DR. MAURY M ROSENSTEIN (NPI# 1871563395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871563395 |
| Entity Type | Individual |
| Full Name | DR. MAURY M ROSENSTEIN |
| Credential | MD |
| Practice Address |
4605 Maccorkle Ave Sw South Charleston WV 25309-1311 |
| Mailing Address |
1400 Hal Greer Blvd Huntington WV 25701-4114 |
| Practice Telephone | 3047663413 |
| Practice Fax Number | 3047665654 |
| Mailing Telephone | 3043996501 |
| Mailing Fax Number | 3043996528 |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2016-10-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
27253 | WV | Allopathic & Osteopathic Physicians |
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
38730 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | ANTHEM BC/BS | 000000505636 | 01 |
| KY | RAILROAD MEDICARE | P00422878 | 01 |
| KY | UNITED HEALTH CARE | 61-1277847 | 01 |
| KY | CUMBERLAND HEALTH CARE | C55023 | 01 |
| KY | HUMANA | 61-1277847 | 01 |
| KY | AETNA | 4648006 | 01 |
| KY | 64127079 | 05 |
| Street Address |
4605 MACCORKLE AVE SW |
| City | SOUTH CHARLESTON |
| State | WV |
| Zip Code | 25309-1311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164425542 | David Abramowitz | Radiology | 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 | 2005-05-31 |
| 1609494269 | Tabitha Michelle Spence | Nurse Practitioner | 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 | 2020-07-10 |
| 1538781703 | Premier Surgical Assist, Inc. | Surgery | 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 | 2020-05-11 |
| 1629690037 | Stephanie Shamma | Nurse Practitioner | 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1398 | 2020-05-08 |
| 1174187603 | Herbert J Thomas Memorial Hospital Association | Substance Abuse Rehabilitation Facility | 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 | 2019-04-30 |
| 1659856383 | Maccorkle Emergency Physicians Pllc | Physician Assistant | 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 | 2018-09-28 |
| 1386122844 | Hospitalist Medicine Physicians of West Virginia- Tcg, Pllc | Internal Medicine | 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 | 2018-08-06 |
| 1245717222 | Kelsey Leigh Higgins | Speech-Language Pathologist | 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 | 2018-07-23 |
| 1982180709 | Samantha Craigo | Speech-Language Pathologist | 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 | 2018-07-15 |
| 1316430564 | Nicholas E. Clark | Nurse Anesthetist, Certified Registered | 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 | 2018-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376905 | Lovie Bradshaw | Technician | 4823 Tennessee St., South Charleston, WV 25309 | 2020-11-03 |
| 1306447735 | Barbara Mackenzie | Technician | 4224 Kanawha Turnpike, South Charleston, WV 25309 | 2020-11-03 |
| 1548861974 | Sarah Nichols | Technician | 4990 Colonial Park Dr. Apt. F, South Charleston, WV 25309 | 2020-11-03 |
| 1629690177 | Jennifer Mabry-goins | Technician | 4505 River Avenue, S Charleston, WV 25309 | 2020-05-07 |
| 1811537715 | Brandon C Dean | Psychologist | 4857 Macorkle Ave. Sw, South Charleston, WV 25309 | 2020-01-09 |
| 1467096057 | Linda Mullins | Technician | 60 Hayvon Lane, South Charleston, WV 25309 | 2019-11-06 |
| 1831743616 | Ann Myriah Beck | Nurse Practitioner | 4610 Maccorkle Ave Sw # 300, South Charleston, WV 25309 | 2019-07-30 |
| 1942671227 | Edward W Eskew | Family Medicine | 4605 Maccorkle Avenue, Sw, Thspp-psychiatry, South Charleston, WV 25309 | 2015-10-13 |
| 1720468218 | Link Investments LLC | Pharmacy | 5151 Macorkle Avenue, South Charleston, WV 25309 | 2015-06-01 |
| 1366840951 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 304 Southbridge Blvd., S.ccharleston, WV 25309 | 2014-12-12 |
| Find all providers in zip 25309 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578839957 | Tara Melgary Hansen | Radiology | 401 Division St, South Charleston, WV 25309-1455 | 2012-03-29 |
| 1366508715 | Lyubov Girshovich | Radiology | 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 | 2006-12-29 |
| 1427072446 | Jose Paras Barba | Radiology | 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164687521 | Logan Oncology Care Associates, LLC | Radiology | 601 Holden Road, Logan, WV 25601-0000 | 2008-07-25 |
| 1235290214 | Velayudhan Sahadevan | Radiology | 155 Dry Hill Road, Beckley, WV 25801 | 2006-12-13 |
| 1437192630 | Charles H Shelton IIi | Radiology | 187 Skylar Dr, Lewisburg, WV 24901-9359 | 2006-06-14 |
| 1184667826 | Greenbrier Valley Radiation Oncology, Pllc | Radiology | 187 Skylar Drive, Fairlea, WV 24901-9359 | 2006-06-13 |
| 1063469625 | Radiation Oncology Associates, Inc. | Radiology | 210 New Hope Rd, Princeton, WV 24740-2136 | 2006-05-28 |
| 1972562627 | John C Frich | Radiology | 1stadium Dr, Morgantown, WV 26506-7911 | 2006-03-21 |
| 1962867408 | Wheeling Hospital, Inc. | Radiology | 3 E Benjamin Dr, New Martinsville, WV 26155-2705 | 2015-12-29 |
| 1770889511 | Malcolm D Mattes | Radiology | 101 Stadium Dr, Morgantown, WV 26506-7911 | 2011-01-26 |
| 1770803314 | Phuong Nguyen | Radiology | 2000 Eoff St, Wheeling, WV 26003-3823 | 2010-06-06 |
| 1285950873 | Rebekah L Young | Radiology | 1400 Hal Greer Blvd, Huntington, WV 25701-4114 | 2010-04-08 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH CHARLESTON |
| Zip Code | 25309 |
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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.