Davis-Stuart, Inc.

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

186 Issued in WV

Legal business name

DAVIS-STUART, INC.

Practice address

RR 2 Box 188a
Lewisburg, WV 24901-9320

Phone

(304) 647-5577

Fax

(304) 647-5727

NPI assigned

Apr 17, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Mark A Spangler, MA, LPC

Title

Ex. Director

Phone

(304) 647-5577

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235354879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 2 BOX 188A",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "249019320",
            "telephone_number": "304-647-5577",
            "fax_number": "304-647-5727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 2 BOX 188A",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "249019320",
            "telephone_number": "304-647-5577",
            "fax_number": "304-647-5727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS-STUART, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SPANGLER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EX. DIRECTOR",
        "authorized_official_telephone_number": "304-647-5577",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "WV",
            "license": "186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0158860000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL SERVICES (WVDHHR)",
            "identifier": "30004935",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla Iris Cuadros, DO
• Maegan Culp, DO
• Deloris Ann Dahmer
• Justin C Darby
• Pammi Das, MBBS
• Davita of Greenbrier
• Patricia Lynn Deaver, GSW
• Izabella Lynn Defibaugh, RN
• Kimberly M Defibaugh
• Patricia Defibaugh

• Emotionally Disturbed Childrens' Residential Treatment Facility in Lewisburg, WV
• Providers in Lewisburg, WV by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.