GREENBRIER VALLEY ANESTHESIA LLC (NPI# 1902849706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902849706 |
| Entity Type | Organization |
| Organization Name | GREENBRIER VALLEY ANESTHESIA LLC |
| Practice Address |
202 Maplewood Ave Ronceverte WV 24970-1334 |
| Mailing Address |
7100 Commerce Way Suite 180 Brentwood TN 37027-2829 |
| Practice Telephone | 3046476549 |
| Mailing Telephone | 8773095308 |
| Mailing Fax Number | 6154653007 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2009-08-12 |
| Authorized Official Name | DEBBIE BREWER (DIRECTOR OF PROVIDER ENROLLMENT) |
| Authorized Official Telephone | 8778929813 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | BCBS PHYSICIAN | 001711970 | 01 |
| WV | 0106041001 | 05 | |
| WV | BCBS CRNA | 001711974 | 01 |
| Street Address |
202 MAPLEWOOD AVE |
| City | RONCEVERTE |
| State | WV |
| Zip Code | 24970-1334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720071285 | Leslie Abigail Winters | Family Medicine | 202 Maplewood Ave, Ronceverte, WV 24970-1334 | 2005-08-30 |
| 1689054363 | Anastasia Yi | Family Medicine | 202 Maplewood Ave, Ronceverte, WV 24970-1334 | 2015-06-08 |
| 1184968562 | Atomic Anesthesia Pllc | Anesthesiology | 202 Maplewood Ave, Ronceverte, WV 24970-1334 | 2012-11-26 |
| 1093092033 | Jessica R Davis | Nurse Anesthetist, Certified Registered | 202 Maplewood Ave, Ronceverte, WV 24970-1334 | 2011-11-04 |
| 1427338979 | Yelena V Johnson | Registered Nurse | 202 Maplewood Ave, Ronceverte, WV 24970-1334 | 2011-08-27 |
| 1396024014 | Jessica Sue Aliff | Family Medicine | 202 Maplewood Ave, Ronceverte, WV 24970-1334 | 2011-08-11 |
| 1780993261 | Emilee Pack | Dietitian, Registered | 202 Maplewood Ave, Ronceverte, WV 24970-1334 | 2010-09-30 |
| 1447581434 | Greenbrier Vmc, LLC | Clinic/Center | 202 Maplewood Ave, Ronceverte, WV 24970-1334 | 2010-01-15 |
| 1306170048 | Ronceverte Physician Group LLC | Internal Medicine | 202 Maplewood Ave, Ronceverte, WV 24970-1334 | 2009-09-29 |
| 1003048323 | Brian Rodgers | Registered Nurse | 202 Maplewood Ave, Ronceverte, WV 24970-1334 | 2009-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770197980 | Susan Linton | Technician | 3776 Holes Mill Rd, Ronceverte, WV 24970 | 2020-09-04 |
| 1417561143 | Lori Selene Pickler | Technician | 974 C.west Main St, Ronceverte, WV 24970 | 2020-09-01 |
| 1184237257 | Jotina Hamrick | Technician | 194 Sellers St. Apt.a, Ronceverte, WV 24970 | 2020-08-28 |
| 1871072066 | Blink, Inc. | Eyewear Supplier (Equipment, not the service) | 3942 David Stuart Road, Suite 1, Ronceverte, WV 24970 | 2018-08-09 |
| 1407233976 | Rocky Mountain Holdings, LLC | Ambulance | 584 Airport Road, Box 9 (hangar 4), Lewisburg, WV 24970 | 2015-05-04 |
| 1245500040 | Seneca Family Foot Care, Pllc | Podiatrist | 336 Seneca Trail, Ronceverte, WV 24970 | 2012-01-10 |
| 1922301035 | Dwan Shasta Hamons | Pharmacist | 180 Red Oaks Shopping Center, Ronceverte, WV 24970 | 2010-12-10 |
| 1427351840 | Xuan Le Berry | Pharmacist | 180 Red Oaks Shopping Ctr., Ronceverte, WV 24970 | 2010-12-07 |
| 1104129683 | James P Meadows | Pharmacist | 180 Red Oak Shopping Center, Ronceverte, WV 24970 | 2010-12-06 |
| 1891924676 | Blink, Inc. | Optometrist | 101 Davis Stuart Road, Ronceverte, WV 24970 | 2009-07-14 |
| Find all providers in zip 24970 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144747528 | Susan L Cavender M.d. Pllc | General Practice | 1115 Lee St E, Charleston, WV 25301-2412 | 2017-08-25 |
| 1396284428 | Chapmanville Primary Care Clinic | General Practice | 462 Main Street, Chapmanville, WV 25508 | 2017-02-22 |
| 1952855264 | Mountaineer Family Care Center | General Practice | 318 S Mountaineer Hwy, Thornton, WV 26440-7152 | 2016-08-04 |
| 1720433451 | Samir Shah | General Practice | 3005 Jackson Ave, Point Pleasant, WV 25550-1717 | 2016-05-02 |
| 1376958058 | Nadezda Samples | General Practice | 3110 Maccorkle Ave Se Rm 58, Charleston, WV 25304-1210 | 2014-06-21 |
| 1932476249 | William Palmer Zitter | General Practice | 1637 Mccoy Rd, Huntington, WV 25701-4867 | 2011-11-30 |
| 1174806129 | Steven Ira Richman | General Practice | Hc 74 Box 98i, Hinton, WV 25951-9115 | 2011-09-26 |
| 1467749473 | Jung Jin Lee | General Practice | 390 Birch St, Morgantown, WV 26505 | 2011-06-29 |
| 1184914947 | Todd R Myers Md LLC | General Practice | 1113 Washington St, Suite 203, Ravenswood, WV 26164-1020 | 2011-04-13 |
| 1295030674 | Capital Management Services Company | General Practice | 231 Capitol St, Suite 301, Charleston, WV 25301-2200 | 2011-01-17 |
| Find all providers with the same taxonomy | ||||
| City | RONCEVERTE |
| Zip Code | 24970 |
Please comment or provide details below to improve the information on GREENBRIER VALLEY ANESTHESIA LLC.
| 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.