Organization Active NPI

Advantage Health & Wellness PLLC

  • Chiropractor
  • Morgantown, WV
National Provider Identifier
1083943484
Registry record updated Nov 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
769 Issued in WV
Legal business name
ADVANTAGE HEALTH & WELLNESS PLLC
Practice address
699 Burroughs St
Morgantown, WV 26505-3361
Phone
(304) 225-9355
Fax
(304) 225-9358
NPI assigned
Dec 14, 2009
Last updated
Nov 1, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2010

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

Authorized official

Name
Dr. Kevin D Trembush, DCNPI 1366542599
Title
Owner/Operator
Phone
(304) 225-9355

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 769 WV Primary
Physical Therapist 225100000X 2330 WV

Addresses

Primary practice location

699 Burroughs St
Morgantown, WV 26505-3361

Mailing address

699 Burroughs St
Morgantown, WV 26505-3361
Phone (304) 225-9355

Other identifiers 7

IdentifierTypeStateIssuer
3810003266MedicaidWV
7254278OtherWVAETNA
5642046OtherWVFIRST HEALTH
6371820001OtherCIGNA GOVERNMENT SERVICES
P00337891OtherWVRAIL ROAD MEDICARE
271821OtherWVCARELINK
11451727OtherWVCAQH

National Provider Directory

National Provider Directory

Locations

669 Burroughs St
Morgantown, WV 26505
Phone (304) 225-9355

699 Burroughs St
Morgantown, WV 26505
Phone (304) 225-9355

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1260748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288569600000",
    "number": "1083943484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "699 BURROUGHS ST",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053361",
            "telephone_number": "304-225-9355",
            "fax_number": "304-225-9358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 BURROUGHS ST",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053361",
            "telephone_number": "304-225-9355",
            "fax_number": "304-225-9358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE HEALTH & WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-14",
        "last_updated": "2010-11-01",
        "status": "A",
        "authorized_official_last_name": "TREMBUSH",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "304-225-9355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "769",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "2330",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810003266",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7254278",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "5642046",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA GOVERNMENT SERVICES",
            "identifier": "6371820001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00337891",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARELINK",
            "identifier": "271821",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11451727",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; 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.