Steven K Jameson, DO
Individual provider Active NPI Family Medicine Physician · Union, WV
NPI 1124019880 · NPPES record last updated Feb 17, 2012
Key facts
- NPI
- 1124019880
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 1473 (WV)
- Practice address
- 200 Health Center Drive
Union, WV 24983-0000 - Phone
- (304) 772-3064
- Fax
- (304) 772-3296
- NPI assigned
- Nov 2, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- West Virginia School of Osteopathic Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Monroe County Health Center Board of Trustees
Practice addresses (Care Compare)
PO Box
Union, WV 24983
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WV, VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040407000158 | WV | Practitioner - Family Practice | 9739172511 | Reassigns benefits to 1 organization |
| I20111115000764 | VA | Practitioner - Family Practice | 9739172511 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1473 | WV | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monroe County Health Center Board of Trustees | Current |
Accepting new patients | |
| Monroe County Health Center Board of Trustees | Current |
Accepting new patients | |
| Monroe County Health Center Board of Trustees | Current |
Accepting new patients | |
| Monroe County Health Center | Past | Accepting new patients | |
| Wythville Management Consultants LLC, | Past | Accepting new patients |
Locations
226 Market St
New Castle, VA 24127
Phone (540) 863-6390
200 Health Center Dr
Union, WV 24983
Phone (304) 772-3064
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1473 | WV | Yes |
| Family Medicine Physician | 207Q00000X | 0102202969 | VA |
Addresses
Primary practice location
200 Health Center Drive
Union, WV 24983-0000
Mailing address
PO Box 590
Union, WV 24983-0590
Phone (304) 772-3064
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1039647 | Other | WV | W COMP |
| 000071943 | Other | WV | BC |
| 0054247000 | Medicaid | WV | |
| P00160909 | Other | WV | RR MCARE |
Other providers in Union, WV
- Ariel Holliday
- Jason L Howell
- Alexis Nycole Hunnicutt
- Crystal Lynn Williams Hurst
- James Monroe Wellness Center
- Elizabeth A Jennings
- Laura A Jewell
- Melissa Ruth Johnson
- Robin Lynn Johnson
- Katherine L Kilcollin, DDS PLLC
All providers in Union, WV · Family Medicine Physician in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 17, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.