Active NPI
Sherry Lynn Persinger, PA
- Physician Assistant
- Charleston, WV
National Provider Identifier
1003876897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 00198
- Practice address
- 1003 Oakhurst Dr.
Charleston, WV 25314 - Phone
- (304) 345-4525
- Fax
- (304) 345-4527
- NPI assigned
- Mar 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 00198 | WV | Primary |
Addresses
Primary practice location
1003 Oakhurst Dr.
Charleston, WV 25314
Mailing address
1003 Oakhurst Drvie
Charleston, WV 25314
Phone (304) 345-4525
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00198 | WV | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323129600000",
"number": "1003876897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1003 OAKHURST DRVIE",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "25314",
"telephone_number": "304-345-4525",
"fax_number": "304-345-4527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1003 OAKHURST DR.",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "25314",
"telephone_number": "304-345-4525",
"fax_number": "304-345-4527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERSINGER",
"first_name": "SHERRY",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-24",
"last_updated": "2011-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WV",
"license": "00198",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.