DR. SEID AHMED ETTEHADIEH (NPI# 1992742449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992742449 |
| Entity Type | Individual |
| Full Name | DR. SEID AHMED ETTEHADIEH |
| Credential | M.D. |
| Practice Address |
454 Mcdowell St Welch WV 24801-2029 |
| Mailing Address |
932 Virginia Ave Apt #2 Welch WV 24801-2814 |
| Practice Telephone | 3044368461 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2007-11-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 12156 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0112081000 | 05 |
| Street Address |
454 MCDOWELL ST |
| City | WELCH |
| State | WV |
| Zip Code | 24801-2029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306883921 | Julieta B. Sison | Physician Assistant | 454 Mcdowell St, Welch, WV 24801-2029 | 2006-06-01 |
| 1194362657 | Mary A Grimmett | Nurse Practitioner | 454 Mcdowell St, Welch, WV 24801-2029 | 2019-12-04 |
| 1104324409 | Community Health Systems Inc | Obstetrics & Gynecology | 454 Mcdowell St, Welch, WV 24801-2029 | 2018-02-01 |
| 1487176517 | Dorothy Marie Green | Nurse Practitioner | 454 Mcdowell St, Welch, WV 24801-2029 | 2017-07-11 |
| 1750834644 | Ashley Nicole Darago | Nurse Practitioner | 454 Mcdowell St, Welch, WV 24801-2029 | 2016-07-27 |
| 1093196883 | James C Salyers | Emergency Medicine | 454 Mcdowell St, Welch, WV 24801-2029 | 2015-06-17 |
| 1780006049 | Brittany Grace Addair | Physician Assistant | 454 Mcdowell St, Welch, WV 24801-2029 | 2014-01-06 |
| 1881023117 | Appalachian Mountains Medical, LLC | Anesthesiology | 454 Mcdowell St, Welch, WV 24801-2029 | 2013-11-07 |
| 1740564566 | Charlotte Buckner | Nurse Practitioner | 454 Mcdowell St, Welch, WV 24801-2029 | 2011-09-29 |
| 1831370469 | Erica Lynn Damewood | Nurse Anesthetist, Certified Registered | 454 Mcdowell St, Team Health/welch Community Hospital, Welch, WV 24801-2029 | 2007-11-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821687 | Amy Marie Dotson | Technician | 124973 Loop Seven Highway, Welch, WV 24801 | 2020-11-02 |
| 1386243947 | Lora Bailey | Technician | Riverside Dr, Welch, WV 24801 | 2020-10-23 |
| 1154929545 | Amber Stacy | Technician | 3057 Maple Acres Road, Bluefield, WV 24801 | 2020-10-16 |
| 1639625270 | Kelly Beth Belt | Physician Assistant | 454 Mcdowell Street, Welch, WV 24801 | 2016-09-01 |
| 1396177333 | Donna Flaim | Physician Assistant | 19771 Coal Heritage Road Suite102, Welch, WV 24801 | 2013-08-01 |
| 1821437617 | Joshua Matthew Hopkins | Physician Assistant | 19771 Coal Heritage Road Suite 102, Welch, WV 24801 | 2013-06-14 |
| 1417088741 | Mcdowell Professioal Sleep Lab | Specialist/Technologist, Other | Route52 Main Street, Welch, WV 24801 | 2007-03-08 |
| 1073656641 | Looney Enterprises LLC | Optometrist | 794 Virginia Ave., Welch, WV 24801 | 2007-02-14 |
| 1124115829 | Rahmet Muzaffer | Pediatrics | 66 Elkins Street, Welch, WV 24801 | 2006-10-06 |
| 1619920600 | Nichole Maureen Horsford, M.d. | Psychiatry & Neurology | 151 Rt. 52 North, Welch, WV 24801 | 2006-05-18 |
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| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093196883 | James C Salyers | Emergency Medicine | 454 Mcdowell St, Welch, WV 24801-2029 | 2015-06-17 |
| 1154367316 | Janis Williams | Emergency Medicine | 454 Mcdowell St, Welch, WV 24801-2029 | 2006-06-22 |
| 1023052958 | Chandra Prakash Sharma | Emergency Medicine | 454 Mcdowell St, Welch, WV 24801-2029 | 2006-06-14 |
| 1932141918 | Sherwood P Leo | Emergency Medicine | 454 Mcdowell St, Welch, WV 24801-2029 | 2006-06-12 |
| 1396787511 | Kimberly K Jones | Emergency Medicine | 454 Mcdowell St, Welch, WV 24801-2029 | 2006-06-12 |
| 1609814250 | Olumade Adebambo Adenupe | Emergency Medicine | 454 Mcdowell St, Welch, WV 24801-2029 | 2006-06-04 |
| 1457398901 | Antonio Teng Dy | Emergency Medicine | 454 Mcdowell St, Welch, WV 24801-2029 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023536596 | Medexpress Urgent Care, PC - Virginia | Emergency Medicine | 3 Merrywood Lane, Vienna, WV 26105 | 2017-09-06 |
| 1558889196 | Medexpress Urgent Care, PC - Virginia | Emergency Medicine | 2 Merrywood Lane, Vienna, WV 26105 | 2017-09-05 |
| 1588198394 | Heather Wagner | Emergency Medicine | 423 Ridgewood Dr, Point Pleasant, WV 25550-3583 | 2017-04-18 |
| 1194276873 | Medexpress Urgent Care, Inc - West Virginia | Emergency Medicine | 613 Randolph Avenue, Elkins, WV 26241-3950 | 2016-10-18 |
| 1679922686 | Ben Lasure | Emergency Medicine | 1 Medical Center Dr Room 7400, Morgantown, WV 26506-9149 | 2016-06-09 |
| 1912355223 | Damian Hegsted | Emergency Medicine | 1 Medical Center Drive, Room 7400, Po Box (9149), Morgantown, WV 26506 | 2016-05-26 |
| 1306201215 | Medexpress Urgent Care, Inc - West Virginia | Emergency Medicine | 301 R H L Blvd Ste 3, Charleston, WV 25309-8275 | 2015-12-18 |
| 1962885582 | Medexpress Urgent Care, Inc - West Virginia | Emergency Medicine | 123 Enterprise Drive, Logan, WV 25601-3750 | 2015-07-01 |
| 1457739377 | Kalah Ainsworth | Emergency Medicine | 61 Campus Dr Ste 200, Martinsburg, WV 25404-7542 | 2015-05-12 |
| 1790170835 | Chad Williams | Emergency Medicine | 177 Highpoint Ln, Princeton, WV 24739-6454 | 2015-04-06 |
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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.