Jennifer M Duvall (NPI# 1619991163, PAC ID# 8527243625) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1619991163 |
| PAC ID by PECOS | 8527243625 |
| Professional Enrollment ID | I20110505000500 |
| Full Name | Jennifer M Duvall |
| Organization Legal Name | BROADDUS HOSPITAL ASSOCIATION INC |
| Address |
6 Healthcare Dr Philippi WV 26416-9406 |
| Phone Number | 3044571522 |
| Gender | F |
| Graduation Year | 2006 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5991692832 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 511300 | BROADDUS HOSPITAL ASSOCIATION, INC |
| 510030 | DAVIS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1 Healthcare Dr, Philippi, WV 26416-9405 | 3044571760 | BROADDUS HOSPITAL ASSOCIATION INC |
| 6 Healthcare Dr, Philippi, WV 26416-9406 | 3044571522 | BROADDUS HOSPITAL ASSOCIATION INC |
| 6 Healthcare Dr, Suite 2, Philippi, WV 26416-9406 | 3044571522 | BROADDUS HOSPITAL ASSOCIATION INC |
| Rt 119s Mansfield Hill, Philippi, WV 26416 | 3044571760 | BROADDUS HOSPITAL ASSOCIATION INC |
| Organization Legal Name | BROADDUS HOSPITAL ASSOCIATION INC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eddie E Anderson | Family Practice | Broaddus Hospital Association Inc | Rt 119s Mansfield Hill, Philippi, WV 26416 |
| William E Kelley Jr. | Emergency Medicine | Broaddus Hospital Association Inc | 1 Healthcare Dr, Philippi, WV 26416-9405 |
| Randall Turner | Emergency Medicine | Broaddus Hospital Association Inc | 1 Healthcare Dr, Philippi, WV 26416-9405 |
| Patrick F O Donnell | Family Medicine | Broaddus Hospital Association Inc | 1 Healthcare Dr, Philippi, WV 26416-9405 |
| Peter Baltusnik | Emergency Medicine | Broaddus Hospital Association Inc | 1 Healthcare Dr, Philippi, WV 26416-9405 |
| Alice Jody Ackerman | Family Medicine | Broaddus Hospital Association Inc | 1 Healthcare Dr, Philippi, WV 26416-9405 |
| Frank Matthew Abraham | Internal Medicine | Broaddus Hospital Association Inc | 1 Healthcare Dr, Philippi, WV 26416-9405 |
| Street Address |
6 HEALTHCARE DR |
| City | PHILIPPI |
| State | WV |
| Zip | 26416-9406 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathleen O Maxfield | Vascular Surgery | Frisbie Memorial Hospital | 6 Healthcare Dr, Suite 1, Rochester, NH 03867-4499 |
| Christine P Albert | Clinical Social Worker | Frisbie Memorial Hospital | 6 Healthcare Dr, Suite 2, Rochester, NH 03867-4499 |
| Deborah A Harrigan | Family Medicine | Frisbie Memorial Hospital | 6 Healthcare Dr, Suite 2, Rochester, NH 03867-4499 |
| Alexandra Roberts | Nurse Practitioner | Frisbie Memorial Hospital | 6 Healthcare Dr, Suite 2, Rochester, NH 03867-4499 |
| Gregory G Rosic | Internal Medicine | Frisbie Memorial Hospital | 6 Healthcare Dr, Suite 2, Rochester, NH 03867-4499 |
| Kendra Cline | Nurse Practitioner | Frisbie Memorial Hospital | 6 Healthcare Dr, Suite 1, Rochester, NH 03867-4499 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eddie E Anderson | Family Practice | Broaddus Hospital Association Inc | Rt 119s Mansfield Hill, Philippi, WV 26416 |
| Toni B Goodykoontz | Psychiatry | 109 Wabash Ave, Philippi, WV 26416-0019 | |
| Gary N Baker Jr. | Chiropractic | 206 S Main St, Philippi, WV 26416-1239 | |
| Michael P Holliday | Physical Therapy | 22 Columbia St, Philippi, WV 26416-1620 | |
| Lauren J Tomes | Family Medicine | United Physicians Care Inc | 14032 Barbour County Hwy, Philippi, WV 26416-7665 |
| Cecil T Holbert | Family Medicine | Belington Community Medical Services Association, Inc. | 3 Healthcare Dr, Philippi, WV 26416-9405 |
| William E Kelley Jr. | Emergency Medicine | Broaddus Hospital Association Inc | 1 Healthcare Dr, Philippi, WV 26416-9405 |
| Jessica E Weiner | Physician Assistant | Belington Community Medical Services Association, Inc. | 3 Healthcare Dr, Philippi, WV 26416-9405 |
| Randall Turner | Emergency Medicine | Broaddus Hospital Association Inc | 1 Healthcare Dr, Philippi, WV 26416-9405 |
| Jamie L Pingley | Physician Assistant | Belington Community Medical Services Association, Inc. | 3 Healthcare Dr, Philippi, WV 26416-9405 |
| Find all physicians in zip 26416 | |||
| City | PHILIPPI |
| Zip Code | 26416 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | PHILIPPI + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jennifer M Duvall.
| 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.