MR. GREG MCCARTNEY (NPI# 1710945498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710945498 |
Entity Type | Individual |
Full Name | MR. GREG MCCARTNEY |
Credential | PA |
Practice Address |
1097 Fledderjohn Rd Charleston WV 25314-4208 |
Mailing Address |
4605 Maccorkle Ave Sw Ths Physician Partners, Inc. Administrative Ofc. South Charleston WV 25309-1311 |
Practice Telephone | 3043453627 |
Practice Fax Number | 3043464440 |
Mailing Telephone | 3044144800 |
Enumeration Date | 2006-05-03 |
Last Update Date | 2016-10-04 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
634 | WV | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WV | MEDICAID-GROUP | 3810024049 | 01 |
WV | 1710945498 | 05 | |
WV | MEDICARE-GROUP | B441 | 01 |
WV | RAILROAD MEDICARE | P01676555 | 01 |
Street Address |
1097 FLEDDERJOHN RD |
City | CHARLESTON |
State | WV |
Zip Code | 25314-4208 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235133562 | Donald Halstead Moore | Emergency Medicine | 1097 Fledderjohn Rd, Ste 1, Charleston, WV 25314 | 2005-06-01 |
1134621261 | Jordan Canankamp | Pharmacist | 1097 Fledderjohn Rd, Charleston, WV 25314 | 2018-03-05 |
1558796763 | Michelle Lynn Knight | Pharmacist | 1097 Fledderjohn Rd, Ashton Medical Associates, Inc., Charleston, WV 25314-4208 | 2013-09-06 |
1669658555 | Manuel P Franco | Family Medicine | 1097 Fledderjohn Rd, Charleston, WV 25314-4208 | 2008-01-10 |
1699821702 | Ashton Medical Associates Inc | Family Medicine | 1097 Fledderjohn Rd, Charleston, WV 25314-4208 | 2007-01-25 |
1306935192 | John Hunter Lewis | Family Medicine | 1097 Fledderjohn Rd, Tmh Ashton Medical Associates, Charleston, WV 25314-4208 | 2006-10-12 |
1013947241 | Samar Ryiad Sankari | Internal Medicine | 1097 Fledderjohn Rd, Charleston, WV 25314-4208 | 2006-07-04 |
1801844303 | Mohammad Yousaf | Physician Assistant | 1097 Fledderjohn Rd, Charleston, WV 25314-4208 | 2006-05-05 |
1649274044 | Michelle R Burdette | Family Medicine | 1097 Fledderjohn Rd, Charleston, WV 25314-4208 | 2005-06-13 |
1407858772 | Richard A. Capito | Emergency Medicine | 1097 Fledderjohn Rd, Charleston, WV 25314 | 2005-06-01 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265033559 | Nancy Galvan | Technician | 4587 Kanawha State Forrest Dr., Charleston, WV 25314 | 2020-11-04 |
1093316424 | Emma Mccloud | Technician | 710 Colony Dr., Charleston, WV 25314 | 2020-11-03 |
1699376137 | Amanda Gail Evans | Technician | 11 Happy Hl, Charleston, WV 25314 | 2020-11-02 |
1457879074 | Samantha Pennington | Pharmacist | 1100 Fledderjohn Rd Kroger #785, Charleston, WV 25314 | 2017-09-04 |
1992180335 | John Anthony Palmer IIi | Dentist | 867 Oakwood Road, Charleston, WV 25314 | 2015-07-28 |
1285039727 | West Virginia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 885 Oakwood Rd., Charleston, WV 25314 | 2014-10-27 |
1386980381 | Miranda L Broyles | Nurse Practitioner | 3200 Maccorkle Avenue Southwest, Charleston, WV 25314 | 2012-12-19 |
1548482896 | Christina M. Arco, Phd Pllc | Psychologist | 1013 B Oakhurst Drive, Charleston, WV 25314 | 2007-05-03 |
1578780359 | S & W Meeks Inc | Eyewear Supplier (Equipment, not the service) | 426 Division Street, South Charleston, WV 25314 | 2007-04-20 |
1669511853 | Gregory Alan Simmerman | Audiologist | 1105 Fledderjohn Road, Charleston, WV 25314 | 2007-02-05 |
Find all providers in zip 25314 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821470113 | Lesley E. Weiss | Physician Assistant | 3200 Maccorkle Seave, Charleston, WV 25304-1227 | 2015-06-23 |
1063797447 | Michael B Carothers | Physician Assistant | 2030 Wambaw Crk, Charleston, SC 29492-8382 | 2011-10-17 |
1316228679 | Joanna Harvey | Physician Assistant | 2085 H Tecklenburg Dr, 2nd Floor, Charleston, SC 29414-7710 | 2011-08-31 |
1689825895 | Jeffrey Russell Pike | Physician Assistant | 2097 Henry Tecklenburg Dr Ste 305w, Charleston, SC 29414-5744 | 2008-10-07 |
1073662664 | Kenneth Neil Dippel | Physician Assistant | 3200 Maccorkle Ave. Se, Camc Memorial Hospital, Charleston, WV 25304 | 2007-01-10 |
1790873099 | Steven L Russell | Physician Assistant | 191 Rutledge Ave, Charleston, SC 29403-5822 | 2006-10-11 |
1376649723 | Irene Belinda Coley | Physician Assistant | Ralph H. Johnson Va Medical Center, 109 Bee Street, Charleston, SC 29401 | 2006-09-15 |
1578597480 | David Laurence Gross | Physician Assistant | 9313 Medical Plaza Dr Ste 102, Charleston, SC 29406-9153 | 2006-07-10 |
1851331714 | Caroline M Bailey | Physician Assistant | 1 Bishop Gadsden Way, Suite 97, Charleston, SC 29412-3506 | 2006-06-08 |
1952357899 | Constantina Helen Panos | Physician Assistant | 129 Queen St, Charleston, SC 29401-2424 | 2006-05-25 |
Find all providers in CHARLESTON |
City | CHARLESTON |
Zip Code | 25314 |
Please comment or provide details below to improve the information on MR. GREG MCCARTNEY.
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.