, Clarksburg, WV 26301 | 2010-12-03 |
| 1265661060 | Jaclyn Elsey Rominger | Dentist | 2017 East Pike St, All Smiles Dental LLC, Clarksburg, WV 26301 | 2009-07-14 |
| 1588815732 | Kimberly Sue Waggy | Psychologist | 408 Eb Saunders Way, Clarksburg, WV 26301 | 2008-10-07 |
| 1659521862 | Eyemart Express, Ltd. | Durable Medical Equipment & Medical Supplies | 538 Emily Dr., Space 20, Clarksburg, WV 26301 | 2008-09-24 |
| 1477715753 | Roxanna L Rinehart | Registered Nurse | 1 Med Ctr Dr, Louis A Johnson Vamc, Clarksburg, WV 26301 | 2008-06-27 |
| Find all providers in zip 26301 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1427549039 | United Hospital Center, Inc. | Internal Medicine | 1370 Johnson Ave Ste 201, Bridgeport, WV 26330-1378 | 2018-05-21 |
| 1447400759 | Peter H Abbrecht | Internal Medicine | 1352 Steamboat Run Rd, Shepherdstown, WV 25443-4005 | 2008-09-23 |
| 1952429706 | Michael William Blatt M D Inc | Internal Medicine | 2101 Jacob St Ste 702, Wheeling, WV 26003-3844 | 2007-03-27 |
| 1730205162 | Attila A. Lenkey, Jr. M.d. | Internal Medicine | 2101 Jacob St Ste 502, Wheeling, WV 26003-3800 | 2007-03-21 |
| 1841331105 | Houssein Abbass Youness | Internal Medicine | 41 Andalusian Dr, Unit85, Martinsburg, WV 25405-5600 | 2007-02-09 |
| 1982756094 | Mallinath Kayi | Internal Medicine | 401 Division St Ste 305, Charleston, WV 25309-1455 | 2007-01-17 |
| 1235229246 | Brijinder S Kochhar | Internal Medicine | 2950 Pennsylvania Ave, Weirton, WV 26062-3765 | 2006-10-13 |
| 1922105139 | Robert B Altmeyer M D Inc | Internal Medicine | 1131 National Road, Wheeling, WV 26003 | 2006-09-20 |
| 1275643314 | Melvin Theodore Saludes | Internal Medicine | 426 8th St Ste 305, Glen Dale, WV 26038-1451 | 2006-08-30 |
| 1548378276 | Narayana N Reddy | Internal Medicine | 800 Grand Central Mall Ste 4, Vienna, WV 26105-4100 | 2006-08-25 |
| Find all providers with the same taxonomy | ||||
| City | CLARKSBURG |
| Zip Code | 26301 |
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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.