Central WV Medcorp, Inc.

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

Legal business name

CENTRAL WV MEDCORP, INC.

Practice address

11 N Locust St
Buckhannon, WV 26201-2231

Phone

(304) 472-1600

Fax

(304) 472-6382

NPI assigned

Jul 13, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Rebecca Jean Hammer

Title

Cfo

Phone

(304) 637-3156

Specialties & licenses 9

Addresses

Other identifiers 7

Other names 1

• Buckhannon Medical Care Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Davis Memorial Hospital

  • Community/Retail Pharmacy
  • Elkins, WV
  • NPI 1003549643

  Member Of

  NPD member

Locations

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tad Gerlinger, M.D.

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Chicago, IL
  • NPI 1922097971
  NPD
• Amy D Clevenger, FNP

  • Family Nurse Practitioner
  • Elkins, WV
  • NPI 1609515972
  NPD (past)
• Jeffrey Burke Jackson, M.D.

  • Dermatopathology Physician
  • Elkins, WV
  • NPI 1780611590
  NPD (past)
• Holly S. Lee, PAC

  • Physician Assistant
  • Elkins, WV
  • NPI 1689673089
  NPD (past)
• Katherine Robbins

  • Family Nurse Practitioner
  • Elkins, WV
  • NPI 1093328692
  NPD (past)
• Robert A Rose, M.D.

  • Surgery Physician
  • Elkins, WV
  • NPI 1639180953

  Surgery

  NPD (past)
• Jina J Roy, APN, FNP-C

  • Family Nurse Practitioner
  • Buckhannon, WV
  • NPI 1912359969
  NPD (past)
• Andrew Alan Talkington, M.D.

  • Family Medicine Physician
  • Clarksburg, WV
  • NPI 1508969429

  Family Medicine

  NPD (past)
• Melanie D Vogt-McCloy, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Parkersburg, WV
  • NPI 1609532233
  NPD (past)
• Katelyn Winans, APRN-CNP

  • Family Nurse Practitioner
  • Elkins, WV
  • NPI 1598407595
  NPD (past)
• Jerry Roberts Abney Jr., OTR/L, CHT

  • Hand Occupational Therapist
  • Lexington, KY
  • NPI 1033132550
  NPD (past)
• Spencer F. Schuenman, D.O.

  • Orthopaedic Surgery Physician
  • Lehi, UT
  • NPI 1467484857

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320019200000",
    "number": "1275558017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2630",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262412630",
            "telephone_number": "304-637-3736",
            "fax_number": "304-637-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 N LOCUST ST",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "262012231",
            "telephone_number": "304-472-1600",
            "fax_number": "304-472-6382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL WV MEDCORP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2011-10-31",
        "status": "A",
        "authorized_official_last_name": "HAMMER",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "304-637-3156",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "WV",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "WV",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "WV",
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "WV",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810010990",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MT ST BCBS GROUP NUMBER",
            "identifier": "000897320",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOL FEDERAL BLACK LUNG PR",
            "identifier": "151585801",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MT ST BCBS PAC PAY TO #",
            "identifier": "001710531",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOL FEDERAL BLACK LUNG PR",
            "identifier": "020935300",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009078000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOL FEDERAL BLACK LUNG PR",
            "identifier": "020935302",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buckhannon Medical Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tamika Dawn Casto
• Central West Virginia Aging Services Inc (HMKR)
• Central West Virginia Aging Services, Inc.
• Central West Virginia Aging Services, Inc. (CM)
• Central WV Medcorp, Inc
• Jennifer Marie Champ
• Katie Rae Chapman
• Molly Chero, DPT
• Alicia Dawn Cherry
• Cheryl L. Bennett OD, PLLC

• All providers in Buckhannon, WV
• Geriatric Medicine (Internal Medicine) Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.