WILFRIDO T TOLENTINO JR.


Address: 400 Court St Ste 100, Charleston, WV 25301-1652
Phone: 3043476120

WILFRIDO T TOLENTINO JR. (NPI# 1972535367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972535367
Entity Type Individual
Full Name WILFRIDO T TOLENTINO JR.
Credential PA C
Practice Address 400 Court St Ste 100
Charleston
WV 25301-1652
Practice Telephone 3043476120
Practice Fax Number 3043476142
Mailing Telephone 3043476120
Mailing Fax Number 3043476142
Enumeration Date 2006-07-07
Last Update Date 2020-06-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363AM0700X Physician Assistant
Specialization: Medical
573 WV Physician Assistants & Advanced Practice Nursing Providers
Y 363AM0700X Physician Assistant
Specialization: Medical
00690 WV Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
WV 0011253000 05
WV RR MEDICARE P00116053 01
WV RR MEDICARE CI5175 01

Office Location

Street Address 400 COURT ST STE 100
City CHARLESTON
State WV
Zip Code 25301-1652

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346236072 Brad L Lindsey Anesthesiology 400 Court St Ste 100, Charleston, WV 25301-1652 2005-09-27
1235585027 Tara L. Tackett Nurse Practitioner 400 Court St Ste 100, Charleston, WV 25301 2016-05-11
1962897272 Alyson Marie Engle Anesthesiology 400 Court St Ste 100, Charleston, WV 25301-1652 2015-04-02
1902243447 Rebecca Lynne Butcher Registered Nurse 400 Court St Ste 100, Charleston, WV 25301-1652 2013-05-23
1831116375 Center for Pain Relief, Inc. Anesthesiology 400 Court St Ste 100, Charleston, WV 25301-1652 2006-07-17
1780619742 Christopher Konkyo Kim Anesthesiology 400 Court St Ste 100, Charleston, WV 25301-1652 2006-07-11
1194759092 Carolyn Sue Poston Physical Therapist 400 Court St Ste 100, Charleston, WV 25301-1652 2006-07-10
1629002522 Mindy Beth Gardner Physical Therapist 400 Court St Ste 100, Charleston, WV 25301-1652 2006-07-10
1861424210 Timothy Ray Deer Anesthesiology 400 Court St Ste 100, Charleston, WV 25301-1652 2006-07-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669087680 Kerrie Rena Harris Counselor 16 Leon Sullivan Way Suite 300, Charleston, WV 25301 2020-09-15
1285123471 Burgess Dental Dentist 405 Capitol Street, The Parlor Suite, Charleston, WV 25301 2018-05-03
1104322320 Kara Caldwell Psychologist 333 Laidley St., 4'th Floor East, Charleston, WV 25301 2018-04-05
1740638022 Christina Phalen Pharmacy Technician 701 Lee Street East, Charleston, WV 25301 2016-05-27
1366867079 Brooke Powell Garnes Speech-Language Pathologist 1313 Quarrier Street, Suite A, Charleston, WV 25301 2014-03-04
1952648404 Implanted Pump Management, LLC Home Infusion 311 Laidley St., Suite 202, Charleston, WV 25301 2013-01-03
1730435108 Chaitanya Mishra Internal Medicine 501 Morris St Ste 357, Charleston, WV 25301 2012-08-03
1033477278 James Stephen Harman Neurological Surgery 415 Morris St Ste 400, Charleston, WV 25301 2012-04-25
1265674329 Howard and Howard Dental LLC Dentist 1321 Virginia St., Charleston, WV 25301 2009-04-03
1881856144 Steven David Hollosi Emergency Medicine 501 Morris St., Charleston, WV 25301 2008-06-27
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821470113 Lesley E. Weiss Physician Assistant 3200 Maccorkle Seave, Charleston, WV 25304-1227 2015-06-23
1063797447 Michael B Carothers Physician Assistant 2030 Wambaw Crk, Charleston, SC 29492-8382 2011-10-17
1316228679 Joanna Harvey Physician Assistant 2085 H Tecklenburg Dr, 2nd Floor, Charleston, SC 29414-7710 2011-08-31
1689825895 Jeffrey Russell Pike Physician Assistant 2097 Henry Tecklenburg Dr Ste 305w, Charleston, SC 29414-5744 2008-10-07
1073662664 Kenneth Neil Dippel Physician Assistant 3200 Maccorkle Ave. Se, Camc Memorial Hospital, Charleston, WV 25304 2007-01-10
1790873099 Steven L Russell Physician Assistant 191 Rutledge Ave, Charleston, SC 29403-5822 2006-10-11
1376649723 Irene Belinda Coley Physician Assistant Ralph H. Johnson Va Medical Center, 109 Bee Street, Charleston, SC 29401 2006-09-15
1578597480 David Laurence Gross Physician Assistant 9313 Medical Plaza Dr Ste 102, Charleston, SC 29406-9153 2006-07-10
1851331714 Caroline M Bailey Physician Assistant 1 Bishop Gadsden Way, Suite 97, Charleston, SC 29412-3506 2006-06-08
1952357899 Constantina Helen Panos Physician Assistant 129 Queen St, Charleston, SC 29401-2424 2006-05-25
Find all providers in CHARLESTON

Competitor

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City CHARLESTON
Zip Code 25301

Improve Information

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Dataset Information

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.

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