Jeremy David Cumberledge (NPI# 1487912465, PAC ID# 1759697022) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1487912465 |
| PAC ID by PECOS | 1759697022 |
| Professional Enrollment ID | I20191029001609 |
| Full Name | Jeremy David Cumberledge |
| Organization Legal Name | CHARLESTON AREA MEDICAL CENTER, INC. |
| Address |
3200 Maccorkle Ave Se Fl 4 Charleston WV 25304-1227 |
| Phone Number | 3043885555 |
| Gender | M |
| Medical School | MARSHALL UNIVERSITY SCHOOL MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | GASTROENTEROLOGY |
| Group Practice PAC ID | 3375441637 |
| Number of Group Practice Members | 512 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 510022 | CHARLESTON AREA MEDICAL CENTER |
| 510031 | ST FRANCIS HOSPITAL |
| 510091 | CHARLESTON SURGICAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3200 Maccorkle Ave Se, Fl 4, Charleston, WV 25304-1227 | 3043885555 | CHARLESTON AREA MEDICAL CENTER, INC. |
| Organization Legal Name | CHARLESTON AREA MEDICAL CENTER, INC. |
| Physicians | 502 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie Vannoy | Nurse Practitioner | Charleston Area Medical Center, Inc. | 3860 Teays Valley Rd, Suite 5, Hurricane, WV 25526-9772 |
| William Stewart | Plastic and Reconstructive Surgery | Charleston Area Medical Center, Inc. | 210 Brooks St, Suite 200, Charleston, WV 25301-1848 |
| Marciano B. Lee | Cardiovascular Disease (cardiology) | Charleston Area Medical Center, Inc. | 3200 Maccorkle Ave Se, Charleston, WV 25304-1212 |
| Barry Michael Mitchell | Emergency Medicine | Charleston Area Medical Center, Inc. | 501 Morris St, Charleston, WV 25301-1326 |
| E Michael Robie | Family Medicine | Charleston Area Medical Center, Inc. | 4111 1st Ave, Suite 3, Nitro, WV 25143-1345 |
| David Arthur Felder Jr. | Orthopedic Surgery | Charleston Area Medical Center, Inc. | 1206 Hospital Dr, Hurricane, WV 25526-8708 |
| Justin Varghese | Hospitalist | Charleston Area Medical Center, Inc. | 501 Morris St, Charleston, WV 25301-1326 |
| Sandra R Miles | Certified Registered Nurse Anesthetist (crna) | Charleston Area Medical Center, Inc. | 501 Morris St, Charleston, WV 25301-1326 |
| Victoria Kitts | Certified Registered Nurse Anesthetist (crna) | Charleston Area Medical Center, Inc. | 501 Morris St, Charleston, WV 25301-1326 |
| Teresa M Mazur | Emergency Medicine | Charleston Area Medical Center, Inc. | 501 Morris St, Charleston, WV 25301-1326 |
| Street Address |
3200 MACCORKLE AVE SE FL 4 |
| City | CHARLESTON |
| State | WV |
| Zip | 25304-1227 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marciano B. Lee | Cardiovascular Disease (cardiology) | Charleston Area Medical Center, Inc. | 3200 Maccorkle Ave Se, Charleston, WV 25304-1212 |
| Nathan M Remolona | Anesthesiology | General Anesthesia Services Inc | 3200 Maccorkle Ave Se, Charleston, WV 25304-1227 |
| Melisa Chelf Sirbu | Psychologist, Clinical | West Virginia University Medical Corporation Charleston Division | 3200 Maccorkle Ave Se, Charleston, WV 25304-1212 |
| Marcus R. Jarrell | Family Medicine | West Virginia University Medical Corporation Charleston Division | 3200 Maccorkle Ave Se, Charleston, WV 25304-1212 |
| Jacob Albert Misenheimer | Interventional Cardiology | Charleston Area Medical Center, Inc. | 3200 Maccorkle Ave Se, Charleston, WV 25304-1212 |
| Yahiu Homsi | Psychiatry | West Virginia University Medical Corporation Charleston Division | 3200 Maccorkle Ave Se, Charleston, WV 25304-1212 |
| Brandon K. Rose | Internal Medicine | West Virginia University Medical Corporation Charleston Division | 3200 Maccorkle Ave Se, Charleston, WV 25304-1212 |
| Stephen M Hass | Vascular Surgery | West Virginia University Medical Corporation Charleston Division | 3200 Maccorkle Ave Se, Charleston Surgery Clinic, Charleston, WV 25304-1212 |
| Joseph A Conroy | Anesthesiology | General Anesthesia Services Inc | 3200 Maccorkle Ave Se, Charleston Area Medical Center Memorial Division, Charleston, WV 25304-1227 |
| Atul Singh | Internal Medicine | West Virginia University Medical Corporation Charleston Division | 3200 Maccorkle Ave Se, Charleston, WV 25304-1212 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen K Milroy | Dermatology | 3100 Mccorkle Ave Se, Suite 809, Charleston, WV 25304 | |
| Jeffrey L Summers | Chiropractic | 4317 Mac Corkle Ave Se, Charleston, WV 25304 | |
| Harry Richard Reynolds | Dermatology | 2345 Chesterfield Ave, Suite 204, Charleston, WV 25304-1063 | |
| Asif Rahman | Nephrology | Kanawha Nephrology, Inc. | 2345 Chesterfield Ave, Suite 301, Charleston, WV 25304-1064 |
| Sarah A Cuffee | Nurse Practitioner | Kanawha Nephrology, Inc. | 2345 Chesterfield Ave, Suite 301, Charleston, WV 25304-1064 |
| Megan E Hall | Nurse Practitioner | Kanawha Nephrology, Inc. | 2345 Chesterfield Ave, Suite 301, Charleston, WV 25304-1064 |
| Khan A Shabih | Nephrology | Kanawha Nephrology, Inc. | 2345 Chesterfield Ave, Suite 301, Charleston, WV 25304-1064 |
| James J Pettit Ii | Internal Medicine | Mountaineer Cardiology Pllc | 2345 Chesterfield Ave, Suite 302, Charleston, WV 25304-1064 |
| Julie Ann Haddy | Internal Medicine | Kanawha Nephrology, Inc. | 2345 Chesterfield Ave, Suite 301, Charleston, WV 25304-1064 |
| Glenn Robert Goldfarb | Neurology | 2345 Chesterfield Ave, Suite 303, Charleston, WV 25304-1064 | |
| Find all physicians in zip 25304 | |||
| City | CHARLESTON |
| Zip Code | 25304 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | CHARLESTON + GASTROENTEROLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.