Active NPI
Tiffany Aeling, PA
- Physician Assistant
- Huntington, WV
National Provider Identifier
1275017402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- TC755
- Practice address
- 3 Stonecrest Dr
Huntington, WV 25701-9392 - Phone
- (304) 522-6388
- Fax
- (304) 522-8040
- NPI assigned
- Sep 24, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
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.
-
- Obstetrics & Gynecology Physician
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- NPI 1184699415
Physician Assistant, WV
-
- Federally Qualified Health Center (FQHC)
- Huntington, WV
- NPI 1366897720
WV
-
- Clinical Medical Laboratory
- Huntington, WV
- NPI 1023083854
-
- Federally Qualified Health Center (FQHC)
- Hurricane, WV
- NPI 1225154206
-
- Federally Qualified Health Center (FQHC)
- Ona, WV
- NPI 1417923236
-
- Federally Qualified Health Center (FQHC)
- Huntington, WV
- NPI 1508720913
-
- Family Medicine Physician
- Milton, WV
- NPI 1891775557
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200617003371 | WV | Practitioner - Physician Assistant | 0143572214 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TC755 | KY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Health Systems, Inc. | Current | Accepting new patients | |
| Valley Health Systems Inc | Current | Accepting new patients | |
| Valley Health Systems Inc | Current | Accepting new patients | |
| Valley Health Systems Inc | Current | Accepting new patients | |
| Valley Health Systems, Inc. | Current | Accepting new patients | |
| Valley Health Systems Inc | Physician Assistant | Current | Accepting new patients |
| Valley Health Systems Inc | Past | Accepting new patients |
Locations
3 Stonecrest Dr
Huntington, WV 25701
Phone (304) 522-6388
2585 3rd Ave
Huntington, WV 25703
Phone (304) 697-1396
Interoperability endpoints
- taeling20448@valleyhealthsystems.direct-ci.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | TC755 | KY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3 Stonecrest Dr
Huntington, WV 25701-9392
Mailing address
2585 3Rd Ave
Huntington, WV 25703-1642
Phone (304) 697-1396
Other practice location 1
2585 3rd Ave
Huntington, WV 25703-1642
Phone (304) 697-1396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 12, 2020.
{
"created_epoch": "1537747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605139200000",
"number": "1275017402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2585 3RD AVE",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257031642",
"telephone_number": "304-697-1396",
"fax_number": "304-697-2086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 STONECREST DR",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257019392",
"telephone_number": "304-522-6388",
"fax_number": "304-522-8040"
}
],
"practiceLocations": [
{
"address_1": "2585 3rd Ave",
"address_purpose": "LOCATION",
"city": "Huntington",
"state": "WV",
"postal_code": "257031642",
"country_code": "US",
"telephone_number": "304-697-1396",
"fax_number": "304-697-2086",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AELING",
"first_name": "TIFFANY",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-24",
"last_updated": "2020-11-12",
"certification_date": "2020-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KY",
"license": "TC755",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntington, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; 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.