Individual provider Active NPI

Edmond Pasternak III, DO

  • Emergency Medicine Physician
  • Belpre, OH
National Provider Identifier
1033157631
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
34006231 Issued in OH
Practice address
799 Farson St Emergency Dept
Belpre, OH 45714-1044
Phone
(740) 401-1150
Fax
(740) 401-1155
NPI assigned
Jun 3, 2006
Last updated
Jan 27, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 34006231 OH Primary
Emergency Medicine Physician 207P00000X 1651 WV

Addresses

Primary practice location

799 Farson St Emergency Dept
Belpre, OH 45714-1044

Mailing address

PO Box 75113
Baltimore, MD 21275-5113
Phone (304) 422-1666

Other practice location 1

800 Garfield Ave
Parkersburg, WV 26101-5340
Phone (304) 424-2111

Other practice location 2

401 Matthew ST Emergency Dept
Marietta, OH 45750-1635
Phone (740) 376-1939

Other practice location 3

800 Pike St Ste 2
Marietta, OH 45750-3507
Phone (740) 373-3960

Other practice location 4

1006 Washington Blvd Ste G
Belpre, OH 45714-4005
Phone (740) 423-3240

Other practice location 5

1106 Colegate Dr
Marietta, OH 45750-1323
Phone (740) 374-7700

Electronic endpoints 5

TypeEndpointUseAffiliation
Direct Messaging Address emergency.providers@mmhs.medicity.net
Direct Messaging Address emergency.providers@mmhs.medicity.net
Direct Messaging Address emergency.providers@mmhs.medicity.net
Direct Messaging Address emergency.providers@mmhs.medicity.net
Direct Messaging Address emergency.providers@mmhs.medicity.net

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
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
1651WVMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bestpractices of West Virginia, Inc. Emergency Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: edmond.pasternak@mmhs.medicity.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1033157631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 75113",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212755113",
            "telephone_number": "304-422-1666",
            "fax_number": "904-346-0113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 FARSON ST EMERGENCY DEPT",
            "city": "BELPRE",
            "state": "OH",
            "postal_code": "457141044",
            "telephone_number": "740-401-1150",
            "fax_number": "740-401-1155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Garfield Ave",
            "address_purpose": "LOCATION",
            "city": "Parkersburg",
            "state": "WV",
            "postal_code": "261015340",
            "country_code": "US",
            "telephone_number": "304-424-2111",
            "fax_number": "904-346-0113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 Matthew ST Emergency Dept",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "OH",
            "postal_code": "457501635",
            "country_code": "US",
            "telephone_number": "740-376-1939",
            "fax_number": "740-374-1693",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Pike St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "OH",
            "postal_code": "457503507",
            "country_code": "US",
            "telephone_number": "740-373-3960",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1006 Washington Blvd Ste G",
            "address_purpose": "LOCATION",
            "city": "Belpre",
            "state": "OH",
            "postal_code": "457144005",
            "country_code": "US",
            "telephone_number": "740-423-3240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1106 Colegate Dr",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "OH",
            "postal_code": "457501323",
            "country_code": "US",
            "telephone_number": "740-374-7700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PASTERNAK",
        "first_name": "EDMOND",
        "name_suffix": "III",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34006231",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "1651",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emergency.providers@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "401 Matthew ST Emergency Dept",
            "city": "Marietta",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457501635",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emergency.providers@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "799 Farson ST Emergency Dept",
            "city": "Belpre",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457141044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emergency.providers@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "1006 Washington Blvd Ste G",
            "city": "Belpre",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457144005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emergency.providers@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "800 Pike St Ste 2",
            "city": "Marietta",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457503507",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emergency.providers@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "1106 Colegate Dr",
            "city": "Marietta",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457501323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Belpre, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.