Individual provider Active NPI

Amber E Knowlton, PA-C

  • Physician Assistant
  • Parkersburg, WV
National Provider Identifier
1306840228
Registry record updated Mar 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1129 Issued in WV
Practice address
2311 Ohio Ave
Suite a
Parkersburg, WV 26101-2559
Phone
(304) 422-5114
Fax
(304) 422-5751
NPI assigned
Jun 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1129 WV Primary

Addresses

Primary practice location

2311 Ohio Ave
Suite a
Parkersburg, WV 26101-2559

Mailing address

2311 Ohio Ave
Suite a
Parkersburg, WV 26101-2559
Phone (304) 422-5114

Other identifiers 1

IdentifierTypeStateIssuer
3810001816MedicaidWV

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050209000027 WV Practitioner - Physician Assistant 5294786000 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wirt County Health Services Association Inc CurrentSince Feb 17, 2016 Accepting new patients
Wirt County Health Services Association, Inc Current Accepting new patients
Wirt County Health Services Association, Inc CurrentSince Feb 17, 2016 Accepting new patients
Wirt County Health Services Association, Inc Current Accepting new patients

Locations

2610 Camden Ave
Parkersburg, WV 26101
Phone (304) 428-1161

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490054400000",
    "number": "1306840228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 OHIO AVE",
            "address_2": "SUITE A",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261012559",
            "telephone_number": "304-422-5114",
            "fax_number": "304-422-5751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 OHIO AVE",
            "address_2": "SUITE A",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261012559",
            "telephone_number": "304-422-5114",
            "fax_number": "304-422-5751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOWLTON",
        "first_name": "AMBER",
        "middle_name": "E",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-09",
        "last_updated": "2017-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "1129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810001816",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkersburg, WV

Sources for this page

Verify at the official NPI Registry.