Individual provider Active NPI

Erika Anne Pallie, M.D.

  • Addiction Medicine (Family Medicine) Physician
  • Morgantown, WV
National Provider Identifier
1134144553
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
19248 Issued in WV
Practice address
2195 Cheat Rd
Morgantown, WV 26508-0022
Phone
(304) 400-6145
Fax
(304) 318-4584
NPI assigned
Jul 13, 2006
Last updated
Apr 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 19248 WV
Addiction Medicine (Family Medicine) Physician 207QA0401X 19248 WV Primary

Addresses

Primary practice location

2195 Cheat Rd
Morgantown, WV 26508-0022

Mailing address

2195 Cheat Rd
Morgantown, WV 26508-0022
Phone (304) 400-6145

Other practice location 1

900 Fairmont Rd
Westover, WV 26501-3847
Phone (304) 381-5381

Other practice location 2

859 Alderson St Fl 3
Williamson, WV 25661-3215
Phone (866) 860-9772

Other practice location 3

4701 MacCorkle Ave SE
Charleston, WV 25304-1950
Phone (304) 756-5804

Other identifiers 3

IdentifierTypeStateIssuer
1012399340001MedicaidPA
404265400MedicaidMD
0055354000MedicaidWV

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 Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Clarksburg Treatment Center, LLC Past Accepting new patients
West Virginia University Hospitals, Inc Past Accepting new patients

Organizations & group practices 2

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1134144553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2195 CHEAT RD",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265080022",
            "telephone_number": "304-400-6145",
            "fax_number": "304-284-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2195 CHEAT RD",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265080022",
            "telephone_number": "304-400-6145",
            "fax_number": "304-318-4584"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Fairmont Rd",
            "address_purpose": "LOCATION",
            "city": "Westover",
            "state": "WV",
            "postal_code": "265013847",
            "country_code": "US",
            "telephone_number": "304-381-5381",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "859 Alderson St Fl 3",
            "address_purpose": "LOCATION",
            "city": "Williamson",
            "state": "WV",
            "postal_code": "256613215",
            "country_code": "US",
            "telephone_number": "866-860-9772",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4701 MacCorkle Ave SE",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253041950",
            "country_code": "US",
            "telephone_number": "304-756-5804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALLIE",
        "first_name": "ERIKA",
        "middle_name": "ANNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "19248",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "WV",
            "license": "19248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1012399340001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "404265400",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0055354000",
            "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 Apr 22, 2024; 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.