STONEWALL JACKSON MEMORIAL HOSPITAL COMPANY (NPI# 1922392851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922392851 |
| Entity Type | Organization |
| Organization Name | STONEWALL JACKSON MEMORIAL HOSPITAL COMPANY |
| Other Organization Name | WESTON ORTHOPEDIC AND SPORTS MEDICINE CENTER |
| Practice Address |
29 Hospital Plz Ste C Weston WV 26452-8471 |
| Practice Telephone | 3042694431 |
| Practice Fax Number | 3042699803 |
| Mailing Telephone | 3042694431 |
| Mailing Fax Number | 3042699803 |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2011-06-08 |
| Authorized Official Name | DAVID SHAFFER (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 3042698080 |
| Is Organization Subpart | Y |
| Parent Organization Name | STONEWALL JACKSON MEMORIAL HOSPITAL COMPANY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 7 | WV | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Weston Orthopedic and Sports Medicine Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477559433 | Stonewall Jackson Memorial Hospital Company | General Acute Care Hospital | 230 Hospital Plz, Weston, WV 26452-8558 | 2005-06-24 |
| Street Address |
29 HOSPITAL PLZ STE C |
| City | WESTON |
| State | WV |
| Zip Code | 26452-8471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619342599 | Jessica L Rice | Nurse Practitioner | 29 Hospital Plz Ste C, Weston, WV 26452-8471 | 2015-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316547136 | Sara Knotts | Technician | 102 Upper St, Weston, WV 26452 | 2020-10-30 |
| 1003414301 | Sarah Bowman | Technician | 55 4b Mobile Estates, Weston, WV 26452 | 2020-10-09 |
| 1962019752 | Victoria Louise Riggs | Pharmacist | 250 Court Street, Weston, WV 26452 | 2020-09-26 |
| 1710472188 | Brandi Nicole Miller | Occupational Therapist | 150 John St Ste C, Weston, WV 26452 | 2018-06-27 |
| 1184022428 | Community Care of West Virginia, Inc. | Pharmacy | 107 Staunton Dr, Weston, WV 26452 | 2014-12-19 |
| 1073944658 | Community Care of West Virginia, Inc. | Clinic/Center | 149 Staunton Drive, Weston, WV 26452 | 2013-12-06 |
| 1033452552 | Julie Ann Haddix | Nurse Practitioner | 29 Hospital Plz Ste E, Weston, WV 26452 | 2013-04-03 |
| 1972605608 | Phillip Mansfield Spaur | Chiropractor | 346 East 3rd Street, Weston, WV 26452 | 2006-09-02 |
| 1003918202 | Bio-medical Applications of West Virginia, Inc. | Clinic/Center | Market Place Plaza, Suite1c, Weston, WV 26452 | 2006-09-01 |
| 1093825432 | Khalid Mahmoud | Internal Medicine | 66 Hospital Plaza Suite 104, Weston, WV 26452 | 2006-08-30 |
| Find all providers in zip 26452 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396014080 | Alexander Stewart Foltz | Orthopaedic Surgery | 3304 Bellagio Dr, Weston, WI 54476-6713 | 2011-12-24 |
| 1124149356 | Subramanyan Jayasankar | Orthopaedic Surgery | 74 Country Dr, Weston, MA 02493-1165 | 2007-04-03 |
| 1235163916 | Robert Stephan Ennis | Orthopaedic Surgery | 3455 Stallion Ln, Weston, FL 33331-3035 | 2006-07-10 |
| 1134164866 | Daniel A Sheldon Md Pa | Orthopaedic Surgery | 1855 N Corporate Lakes Blvd, Weston, FL 33326-3211 | 2006-06-17 |
| 1851361299 | Alfred Alexander Desimone | Orthopaedic Surgery | 1600 Town Center Blvd, Suite C, Weston, FL 33326 | 2006-01-26 |
| 1790223527 | Jorge Manrique | Orthopaedic Surgery | 2950 Cleveland Clinic Blvd, Weston, FL 33331-3609 | 2017-01-31 |
| 1841451226 | Stonewall Jackson Memorial Hospital | Orthopaedic Surgery | 29 Hospital Plz, Suite C, Weston, WV 26452-8470 | 2008-06-19 |
| 1679731467 | Shafic Abdullah Sraj | Orthopaedic Surgery | 29 Hospital Plz, Ste C, Weston, WV 26452-8470 | 2008-05-28 |
| 1609062157 | Doyle Russell Sickles | Orthopaedic Surgery | 29 Hospital Plz, Suite C, Weston, WV 26452-8470 | 2007-09-19 |
| 1629102686 | Variety Children's Hospital | Orthopaedic Surgery | 2900 S Commerce Pkwy, Orthopedic Surgery, Weston, FL 33331-3622 | 2007-03-14 |
| Find all providers in WESTON | ||||
Please comment or provide details below to improve the information on STONEWALL JACKSON MEMORIAL HOSPITAL COMPANY.
| 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.