PRINCETON COMMUNITY HOSPITAL ASSN., INC (NPI# 1972610863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972610863 |
| Entity Type | Organization |
| Organization Name | PRINCETON COMMUNITY HOSPITAL ASSN., INC |
| Other Organization Name | DBA ATHENS MEDICAL CENTER |
| Practice Address |
401 Vermillion St. Athens WV 24712 |
| Mailing Address |
Po Box 697 Athens WV 24712-0697 |
| Practice Telephone | 3043847325 |
| Practice Fax Number | 3043848870 |
| Mailing Telephone | 3043847325 |
| Mailing Fax Number | 3043848870 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2010-08-04 |
| Authorized Official Name | MR. OMAR R KASSEM (PHYSICIAN) |
| Authorized Official Telephone | 3043847325 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 20079 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0034866000 | 05 |
| Other Name | Type Code |
|---|---|
| dba Athens Medical Center | Doing Business As Name - Organization |
| Street Address |
401 VERMILLION ST. |
| City | ATHENS |
| State | WV |
| Zip Code | 24712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649771809 | Brandy Lea Morrison | Specialist/Technologist | Concord University 1000 Vemillion Street, Athens, WV 24712 | 2018-02-23 |
| 1801330915 | Cami Maxwell | Nurse Practitioner | 274 Nelsie Lane, Athens, WV 24712 | 2016-12-08 |
| 1073056529 | Tracy Leigh Mccallister Gill | Specialist/Technologist | 1000 Vermillion St., Athens, WV 24712 | 2016-11-30 |
| 1578789731 | Natasha Nicola Barker | Physician Assistant | 401 Vermillion Street, Athens, WV 24712 | 2007-04-17 |
| 1508969262 | West Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 105 South State St, Athens, WV 24712 | 2006-09-07 |
| 1295763050 | Jennifer Lynn Hvozdovic Koerber | Specialist/Technologist | 1000 Vermillion Street, Campus Box 77, Athens, WV 24712 | 2006-06-29 |
| 1265889844 | Mark Allen Yost | Family Medicine | 401 Vermillion Street, Athens, WV 24712-0697 | 2016-05-24 |
| 1801996657 | Charles Edward Lane Jr. | Dentist | State Route 20 North, Athens, WV 24712-0915 | 2006-09-22 |
| 1972110781 | Jessica Ann Thompson | Technician | 110 Vermillion St Apt 8, Athens, WV 24712-1130 | 2020-09-25 |
| 1821602830 | Amber Marie Green | Pharmacist | 105 S State St, Athens, WV 24712-1237 | 2020-09-08 |
| Find all providers in zip 24712 | ||||
| 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 |
|---|---|---|---|---|
| 1164023529 | Aderholt Medical, LLC | Family Medicine | 320 Old Us-31 N, Athens, AL 35611 | 2020-11-03 |
| 1497371496 | Summit Medical Group, Pllc | Family Medicine | 1031 W Madison Ave Ste 1, Athens, TN 37303-3496 | 2020-06-25 |
| 1821558305 | Physician Management Services of Georgia II, LLC | Family Medicine | 1010 Prince Ave Ste 183, Athens, GA 30606-5805 | 2019-03-21 |
| 1649777152 | Ohio University | Family Medicine | 1 Ohio University Fl 5, Athens, OH 45701-2942 | 2018-04-11 |
| 1508392267 | Boulevard Family Practice | Family Medicine | 1010 Prince Ave Ste 184, Athens, GA 30606-5815 | 2017-05-02 |
| 1225585391 | Advantage Health Solutions,llc | Family Medicine | 707 West Market St Ste A, Athens, AL 35611 | 2016-09-07 |
| 1356736417 | Brett Magner | Family Medicine | 855 W Broad St Ste 1, Athens, GA 30601 | 2015-04-05 |
| 1538580121 | Oconee Weight and Wellness, LLC | Family Medicine | 455 Epps Bridge Pkwy Ste 102, Athens, GA 30606-3347 | 2013-12-27 |
| 1306110150 | Charles Russell Fisher | Family Medicine | 86 Columbus Cir Ste 203, Athens, OH 45701-1371 | 2012-02-25 |
| 1801123104 | Paul J Michiels | Family Medicine | 5313 Fm 2494, Athens, TX 75751 | 2009-11-06 |
| Find all providers in ATHENS | ||||
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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.