NPIMap

Individual provider Active NPI

Carmen R Rexrode, MD

  • Family Medicine Physician
  • Franklin, WV
National Provider Identifier
1245204015
Registry record updated Mar 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
16860 Issued in WV
Practice address
314 Pine Street
Franklin, WV 26807
Phone
(304) 358-2355
NPI assigned
Feb 16, 2006
Last updated
Mar 17, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 16860 WV Primary

Addresses

Primary practice location

314 Pine Street
Franklin, WV 26807

Mailing address

PO Box 100
Franklin, WV 26807-0100
Phone (304) 358-2355

Other identifiers 2

IdentifierTypeStateIssuer
001718817OtherWVMS BCBS
0053317000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080408000038 WV Practitioner - Family Practice 5799862322 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia University School of Medicine, 1988
Medicare assignment
May accept Medicare assignment
Group practices
Pendleton Community Care IncGroup PAC ID 3678470614, shared by 9 NPIs, 11 clinicians

Practice addresses (Care Compare)

15 Mott St
Harman, WV 26270-0014
Phone (304) 227-4134

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Pendleton County Board of Health CurrentSince May 1, 1993 Accepting new patients
Pendleton Community Care, Inc. Current Accepting new patients
Pendleton Community Care, Inc. CurrentSince Apr 7, 2008 Accepting new patients
Pendleton Community Care Inc CurrentSince Jan 7, 2013 Accepting new patients
Pendleton Community Care Inc CurrentSince Apr 7, 2008 Accepting new patients
Pendleton Community Care, Inc. Past Accepting new patients
Pendleton Community Care Inc Past Accepting new patients
Pendleton Community Care, Inc. Past Accepting new patients
Pendleton Community Care, Inc Past Accepting new patients
Pendleton Manor Inc. Past Accepting new patients
Pendleton County Board of Health Past Accepting new patients
Radiological Physician Associates Inc Past Accepting new patients

Locations

15 Mott St
Harman, WV 26270
Phone (304) 227-4134

Interoperability endpoints

  • Direct secure messaging: carmen.rexrode.1@6719.direct.athenahealth.com
  • Direct secure messaging: crexrode2@yourcarecommunity.org

Organizations & group practices 12

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

Hospital & facility affiliations 4

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": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395014400000",
    "number": "1245204015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100",
            "city": "FRANKLIN",
            "state": "WV",
            "postal_code": "268070100",
            "telephone_number": "304-358-2355",
            "fax_number": "304-358-3054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 PINE STREET",
            "city": "FRANKLIN",
            "state": "WV",
            "postal_code": "26807",
            "telephone_number": "304-358-2355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REXRODE",
        "first_name": "CARMEN",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-16",
        "last_updated": "2014-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "16860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MS BCBS",
            "identifier": "001718817",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0053317000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, WV

Sources for this page

Verify at the official NPI Registry.