Active NPI
Dan Steven Sharp, M.D.
- Public Health & General Preventive Medicine Physician
- Morgantown, WV
National Provider Identifier
1235409319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- License
- G35736
- Practice address
- 1095 Willowdale Rd
Ms4020
Morgantown, WV 26505-2845 - Phone
- (304) 285-6260
- Fax
- (304) 285-6126
- NPI assigned
- Jan 6, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | G35736 | CA | Primary |
Addresses
Primary practice location
1095 Willowdale Rd
Ms4020
Morgantown, WV 26505-2845
Mailing address
1095 Willowdale Rd
Ms4020
Morgantown, WV 26505-2845
Phone (304) 285-6260
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G35736 | CA | MD | Public Health & General Preventive Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325808000000",
"number": "1235409319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1095 WILLOWDALE RD",
"address_2": "MS4020",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265052845",
"telephone_number": "304-285-6260",
"fax_number": "304-285-6126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1095 WILLOWDALE RD",
"address_2": "MS4020",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265052845",
"telephone_number": "304-285-6260",
"fax_number": "304-285-6126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARP",
"first_name": "DAN",
"middle_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-01-06",
"last_updated": "2012-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "CA",
"license": "G35736",
"primary": true
}
],
"identifiers": [],
"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 Jan 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.