Active NPI
Erika Anne Pallie, M.D.
- Addiction Medicine (Family Medicine) Physician
- Morgantown, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Family Medicine) Physician
- License
- 19248
- 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, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1012399340001 | Medicaid | PA | |
| 404265400 | Medicaid | MD | |
| 0055354000 | Medicaid | WV |
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
| Organization | Specialty | Status | New 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Clarksburg, WV
- NPI 1013029156
-
dba WVUH Professional Group
- Emergency Medicine Physician
- Morgantown, WV
- NPI 1740763952
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.