ELAINE M KOONTZ (NPI# 1891013082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891013082 |
| Entity Type | Individual |
| Full Name | ELAINE M KOONTZ |
| Credential | RD, LDN |
| Practice Address |
1 Medical Park Wheeling Hospital Inc Wheeling WV 26003-6379 |
| Practice Telephone | 3042429355 |
| Practice Fax Number | 3042432948 |
| Mailing Telephone | 3042429355 |
| Mailing Fax Number | 3042432948 |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2010-05-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | WV | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | STATE LICENSE | 627 | 01 |
| Street Address |
1 MEDICAL PARK WHEELING HOSPITAL INC |
| City | WHEELING |
| State | WV |
| Zip Code | 26003-6379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104821305 | Wheeling Hospital Inc | General Acute Care Hospital | 1 Medical Park, Wheeling, WV 26003 | 2005-06-15 |
| 1356940548 | Kaley Anne Kuzma | Physician Assistant | 1 Medical Park, Wheeling, WV 26003-6379 | 2020-10-20 |
| 1033724240 | Kyle Louis Pytlak | Dermatology | 1 Medical Park, Wheeling, WV 26003-6379 | 2020-09-14 |
| 1932713559 | Danielle Elyse Keyser | Physical Therapist | 1 Medical Park, Wheeling, WV 26003-6300 | 2020-09-01 |
| 1063022572 | Ryan P Hunker | Physical Therapist | 1 Medical Park, Wheeling, WV 26003-6300 | 2020-08-10 |
| 1306476254 | Jacquelyn Mcclain Marshall | Nurse Practitioner | 1 Medical Park, Wheeling, WV 26003-6300 | 2020-01-20 |
| 1427696889 | Debra Jo Zeroski | Nurse Practitioner | 1 Medical Park, Wheeling, WV 26003-6300 | 2019-12-17 |
| 1912548553 | Sierra Nicole Moore | Physician Assistant | 1 Medical Park, Wheeling, WV 26003-6379 | 2019-10-04 |
| 1861048035 | Jordan Rachelle Robinson | Physician Assistant | 1 Medical Park, Wheeling, WV 26003-6300 | 2019-08-14 |
| 1659927101 | Nicole Yvonne Larue | Occupational Therapist | 1 Medical Park, Wheeling, WV 26003-6379 | 2019-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669070538 | Ashley Lynn Fleming | Case Manager/Care Coordinator | 442 Woodland Acres Rd, Wheeling, WV 26003 | 2020-10-13 |
| 1982202057 | Tiffany Renee Beck | Behavioral Analyst | 1007 Market Street, Wheeling, WV 26003 | 2020-10-12 |
| 1922620426 | Abbey Lynne Griffith | Speech-Language Pathologist | 199 Co Rd 7/7, Jane Lew, WV 26003 | 2020-05-07 |
| 1801309414 | Amy Wade | Counselor | 2204 Eoff Street, Wheeling, WV 26003 | 2017-11-06 |
| 1053840157 | Syl Solution Marketing | Durable Medical Equipment & Medical Supplies | 800 Hazlett Ave, Wheeling, WV 26003 | 2017-06-12 |
| 1568917334 | Hamed M Motlagh | Dentist | 53 14th St Ste 208, Wheeling, WV 26003 | 2016-08-22 |
| 1922454446 | Carrie Ann Warman | Pharmacist | 200 Mt.dechantal Road, Wheeling, WV 26003 | 2016-05-13 |
| 1447636691 | Ashley M Zando | Nurse Anesthetist, Certified Registered | 109 Mt Wood Road, Wheeling, WV 26003 | 2015-08-10 |
| 1194126441 | John Greaves | Specialist/Technologist | 135 Springdale Ave, Wheeling, WV 26003 | 2014-09-05 |
| 1154747210 | Donald Lee Rebich | Pharmacist | 61-29th Street, Wheeling, WV 26003 | 2014-03-13 |
| Find all providers in zip 26003 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801404462 | Kathleen Castrejon | Dietitian, Registered | 284 Renee Ter, Wheeling, IL 60090-4625 | 2020-07-20 |
| 1518338367 | Judy Estelle Manisco | Dietitian, Registered | 40 Prairie Park Dr, # 305, Wheeling, IL 60090-2725 | 2015-10-19 |
| 1710398938 | Ellen Fisher | Dietitian, Registered | 21 Armory Dr, Wheeling, WV 26003-6370 | 2014-05-09 |
| 1134136237 | Linda Sue Ber | Dietitian, Registered | 1013 Pear Tree Ln, Wheeling, IL 60090-5718 | 2006-08-02 |
| 1821497504 | Bernadetta Leszczynski | Dietitian, Registered | 150 Highland Ave, Wheeling, IL 60090-3174 | 2014-08-18 |
| 1831528231 | Christine Abuan | Dietitian, Registered | 424 9th St, Wheeling, IL 60090-2785 | 2013-11-06 |
| 1215283445 | Brenda A Milliken | Dietitian, Registered | 2000 Eoff St, Wheeling, WV 26003-3823 | 2012-07-25 |
| 1023268307 | Rene Griffin | Dietitian, Registered | 1 Medical Park, Wheeling Hospital Inc, Wheeling, WV 26003 | 2008-09-24 |
| 1346323144 | Heather A Leonard | Dietitian, Registered | 2000 Eoff St, Wheeling, WV 26003-3823 | 2006-10-23 |
| 1144303959 | Angela R Haberfield | Dietitian, Registered | 1 Medical Park, Wheeling Hospital, Wheeling, WV 26003-6379 | 2006-10-23 |
| Find all providers in WHEELING | ||||
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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.