Active NPI
New Century Emergency Physician of West Virginia Inc
- Emergency Medicine Physician
- Charleston, WV
National Provider Identifier
1154307205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- NEW CENTURY EMERGENCY PHYSICIAN OF WEST VIRGINIA INC
- Practice address
- 501 Morris St
Charleston, WV 25301-1326 - Phone
- (304) 388-7498
- NPI assigned
- Dec 21, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William A Cole Jr., MD
- Title
- Ceo
- Phone
- (800) 726-3627
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | WV | Primary | |
| Physician Assistant | 363A00000X | WV | ||
| Nurse Practitioner | 363L00000X | WV |
Addresses
Primary practice location
501 Morris St
Charleston, WV 25301-1326
Mailing address
4750 Hempstead Station Dr
Kettering, OH 45429-5164
Phone (800) 875-0136
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001709240 | Other | WV | WV BCBS (NP) |
| 150778000 | Other | WV | FECA |
| 150778000 | Other | WV | BLACK LUNG |
| 001769857 | Other | WV | WV BCBS (PA) |
| 0203138000 | Medicaid | WV | |
| 001709239 | Other | WV | WV BCBS (MD DO) |
| 150778000 | Other | WV | ENERGY |
| 3048973 | Medicaid | OH |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135123200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1284508800000",
"number": "1154307205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4750 HEMPSTEAD STATION DR",
"city": "KETTERING",
"state": "OH",
"postal_code": "454295164",
"telephone_number": "800-875-0136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 MORRIS ST",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253011326",
"telephone_number": "304-388-7498"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW CENTURY EMERGENCY PHYSICIAN OF WEST VIRGINIA INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-21",
"last_updated": "2010-09-15",
"status": "A",
"authorized_official_last_name": "COLE",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "800-726-3627",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": "WV",
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "WV",
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "WV",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WV BCBS (NP)",
"identifier": "001709240",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FECA",
"identifier": "150778000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLACK LUNG",
"identifier": "150778000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WV BCBS (PA)",
"identifier": "001769857",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0203138000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WV BCBS (MD DO)",
"identifier": "001709239",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ENERGY",
"identifier": "150778000",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3048973",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, WV
- Donn Edwin Neurman, RPH
- Neurological Associates, Inc.
- Neurological Associates, Inc.
- Neurology & Headache Clinic PLLC
- Nicholas John Nevins, PHARMD
- New Century Emergency Physician of West Virginia Inc
- New Century Emergency Physician of West Virginia Inc
- New Century Medical Observation Services of West Virginia, Inc
- Melissa New
- Crystal Newbold
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.