SPORTSCARE MEDICAL ASSOCIATES, INC. (NPI# 1649368291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649368291 |
Entity Type | Organization |
Organization Name | SPORTSCARE MEDICAL ASSOCIATES, INC. |
Practice Address |
320 Lynda Ct Huntington WV 25703 |
Mailing Address |
Po Box 2165 Huntington WV 25722 |
Practice Telephone | 3045255035 |
Enumeration Date | 2006-10-10 |
Last Update Date | 2020-08-22 |
Authorized Official Name | CHADLEY MILTON RUNYAN (PRESIDENT) |
Authorized Official Telephone | 3045255035 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | 20909 | WV | Allopathic & Osteopathic Physicians |
Street Address |
320 LYNDA CT |
City | HUNTINGTON |
State | WV |
Zip Code | 25703 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710590021 | Jasmine Maynard | Student in an Organized Health Care Education/Training Program | 1538 Charleston Ave, Huntington, WV 25703 | 2020-08-26 |
1073161022 | Art Phillips | Student in an Organized Health Care Education/Training Program | Kopp Building, 1 John Marshall Drive, Huntington, WV 25703 | 2019-09-03 |
1447612742 | Ruthie Cooper | Psychiatry & Neurology | 1115 20th St # 205, Huntington, WV 25703 | 2016-03-25 |
1194047548 | Peggy Jo Proudfoot Harman | Counselor | 320 18th St., Gullickson Hall Suite G01, Huntington, WV 25703 | 2010-02-25 |
1598837460 | Frederick H Sammons Dds Ltd | Dentist | 1040 20th St, Huntington, WV 25703 | 2006-11-15 |
1902906019 | Tri-state Allergy, Inc | Allergy & Immunology | 1001 20th Street, Huntington, WV 25703 | 2006-09-25 |
1568472512 | Jamie R Stoner | Nurse Practitioner | 2501 3rd Avenue, Huntington, WV 25703 | 2006-08-09 |
1790717940 | Jeffrey T Boggess | Psychologist | 1115 20th Street, Suite 205, Huntington, WV 25703 | 2006-07-07 |
1184699415 | Valley Health Systems Inc | Obstetrics & Gynecology | 2585 3rd Ave, Huntington, WV 25703 | 2006-02-21 |
1578533345 | Amanda K Bennett | Family Medicine | 2585 3rd Avenue, Huntington, WV 25703 | 2006-01-25 |
Find all providers in zip 25703 |
Taxonomy Code | 204C00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Neuromusculoskeletal Medicine, Sports Medicine |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952482762 | Gina Penzi Luxemberg | Neuromusculoskeletal Medicine, Sports Medicine | 755 New York Ave, Suite 430, Huntington, NY 11743-4240 | 2006-10-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053517011 | Lisa Ann Waugh | Neuromusculoskeletal Medicine, Sports Medicine | 1109 Jefferson Rd, S Charleston, WV 25309-9780 | 2007-06-26 |
1083836654 | Almost Heaven Therapeutic Massage | Neuromusculoskeletal Medicine, Sports Medicine | 1436 Greenbrier Street, Charleston, WV 25311 | 2007-05-03 |
1780713438 | Debra Lynn Price | Neuromusculoskeletal Medicine, Sports Medicine | 1436 Greenbrier St, Charleston, WV 25311-1006 | 2007-03-05 |
1245367929 | Joby Joseph,md Inc | Neuromusculoskeletal Medicine, Sports Medicine | 888 Oakwood Rd, Suite 210, Charleston, WV 25314-2000 | 2007-02-28 |
1295799245 | Joby Joseph | Neuromusculoskeletal Medicine, Sports Medicine | 888 Oakwood Road, Suite 210, Charleston, WV 25314-2070 | 2006-04-14 |
1134120173 | John C Sharp | Neuromusculoskeletal Medicine, Sports Medicine | 105 Duncan Rd, Marlinton, WV 24954-0320 | 2005-08-01 |
1285821561 | Mountain State Orthopedics & Sports Medicine | Neuromusculoskeletal Medicine, Sports Medicine | 400 Fairview Heights Rd, Ste. 301, Summersville, WV 26651-9308 | 2007-10-01 |
1851445225 | William R Carson | Neuromusculoskeletal Medicine, Sports Medicine | 400 Fairview Heights Rd, Ste 301, Summersville, WV 26651-9308 | 2007-01-23 |
City | HUNTINGTON |
Zip Code | 25703 |
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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.