BETHANY KATHERINE FISHER (NPI# 1689882110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689882110 |
| Entity Type | Individual |
| Full Name | BETHANY KATHERINE FISHER |
| Other Name | BETHANY K TACY |
| Credential | PAC |
| Practice Address |
1 Medical Center Drive Clarksburg WV 26301 |
| Mailing Address |
115 Heritage Ln Mannington WV 26582-6478 |
| Practice Telephone | 3046233461 |
| Mailing Telephone | 3046722011 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2018-05-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
351 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 469 Emily Dr, Clarksburg, WV 263015512 | 3044235180 | 3044235185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477743961 | Bethany S Fisher | Nurse Practitioner | 9700 El Camino Real, Ste 100, Atascadero, CA 93422-5569 | 2007-07-31 |
| 1043410756 | Bethany L. Fisher | Dietitian, Registered | 2501 W Lehigh Ave, Philadelphia, PA 19132-3207 | 2007-07-20 |
| 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 | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366967986 | Terri Leanne Belcher | Physician Assistant | 395 Emily Dr, Clarksburg, WV 26301-5505 | 2017-08-04 |
| 1942260161 | Steven George Milligan | Physician Assistant | 1 Med Center Drive, Vamc Clarksburg, Clarksburg, WV 26301 | 2006-03-23 |
| 1033327549 | James D Mcdaniel | Physician Assistant | 469 Emily Dr, Clarksburg, WV 26301-5512 | 2007-05-18 |
| 1528280955 | Lesa J Feather | Physician Assistant | 6 Hospital Plz, Clarksburg, WV 26301-9316 | 2007-05-03 |
| 1285715367 | Maureen E Lacaria | Physician Assistant | 3 Hospital Plaza, United Hospital Center Er, Clarksburg, WV 26301 | 2006-10-17 |
| 1013017011 | Janet L Childers | Physician Assistant | 4 Hospital Plz, Clarksburg, WV 26301-9327 | 2006-09-22 |
| 1720094949 | Paige Nicole Noce | Physician Assistant | 1 Med Center Dr, Clarksburg, WV 26301-4155 | 2006-07-31 |
| 1932128329 | David Mark Orlando | Physician Assistant | 1 Med Center Dr, Clarksburg, WV 26301-4155 | 2006-07-18 |
| 1376587980 | Jacinda Lea Wolfe | Physician Assistant | Vamc, 1 Medical Center Drive, Clarksburg, WV 26301 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386270908 | Bonnie Lynn Blackburn | Physician Assistant | 10 Amalia Dr Ste C5, Buckhannon, WV 26201-2270 | 2020-03-15 |
| 1922638824 | Sara B Johnson | Physician Assistant | 1000 Mon Health Medical Park Dr Ste 1100, Morgantown, WV 26505-1143 | 2020-01-19 |
| 1659835072 | Kristen Nicole Williams | Physician Assistant | 26 Portsmouth Ct N, Falling Waters, WV 25419-1430 | 2019-01-30 |
| 1629588876 | Robert Theodore Hartman | Physician Assistant | 620 National Rd Ste 300, Wheeling, WV 26003-6560 | 2017-10-02 |
| 1760937056 | Ryan Aston | Physician Assistant | 58 16th St Fl 4, Wheeling, WV 26003-3660 | 2016-08-17 |
| 1821470113 | Lesley E. Weiss | Physician Assistant | 3200 Maccorkle Seave, Charleston, WV 25304-1227 | 2015-06-23 |
| 1891197323 | Rachelle Lyle Stewart | Physician Assistant | 1500 Terrace St Ste 105, Hinton, WV 25951-9768 | 2014-09-16 |
| 1285043224 | Sarah Gutman Brammer | Physician Assistant | 30 Medical Park Ste 211, Wheeling, WV 26003-6391 | 2014-08-04 |
| 1841603529 | Timothy Douglas | Physician Assistant | 4202 Mccorkle Ave Sw Ste 200, South Charleston, WV 25309-1513 | 2014-06-10 |
| 1023432093 | Megan Noel Blackburn | Physician Assistant | 1500 Grand Central Ave Ste 115, Parkersburg, WV 26105-1079 | 2014-02-12 |
| 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.