TYLER JOHN HALSTEAD (NPI# 1730725151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730725151 |
| Entity Type | Individual |
| Full Name | TYLER JOHN HALSTEAD |
| Credential | PA |
| Practice Address |
3703 Teays Valley Rd Hurricane WV 25526-9645 |
| Mailing Address |
186 Pine Dr Seth WV 25181-9474 |
| Practice Telephone | 3047572273 |
| Mailing Telephone | 3044008617 |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2020-09-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 826 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 186 Pine Dr, Seth, WV 251819474 | 3044008617 |
| Street Address |
3703 TEAYS VALLEY RD |
| City | HURRICANE |
| State | WV |
| Zip Code | 25526-9645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376541615 | David A Felder Jr. | Orthopaedic Surgery | 3703 Teays Valley Rd, Hurricane, WV 25526-9645 | 2005-07-11 |
| 1386728202 | Great Teays Medical Associates | Orthopaedic Surgery | 3703 Teays Valley Rd, Hurricane, WV 25526-9645 | 2006-10-25 |
| 1578647418 | Christopher M Santangelo | Physician Assistant | 3703 Teays Valley Rd, Hurricane, WV 25526-9645 | 2006-10-25 |
| 1407879075 | James Benjamin Cox | Orthopaedic Surgery | 3703 Teays Valley Rd, Hurricane, WV 25526-9645 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081707 | Paige E Walroth | Technician | 51 Overlook Dr, Hurricane, WV 25526 | 2020-10-21 |
| 1770195778 | Marilyn Sue Shank | Technician | 168 Willow Tree Way, Apt 313, Hurricane, WV 25526 | 2020-08-20 |
| 1275150351 | Wv Wellness and Recovery LLC | Clinic/Center | 4 Putnam Village Drive, Hurricane, WV 25526 | 2020-07-06 |
| 1538645718 | Patsy Samples | Technician | 3067 State Rt 34s, Hurricane, WV 25526 | 2018-07-11 |
| 1528550274 | Sarah Marie Jackson | Occupational Therapist | Genesis-putnam Center, 300 Seville Road, Hurricane, WV 25526 | 2018-05-30 |
| 1619466463 | Mh Psychological Services, Pllc | Psychologist | 125 Morris Ct, Hurricane, WV 25526 | 2018-05-08 |
| 1023510740 | William Riddle | Technician | 157 Washington Cirlce, Hurricane, WV 25526 | 2018-03-08 |
| 1942702303 | Natalie Whitman | Technician | 2933 State Route 34 South, Hurricane, WV 25526 | 2018-03-01 |
| 1972002681 | Dianna Roberts | Technician | 550 Dudding Avenue, Hurricane, WV 25526 | 2018-02-08 |
| 1174022875 | Nancy Adams | Technician | 1 Western Hills Drive, Hurricane, WV 25526 | 2018-02-08 |
| Find all providers in zip 25526 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801406053 | Rachel Christine Ashley | Physician Assistant | 1400 Hospital Dr, Hurricane, WV 25526-9202 | 2020-08-03 |
| 1164084943 | Amy Elizabeth Machen | Physician Assistant | 25 N 2000 W Ste 3, Hurricane, UT 84737-4115 | 2019-07-02 |
| 1023486354 | Kerry S. Brinager | Physician Assistant | 3109 Teays Valley Rd, Hurricane, WV 25526-1318 | 2015-09-03 |
| 1871826990 | Philip Carter | Physician Assistant | 11 S Main St, Hurricane, UT 84737-1949 | 2009-09-08 |
| 1790986875 | Anita Petitte | Physician Assistant | 1400 Hospital Dr, Hurricane, WV 25526-9202 | 2007-05-29 |
| 1386760502 | Teays Valley Emergency Physicians, Inc | Physician Assistant | 1400 Hospital Dr, Hurricane, WV 25526-9202 | 2007-03-21 |
| 1184721961 | Jillian O'connor | Physician Assistant | 1400 Hospital Dr, Hurricane, WV 25526-9202 | 2006-09-20 |
| 1477570091 | David Pennington | Physician Assistant | 1400 Hospital Dr, Hurricane, WV 25526-9202 | 2006-07-17 |
| 1215952155 | Hurricane Emergency Physicians, LLP | Physician Assistant | 1400 Hospital Dr, Hurricane, WV 25526-9202 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831798321 | Trenton Ryan Johnson | Physician Assistant | 174 Country Ln, Kenna, WV 25248-7225 | 2020-10-26 |
| 1609475326 | Rebecca Whealen | Physician Assistant | 2026 Huber Rd, Charleston, WV 25314-2236 | 2020-10-23 |
| 1720686066 | Ana Brandt | Physician Assistant | 33 Medical Center Dr, Morgantown, WV 26505-4024 | 2020-10-09 |
| 1518564012 | Lauren Brianne Peyton | Physician Assistant | 5322 Indiana St Apt 4, South Charleston, WV 25309-1055 | 2020-10-07 |
| 1386251635 | Caitlin Estep | Physician Assistant | 3100 Maccorkle Ave Se Ste 802, Charleston, WV 25304-1233 | 2020-09-29 |
| 1336754639 | Brittany Marie Herber | Physician Assistant | 22 Solomons Ct, Hedgesville, WV 25427-3683 | 2020-09-14 |
| 1417568312 | Kelsea Martin | Physician Assistant | 6 Dogwood St, Philippi, WV 26416-1660 | 2020-08-13 |
| 1720617889 | Keri Bedillion | Physician Assistant | 527 Medical Park Dr Ste 306, Bridgeport, WV 26330-9010 | 2020-04-02 |
| 1912539628 | Abigail Renee Grant | Physician Assistant | 123 Main Ave, Nitro, WV 25143-1270 | 2020-02-11 |
| 1639719990 | Jessy Marie Hamrick | Physician Assistant | 149 Dutch Rd Apt 105, Charleston, WV 25302-2530 | 2020-01-14 |
| 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.