Carlton L W Herald DO PC Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

1984 Issued in WV

Legal business name

CARLTON L W HERALD DO PC INC

Practice address

77 Hospital Dr
Suite 100
Logan, WV 25601-3451

Phone

(304) 831-2061

Fax

(304) 831-2063

NPI assigned

Jul 9, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Carlton W Herald

Title

Owner

Phone

(304) 831-2061

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013940196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1411",
            "city": "LOGAN",
            "state": "WV",
            "postal_code": "256011411",
            "telephone_number": "304-831-2061",
            "fax_number": "304-831-2063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 HOSPITAL DR",
            "address_2": "SUITE 100",
            "city": "LOGAN",
            "state": "WV",
            "postal_code": "256013451",
            "telephone_number": "304-831-2061",
            "fax_number": "304-831-2063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLTON L W HERALD DO PC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERALD",
        "authorized_official_first_name": "CARLTON",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-831-2061"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "1984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Stephen Campbell, M.S., SLP
• Melissa Campbell
• Brandi Nicole Canterbury, RN,BSN
• Kristy Rhyan Cantrell, PRSS-SUD
• Tyler Capua
• Samantha Marie Carter, FNP-C
• Leigh Ann Caserta
• Lisa Mae Casey
• Kirsten Chafin
• Courtney Danielle Chambers

• Internal Medicine Physician in Logan, WV
• Providers in Logan, WV by specialty
• Internal Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.