Individual provider Active NPI

Dathan Jobe, FNP-BC

  • Family Nurse Practitioner
  • Huntington, WV
National Provider Identifier
1235747106
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
107007 Issued in WV
Practice address
800 20TH St
Huntington, WV 25703-1850
Phone
(304) 696-8700
NPI assigned
Jul 16, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 107007 WV Primary

Addresses

Primary practice location

800 20TH St
Huntington, WV 25703-1850

Mailing address

800 20TH St
Huntington, WV 25703-1850
Phone (304) 696-8700

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dathan.jobe@marshall.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201112002243 WV Practitioner - Nurse Practitioner 1355751850 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

800 20TH St
Huntington, WV 25703-1850
Phone (304) 696-8700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC CurrentSince Nov 1, 2020 Accepting new patients
University Physicians & Surgeons, Inc Family Current Accepting new patients
University Physicians & Surgeons, Inc. CurrentSince Dec 7, 2020 Accepting new patients
University Physicians & Surgeons, Inc. CurrentSince Dec 7, 2020 Accepting new patients

Locations

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

1448 10th Ave
Ste 304
Huntington, WV 25701
Phone (304) 691-6381

1600 Medical Center Dr
Ste 3500
Huntington, WV 25701
Phone (304) 691-1300

1448 10th Ave
Ste 100
Huntington, WV 25701
Phone (304) 529-0753

800 20th St
Huntington, WV 25703
Phone (304) 696-8700

Interoperability endpoints

  • Direct secure messaging: dathan.jobe@marshall.cernerdirect.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1235747106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 20TH ST",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257031850",
            "telephone_number": "304-696-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 20TH ST",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257031850",
            "telephone_number": "304-696-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOBE",
        "first_name": "DATHAN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-16",
        "last_updated": "2021-11-23",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "107007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dathan.jobe@marshall.cernerdirect.com",
            "affiliation": "N",
            "address_1": "800 20th St",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257031850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.