MR. ERIC ETHON STOLLINGS (NPI# 1710942735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710942735 |
| Entity Type | Individual |
| Full Name | MR. ERIC ETHON STOLLINGS |
| Credential | PA |
| Practice Address |
5722 Cabin Creek Rd Dawes WV 25054-0070 |
| Mailing Address |
Po Box 70 Dawes WV 25054-0070 |
| Practice Telephone | 3045955006 |
| Practice Fax Number | 3045955007 |
| Mailing Telephone | 3047342040 |
| Mailing Fax Number | 3047342047 |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2013-05-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
00497 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5722 CABIN CREEK RD |
| City | DAWES |
| State | WV |
| Zip Code | 25054-0070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073577524 | Charles H.m. Jacques | Family Medicine | 5722 Cabin Creek Rd, Dawes, WV 25054-0000 | 2006-04-13 |
| 1245744606 | Alexandrina Maria Gomes | Psychologist | 5722 Cabin Creek Rd, Dawes, WV 25054-7700 | 2017-11-21 |
| 1457892705 | Dannel Karl Petgrave | Psychologist | 5722 Cabin Creek Rd, Dawes, WV 25054 | 2017-03-19 |
| 1134582281 | Sarah Hansen | Registered Nurse | 5722 Cabin Creek Rd, Dawes, WV 25054 | 2016-04-05 |
| 1821465980 | Emily Anne Walker | Pharmacist | 5722 Cabin Creek Rd, Dawes, WV 25054-7700 | 2015-08-25 |
| 1457754988 | Cabin Creek Health Center Lab | Family Medicine | 5722 Cabin Creek Rd, Dawes, WV 25054 | 2014-09-29 |
| 1487886305 | Ashley Portz | Physician Assistant | 5722 Cabin Creek Rd, Dawes, WV 25054-7700 | 2009-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336467117 | Debora Jean Bail | Pharmacist | 5722 Cabin Creek Drive, Dawes, WV 25054 | 2010-05-04 |
| 1225257850 | Cabin Creek Health Center, Inc. | Clinical Medical Laboratory | State Rte 79, Dawes, WV 25054 | 2007-04-24 |
| 1225194848 | Amy Wayne Brabbin | Pharmacist | State Route 79, Dawes, WV 25054 | 2006-12-28 |
| 1306921556 | Sue Ann Westfall | Family Medicine | 5722 Cabin Creek Road, Suite A, Dawes, WV 25054 | 2006-10-26 |
| 1306838685 | Brian E Sayre | Pharmacist | Sr 79, Dawes, WV 25054 | 2005-08-22 |
| 1912440652 | Tiffany Hughes | Nurse Practitioner | 5722 Cabin Creek Road, Dawes, WV 25054 | 2016-11-29 |
| 1972994788 | Jerad Lee Bailey | Pharmacist | 5722 Cabin Creek Road, Dawes, WV 25054 | 2015-02-16 |
| 1083850382 | Megan Olish-terry | Physician Assistant | Route 79, Dawes, WV 25054 | 2008-12-17 |
| 1487709655 | Debra A. Bostic | Nurse Practitioner | Route 79, Dawes, WV 25054 | 2007-01-25 |
| 1740367325 | Byron Menking Hoggatt | Nurse Practitioner | 5722 Cabin Creek Road, Dawes, WV 25054 | 2006-11-01 |
| Find all providers in zip 25054 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083850382 | Megan Olish-terry | Physician Assistant | Route 79, Dawes, WV 25054 | 2008-12-17 |
| 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 |
| 1366967986 | Terri Leanne Belcher | Physician Assistant | 395 Emily Dr, Clarksburg, WV 26301-5505 | 2017-08-04 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.