Active NPI
Camden-Clark Physician Corporation
- Emergency Medicine Physician
- Parkersburg, WV
National Provider Identifier
1295392140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- CAMDEN-CLARK PHYSICIAN CORPORATION
- Practice address
- 4 Rosemar Cir
Parkersburg, WV 26104-1219 - Phone
- (304) 865-5544
- Fax
- (304) 865-5545
- NPI assigned
- May 28, 2019
- Last updated
- Jun 24, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kyle Pierson
- Title
- Cfo/Authorized Official
- Phone
- (304) 424-2111
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary | ||
| Internal Medicine Physician | 207R00000X | |||
| Physician Assistant | 363A00000X | |||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
4 Rosemar Cir
Parkersburg, WV 26104-1219
Mailing address
PO Box 843
Morgantown, WV 26507-0843
Other practice location 1
26 Acme St
Marietta, OH 45750-3306
Phone (740) 374-4540
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 51D0235984 | Camden Clark Physician Corp Parkersburg | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Camden-Clark Physician Corporation
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Obstetrics & Gynecology Physician
- Parkersburg, WV
- NPI 1629899869
Locations
26 Acme St
Marietta, OH 45750
Phone (740) 374-4540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559001600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750723200000",
"number": "1295392140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 843",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265070843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 ROSEMAR CIR",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261041219",
"telephone_number": "304-865-5544",
"fax_number": "304-865-5545"
}
],
"practiceLocations": [
{
"address_1": "26 Acme St",
"address_purpose": "LOCATION",
"city": "Marietta",
"state": "OH",
"postal_code": "457503306",
"country_code": "US",
"telephone_number": "740-374-4540",
"fax_number": "740-374-3373",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CAMDEN-CLARK PHYSICIAN CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-28",
"last_updated": "2025-06-24",
"certification_date": "2025-06-24",
"status": "A",
"authorized_official_last_name": "PIERSON",
"authorized_official_first_name": "KYLE",
"authorized_official_title_or_position": "CFO/AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "304-424-2111"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Parkersburg, WV
- Camden Clark Memorial Hospital Corporation (Camden Clark Ambulance Service)
- Camden Clark Memorial Hospital Corporation
- Camden Clark Memorial Hospital Corporation
- Camden-Clark Memorial Hospital Corporation (Camden Clark Medical Center)
- Camden-Clark Memorial Hospital Corporation (Camden Clark Outpatient Pharmacy)
- Camden-Clark Physician Corporation
- Camden-Clark Physician Corporation
- Marsha Camp
- Keith Campbell
- Marshall Albert Campbell
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; 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.