TRACY HENDERSHOT (NPI# 1881855807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881855807 |
| Entity Type | Individual |
| Full Name | TRACY HENDERSHOT |
| Credential | MD |
| Practice Address |
1301 Elizabeth Pike Elizabeth WV 26143-0609 |
| Mailing Address |
Po Box 609 Elizabeth WV 26143-0609 |
| Practice Telephone | 3042753301 |
| Practice Fax Number | 3042754798 |
| Mailing Telephone | 3042753301 |
| Mailing Fax Number | 3042754798 |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2011-08-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 23784 | WV | Allopathic & Osteopathic Physicians |
| Street Address |
1301 ELIZABETH PIKE |
| City | ELIZABETH |
| State | WV |
| Zip Code | 26143-0609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780689471 | Cristina G. Estrada | Family Medicine | 1301 Elizabeth Pike, Elizabeth, WV 26143 | 2005-06-17 |
| 1902113194 | Terri Jo Ranson | Nurse Practitioner | 1301 Elizabeth Pike, Elizabeth, WV 26143-0609 | 2010-09-09 |
| 1629161930 | Douglas J Mills | Dentist | 1301 Elizabeth Pike, Elizabeth, WV 26143 | 2006-10-02 |
| 1245235969 | Charlotte L Lantz | Nurse Practitioner | 1301 Elizabeth Pike, Elizabeth, WV 26143-0609 | 2005-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347235 | Linda Mae Sams | Technician | 88 Churchill St., Elizabeth, WV 26143 | 2020-08-20 |
| 1043820780 | Ada Ross | Technician | 436 Wells Lock Rd, Elizabeth, WV 26143 | 2020-08-07 |
| 1609485135 | Kesha Coon | Technician | 172 Cherry Street, Elizabeth, WV 26143 | 2020-07-30 |
| 1437785623 | Ewv Holdings, LLC | Skilled Nursing Facility | 495 Court St, Elizabeth, WV 26143 | 2020-03-19 |
| 1578195145 | United Hospital Center, Inc. | Home Health | 69 Maze Plaza, Elizabeth, WV 26143 | 2020-02-11 |
| 1588021836 | Angela Dawn Crowe | Nurse Practitioner | 461 Schoolview Street, Elizabeth, WV 26143 | 2016-01-18 |
| 1114321270 | Wirt County Committee On Aging & Family Services, Inc. | In Home Supportive Care | 74 Senior Circle, Elizabeth, WV 26143 | 2014-10-20 |
| 1518191923 | Wirt County Health Services Association, Inc | Family Medicine | Schoolview Street, Elizabeth, WV 26143 | 2009-05-13 |
| 1790950996 | Ronald Scott Mckinney | Pharmacist | Rt 14 North, Foodmart Shopping Center, Elizabeth, WV 26143 | 2008-04-28 |
| 1215159520 | Christina Beth Morrison | Specialist/Technologist | Mulberry Street, Wirt County High School, Elizabeth, WV 26143 | 2007-05-03 |
| Find all providers in zip 26143 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003446485 | Portercare Adventist Health System | Family Medicine | 240 Elizabeth St Ste B, Elizabeth, CO 80107-7546 | 2020-01-24 |
| 1427522564 | Sanitas Medical Center of New Jersey PC | Family Medicine | 240 Williamson St Ste 300&302, Elizabeth, NJ 07202-3674 | 2019-01-11 |
| 1487120226 | Harrison County Hospital | Family Medicine | 5855 N Hwy 111 Se, Elizabeth, IN 47119-9039 | 2018-10-19 |
| 1518191923 | Wirt County Health Services Association, Inc | Family Medicine | Schoolview Street, Elizabeth, WV 26143 | 2009-05-13 |
| 1003081076 | Raul Iluminado Perez | Family Medicine | 605 S Broad St Unit B, Elizabeth, NJ 07202-2601 | 2008-04-29 |
| 1598824054 | Elizabeth Family Medicine | Family Medicine | 121 N 2nd Ave, Elizabeth, PA 15037-1532 | 2006-12-08 |
| 1477654317 | Richard Dean Brown | Family Medicine | 5855 N Hwy 11 Se, Elizabeth, IN 47117 | 2006-09-25 |
| 1124124441 | Amilda Heckman | Family Medicine | 34061 Forest Park Dr, Elizabeth, CO 80107-7842 | 2006-09-15 |
| 1770686289 | Michel-ange Ferdinand | Family Medicine | 115 Jefferson Ave, Elizabeth, NJ 07201 | 2006-09-07 |
| 1992715825 | Ariel Quinones | Family Medicine | 38 Elmora Ave, Elizabeth, NJ 07202-2248 | 2006-08-09 |
| Find all providers in ELIZABETH | ||||
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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.