David L Withers II, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

01146 Issued in WV

Practice address

2 Stonecrest Drive
Huntington, WV 25701-9391

Phone

(304) 525-2273

Fax

(304) 525-2165

NPI assigned

Dec 5, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Electronic endpoints 3

Medicare fee-for-service enrollment

Enrolled in WV, OH2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Premier Therapy and Health Centers IncGroup PAC ID 7416859574, shared by 6 NPIs, 263 clinicians

University Physicians and Surgeons, IncGroup PAC ID 2961315734, 379 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cabell Huntington Hospital, Inc Hospital, Huntington, WV, CCN 510055
• St Marys Medical Center Hospital, Huntington, WV, CCN 510007

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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

• University Physicians & Surgeons, Inc

  • Internal Medicine Physician
  • Huntington, WV
  • NPI 1730183286

  OH, Physician Assistant

  Medicare reassignment Care Compare group NPD
• Occumed, LLC

  • Urgent Care Clinic/Center
  • Huntington, WV
  • NPI 1639289937
  Medicare reassignment
• University Physicians & Surgeons, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Huntington, WV
  • NPI 1124594486
  NPD
• University Physicians & Surgeons, Inc.

  • Anatomic Pathology & Clinical Pathology Physician
  • Huntington, WV
  • NPI 1144224775
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cabell Huntington Hospital Inc

  • General Acute Care Hospital
  • Huntington, WV
  • NPI 1073518007
  Care Compare affiliation
• St. Mary'S Medical Center Inc

  • General Acute Care Hospital
  • Huntington, WV
  • NPI 1164492195
  Care Compare affiliation

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1124002068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 STONECREST DRIVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257019391",
            "telephone_number": "304-525-2273",
            "fax_number": "304-525-2165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 STONECREST DRIVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257019391",
            "telephone_number": "304-525-2273",
            "fax_number": "304-525-2165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Meadow Pointe",
            "address_2": "CHH Family Medical Center at Merritts Creek",
            "address_purpose": "LOCATION",
            "city": "Barboursville",
            "state": "WV",
            "postal_code": "25504",
            "country_code": "US",
            "telephone_number": "304-399-2990",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3109 Teays Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Hurricane",
            "state": "WV",
            "postal_code": "255261318",
            "country_code": "US",
            "telephone_number": "304-562-2002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "750 Oak St",
            "address_purpose": "LOCATION",
            "city": "Kenova",
            "state": "WV",
            "postal_code": "255301517",
            "country_code": "US",
            "telephone_number": "304-453-6136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WITHERS",
        "first_name": "DAVID",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "01146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0080133",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124002068",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN FOR OCCUMED, LLC",
            "identifier": "WV0029A",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100120810",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "david.withers@direct.chhi.org",
            "affiliation": "N",
            "address_1": "3109 Teays Valley Rd",
            "city": "Hurricane",
            "state": "WV",
            "country_code": "US",
            "postal_code": "255261318",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "david.withers@direct.chhi.org",
            "affiliation": "N",
            "address_1": "100 Meadow Pointe",
            "address_2": "CHH Family Medical Center at Merritts Creek",
            "city": "Barboursville",
            "state": "WV",
            "country_code": "US",
            "postal_code": "25504",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "david.withers@direct.chhi.org",
            "affiliation": "N",
            "address_1": "750 Oak St",
            "city": "Kenova",
            "state": "WV",
            "country_code": "US",
            "postal_code": "255301517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amoria Wise
• Mary Moore Wise, ARNP
• Shauna Wise
• Hope Wisecup
• Rochelle Dawn Wiseman, MACCCSLP
• Tiffany Nichole Withers, PHARM.D., RPH, BCGP
• Gregory Withrow
• Latasha N Woford
• Janet R Wolcott, PHARM.D.
• Solomon Woldentensay, MD

• Physician Assistant in Huntington, WV
• Providers in Huntington, WV by specialty
• Physician Assistant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.