Active NPI
Wetzel County Hospital Association
- Emergency Medicine Physician
- New Martinsville, WV
National Provider Identifier
1194753145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- WETZEL COUNTY HOSPITAL ASSOCIATION
- Practice address
- 3 E Benjamin Dr
New Martinsville, WV 26155-2705 - Phone
- (304) 455-8010
- Fax
- (304) 455-4259
- NPI assigned
- Jun 29, 2006
- Last updated
- Apr 8, 2020
- Organization subpart
- Yes
- Parent organization
- WETZEL COUNTY HOSPITAL ASSOCIATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Vincent T Greene
- Title
- Director of Operations
- Phone
- (304) 455-8195
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | |||
| Emergency Medicine Physician | 207P00000X | Primary | ||
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 207R00000X | |||
| Blood Banking & Transfusion Medicine Physician | 207ZB0001X | |||
| Cytopathology Physician | 207ZC0500X | |||
| Hematology (Pathology) Physician | 207ZH0000X | |||
| Immunopathology Physician | 207ZI0100X | |||
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | |||
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | |||
| Hospitalist Physician | 208M00000X | 95 | WV | |
| Certified Registered Nurse Anesthetist | 367500000X |
Addresses
Primary practice location
3 E Benjamin Dr
New Martinsville, WV 26155-2705
Mailing address
3 E Benjamin Dr
New Martinsville, WV 26155-2705
Phone (304) 455-8000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001709297 | Other | BC/BS ANCILLARY DR # | |
| 0001221001 | Medicaid | WV | |
| 9370345 | Medicaid | OH |
National Provider Directory
National Provider Directory- Part of
- Wetzel County Hospital Association
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- New Martinsville, WV
- NPI 1598833436
-
- Internal Medicine Physician
- Glen Dale, WV
- NPI 1467455915
Single Specialty
-
- Emergency Medicine Physician
- Sistersville, WV
- NPI 1720074768
-
- Internal Medicine Physician
- New Martinsville, WV
- NPI 1861447039
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1586304000000",
"number": "1194753145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 E BENJAMIN DR",
"city": "NEW MARTINSVILLE",
"state": "WV",
"postal_code": "261552705",
"telephone_number": "304-455-8000",
"fax_number": "304-455-4259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 E BENJAMIN DR",
"city": "NEW MARTINSVILLE",
"state": "WV",
"postal_code": "261552705",
"telephone_number": "304-455-8010",
"fax_number": "304-455-4259"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WETZEL COUNTY HOSPITAL ASSOCIATION",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WETZEL COUNTY HOSPITAL ASSOCIATION",
"enumeration_date": "2006-06-29",
"last_updated": "2020-04-08",
"certification_date": "2020-04-08",
"status": "A",
"authorized_official_last_name": "GREENE",
"authorized_official_first_name": "VINCENT",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "304-455-8195",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZB0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Blood Banking & Transfusion Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZC0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Cytopathology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZH0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Hematology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZI0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Immunopathology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZP0105X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Hospitalist",
"state": "WV",
"license": "95",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS ANCILLARY DR #",
"identifier": "001709297",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0001221001",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9370345",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Martinsville, WV
- Wetzel County Homecare
- Wetzel County Homecare, LLC (Wetzel County HomeCare)
- Wetzel County Hospital (Wetzel County Homecare)
- Wetzel County Hospital (Wetzel County Hospital Home Infusion Services)
- Wetzel County Hospital
- Wetzel County Hospital Association (New Martinsville Health Clinic)
- Wetzel County Hospital Association
- Wetzel County Hospital Association (Wetzel Primary Care)
- Wetzel County Hospital Association (Wetzel County Hospital Physicians)
- Wetzel County Hospital Association
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.