Charles L Werntz III, D.O.

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

1602 Issued in WV

Practice address

453 Van Voorhis Rd
Morgantown, WV 26505-3408

Phone

(304) 598-5119

Fax

(304) 598-5198

NPI assigned

Mar 8, 2006

Last updated

May 21, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Interoperability endpoints

• Direct secure messaging: charles.werntz.iii.1@7267.direct.athenahealth.com

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.

• Cabin Creek Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Dawes, WV
  • NPI 1366495525
  NPD (past)

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590019200000",
    "number": "1144297177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "473 DEVON RD",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265052205",
            "telephone_number": "304-602-2176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "453 VAN VOORHIS RD",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053408",
            "telephone_number": "304-598-5119",
            "fax_number": "304-598-5198"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5722 Cabin Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Dawes",
            "state": "WV",
            "postal_code": "250547700",
            "country_code": "US",
            "telephone_number": "304-595-5006",
            "fax_number": "304-595-5007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WERNTZ",
        "first_name": "CHARLES",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "WV",
            "license": "1602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1808433000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Welsh, RPH
• Jessica Welsh, APRN
• Deborah Ann Welter
• James Robert Welty, M.D.
• Rachael Jane Werner, MD/PHD
• Erik James Wesoloski
• West Virginia Choice
• West Virginia CVS Pharmacy LLC (Target Pharmacy)
• West Virginia CVS Pharmacy LLC (CVS Pharmacy# 10124)
• West Virginia CVS Pharmacy LLC (CVS Pharmacy 06280)

• Occupational Medicine Physician in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Occupational Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.