MR. GEORGE JASON CLEVENGER (NPI# 1871554931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871554931 |
| Entity Type | Individual |
| Full Name | MR. GEORGE JASON CLEVENGER |
| Credential | PA-C |
| Practice Address |
146 Williams Dr Spencer WV 25276-1826 |
| Practice Telephone | 3049271495 |
| Mailing Telephone | 3049271495 |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2015-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639423353 | George K Clevenger | Physical Therapist | 600 Caisson Hill Rd, Fort Riley, KS 66442-7037 | 2012-11-02 |
| Street Address |
146 WILLIAMS DR |
| City | SPENCER |
| State | WV |
| Zip Code | 25276-1826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528060571 | Brian L Baker | Physician Assistant | 146 Williams Dr, Spencer, WV 25276-1826 | 2005-06-02 |
| 1114478195 | Roane County Family Health Care | Nurse Practitioner | 146 Williams Dr, Spencer, WV 25276-1826 | 2016-10-14 |
| 1669822011 | Julie M Morgan | Physician Assistant | 146 Williams Dr, Spencer, WV 25276 | 2016-06-16 |
| 1780047548 | Cassandra Rae Sayre | Nurse Practitioner | 146 Williams Dr, Spencer, WV 25276-1826 | 2016-03-30 |
| 1053604728 | Eleonora I Grey | Family Medicine | 146 Williams Dr, Spencer, WV 25276-1826 | 2011-05-27 |
| 1932382678 | Susan E Greathouse | Social Worker | 146 Williams Dr, Spencer, WV 25276-1826 | 2007-12-17 |
| 1104978576 | Laura K Smith | Physician Assistant | 146 Williams Dr, Spencer, WV 25276-1826 | 2007-01-17 |
| 1538248133 | Roane County Family Health Care, Inc. | Family Medicine | 146 Williams Dr, Spencer, WV 25276-1826 | 2006-11-03 |
| 1003891391 | Susan Elizabeth Cheek | Advanced Practice Midwife | 146 Williams Dr, Spencer, WV 25276-1826 | 2005-12-09 |
| 1861494528 | Roane County Family Health Care, Inc. | Family Medicine | 146 Williams Dr, Spencer, WV 25276-1826 | 2005-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972019453 | Patricia Ann May | Technician | 3353 Lick Fork Road, Spencer, WV 25276 | 2017-12-20 |
| 1053518399 | Kelly Jean Fry | Naturopath | 142 East Main St., Spencer, WV 25276 | 2007-06-29 |
| 1194877019 | Edward L. Moore | Dentist | 533 Ripley Road, Spencer, WV 25276 | 2007-01-18 |
| 1912068180 | Life Guard Inc. | Durable Medical Equipment & Medical Supplies | 101 Locust Ave., Spencer, WV 25276 | 2006-12-12 |
| 1063509263 | Hospital Development Co. | Medicare Defined Swing Bed Unit | 200 Hospital Drive, Spencer, WV 25276 | 2006-10-07 |
| 1508826462 | Precilla T Famularcano | Family Medicine | 141 Main Street, Spencer, WV 25276 | 2006-03-24 |
| 1326331018 | David Elias Mick | Pharmacist | 218 Market St, Spencer, WV 25276 | 2011-05-27 |
| 1831228733 | Christopher Kyle Mealey | Pharmacist | 200 Hospital Drive, Spencer, WV 25276 | 2007-03-05 |
| 1093860256 | Roane County Emergency Squad, Inc. | Ambulance | 200 East Main Street, Spencer, WV 25276 | 2007-01-25 |
| 1679661474 | Staats Pharmacy and Health Care Inc | Durable Medical Equipment & Medical Supplies | 100 E Main St, Spencer, WV 25276 | 2006-10-10 |
| Find all providers in zip 25276 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649561408 | Trell Marie Stowell | Physician Assistant | 1 Medical Center Drive, Suite 9238, Wvu Dept. of Surgery, Morgantown, WV 26506 | 2011-04-28 |
| 1821158536 | Brook E Morgan | Physician Assistant | 1600 Murdoch Avenue, Suite 100, Parkersburg, WV 26101 | 2006-12-11 |
| 1205842713 | Melissa M Glauser | Physician Assistant | 1021 Mt Dechantel Road, Wheeling, WV 26003 | 2006-08-01 |
| 1104823830 | Michael Lee Belcher | Physician Assistant | 230 George St, Suite 2, Beckley, WV 25801-2620 | 2005-07-07 |
| 1871145623 | Anthony Paul Brunetti | Physician Assistant | 215 Brookshire Ln, Beckley, WV 25801-6729 | 2019-07-11 |
| 1346733086 | Kari Rae Hunter | Physician Assistant | 210 Brooks St Ste 200, Charleston, WV 25301-1848 | 2018-06-07 |
| 1275035685 | Holly Harris | Physician Assistant | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2018-03-01 |
| 1255846671 | James Keith Burress Jr. | Physician Assistant | 2000 Eoff St, Wheeling, WV 26003-3823 | 2017-12-07 |
| 1346751237 | Adam Nathaniel Hill | Physician Assistant | 415 Morris St Ste 400, Charleston, WV 25301-1854 | 2017-10-18 |
| 1952810046 | Nathan Merl Musser | Physician Assistant | 1 Medical Park, Wheeling, WV 26003-6379 | 2017-09-21 |
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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.