Organization Active NPI

Camden-Clark Physician Corporation

  • Emergency Medicine Physician
  • Parkersburg, WV
National Provider Identifier
1295392140
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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 NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
51D0235984Camden Clark Physician Corp Parkersburg4 Rosemar Circle, Parkersburg, WV 26104Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Camden-Clark Physician Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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

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.

Verify at the official NPI Registry.