Active NPI
Ned A Hess Jr., PAC
- Physician Assistant
- Shinnston, WV
National Provider Identifier
1265493100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 01022
- Practice address
- 1 Columbia Rd
Shinnston, WV 26431-1016 - Phone
- (304) 366-0700
- Fax
- (304) 366-9529
- NPI assigned
- Mar 30, 2006
- Last updated
- Aug 11, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 01022 | WV | Primary |
Addresses
Primary practice location
1 Columbia Rd
Shinnston, WV 26431-1016
Mailing address
1322 Locust Ave
PO Box 1112
Fairmont, WV 26554
Phone (304) 366-0700
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FQ01022 | Other | WV | HEALTH PLAN |
| 001718678 | Other | WV | MT STATE BC/BS |
| Q02922 | Other | WV | WV WORKER'S COMP |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 736 | WV | MD | Clinical Psychologist |
| 01022 | WV | MD | Physician Assistant |
Organizations & group practices 1
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.
-
- General Practice Physician
- Bridgeport, WV
- NPI 1912142001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313020800000",
"number": "1265493100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1322 LOCUST AVE",
"address_2": "PO BOX 1112",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "26554",
"telephone_number": "304-366-0700",
"fax_number": "304-366-9529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 COLUMBIA RD",
"city": "SHINNSTON",
"state": "WV",
"postal_code": "264311016",
"telephone_number": "304-366-0700",
"fax_number": "304-366-9529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HESS",
"first_name": "NED",
"middle_name": "A",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-30",
"last_updated": "2011-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WV",
"license": "01022",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLAN",
"identifier": "FQ01022",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MT STATE BC/BS",
"identifier": "001718678",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WV WORKER'S COMP",
"identifier": "Q02922",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shinnston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.