DAVID ANDERSON (NPI# 1629082243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629082243 |
| Entity Type | Individual |
| Full Name | DAVID ANDERSON |
| Credential | MD |
| Practice Address |
710 Venture Dr Morgantown WV 26508-7306 |
| Practice Telephone | 3042915533 |
| Practice Fax Number | 3042915548 |
| Mailing Telephone | 3042915533 |
| Mailing Fax Number | 3042915548 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207P00000X | Emergency Medicine | 16613 | WV | Allopathic & Osteopathic Physicians |
| X | 208D00000X | General Practice | 16613 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0044671000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942819875 | David Melville Anderson | Technician | 2558 S Anaheim St Apt 102, Aurora, CO 80014-1482 | 2020-07-27 |
| 1023645447 | David Allen Anderson | Nursing Care | 7746 Orchard Village Dr, Indianapolis, IN 46217-2907 | 2020-03-25 |
| 1467956615 | David Edward Anderson | Counselor | 4747 Arapahoe Ave Dept Case, Boulder, CO 80303-1131 | 2018-03-22 |
| 1548672702 | David Anderson | Dentist | 4207 W Electra Ln, Glendale, AZ 85310-5571 | 2014-05-22 |
| 1518390020 | David Anderson | Pharmacist | 3615 Gibraltar Dr, Reno, NV 89509-5617 | 2013-08-20 |
| 1518301217 | David Allen Anderson | Counselor | 13568 Sw 61st Ave, Suite 315, Portland, OR 97219-8132 | 2013-04-24 |
| 1316272636 | David Paul Anderson | Chiropractor | 10585 Scripps Poway Parkway, #c, San Diego, CA 92131 | 2009-10-05 |
| 1568695435 | David Robert Anderson II | Pharmacist | 202 Market St Ste J, Cramerton, NC 28032-1148 | 2009-08-26 |
| 1093946469 | David John Anderson | Dentist | 5192 Dawes Avenue, Alexandria, VA 22311 | 2009-08-04 |
| 1396995247 | David Marshall Anderson | Psychologist | 101 E 56th St, New York, NY 10022 | 2008-09-29 |
| Street Address |
710 VENTURE DR |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26508-7306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003912163 | Joseph Michael Hartzog | Emergency Medicine | 710 Venture Dr, Morgantown, WV 26508-7306 | 2006-09-16 |
| 1508962754 | Cheat Lake Urgent Care Pllc | Clinic/Center | 710 Venture Dr, Morgantown, WV 26508-7306 | 2006-09-15 |
| 1972609147 | Christopher Mark Chafin | Emergency Medicine | 710 Venture Dr, Morgantown, WV 26508-7306 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989026 | Ruth Gibson | Technician | 4 Elpaso Ave, Morgantown, WV 26508 | 2020-10-09 |
| 1518565845 | Anne Jiang | Pharmacist | 7000 Mid Atlantic Dr., Morgantown, WV 26508 | 2020-10-09 |
| 1396356283 | Jessica Dawn Taylor | Technician | Lot 128 Healthy Heights Village, Morgantown, WV 26508 | 2020-08-13 |
| 1992297733 | Jeffrey G Minchau Dds Ms | Dentist | 9000 Coombs Farm Dr, Ste 304, Morgantown, WV 26508 | 2018-06-06 |
| 1346796257 | Gregory Ice | Social Worker | 1627 Grafton Rd, Morgantown, WV 26508 | 2016-08-31 |
| 1306242540 | Mountaineer Psychological Services | Community/Behavioral Health | 4000 Coombs Farm Drive, Bldg D Unit 102, Morgantown, WV 26508 | 2014-11-17 |
| 1750722906 | Tingler Rx | Pharmacy | 889 Venture Drive, Suite 2, Morgantown, WV 26508 | 2013-07-16 |
| 1881033983 | Amy Rodgers Smith | Music Therapist | 714 Venture Drive #115, Morgantown, WV 26508 | 2013-06-21 |
| 1013250588 | Walid Radwan | Student in an Organized Health Care Education/Training Program | 1121 Eagle Run Road, Morgantown, WV 26508 | 2013-04-02 |
| 1467727040 | Sara Lyndsey Disimone | Counselor | 3000 Coombs Farm Road, Suite 102, Morgantown, WV 26508 | 2012-03-15 |
| Find all providers in zip 26508 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679922686 | Ben Lasure | Emergency Medicine | 1 Medical Center Dr Room 7400, Morgantown, WV 26506-9149 | 2016-06-09 |
| 1912355223 | Damian Hegsted | Emergency Medicine | 1 Medical Center Drive, Room 7400, Po Box (9149), Morgantown, WV 26506 | 2016-05-26 |
| 1659784056 | Medexpress Urgent Care, Inc - West Virginia | Emergency Medicine | 956 Maple Dr, Morgantown, WV 26505-2813 | 2014-06-04 |
| 1215279872 | Zebula Michael Reed | Emergency Medicine | One Medical Center Drive, Hsc, West Virginia University Hospital, Morgantown, WV 26506-9149 | 2013-03-21 |
| 1295024115 | Walter Mckenna D'alonzo | Emergency Medicine | One Medical Center Drive, Po 9149, West Virginia University Hospitals, Morgantown, WV 26506-9149 | 2011-03-31 |
| 1306080809 | Benjamin Andrew Silverberg | Emergency Medicine | 390 Birch Street, Health and Education Building, Morgantown, WV 26506-6894 | 2009-04-28 |
| 1962655613 | West Virginia University Medical Corporation | Emergency Medicine | 301 Suncrest Towne Centre Drive, Morgantown, WV 26505-1874 | 2008-10-28 |
| 1295902062 | Marion Joyce Colburn | Emergency Medicine | 1 Med Center Dr., Morgantown, WV 26506 | 2008-05-12 |
| 1669655882 | Deborah P. O'neal | Emergency Medicine | 301 Suncrest Town Centre Dr, Morgantown, WV 26505-1874 | 2007-12-11 |
| 1902001563 | Anna Marie Scott | Emergency Medicine | Ruby Memorial Hospital, Morgantown, WV 26505 | 2007-06-15 |
| Find all providers in MORGANTOWN | ||||
| City | MORGANTOWN |
| Zip Code | 26508 |
Please comment or provide details below to improve the information on DAVID ANDERSON.
| 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.