Active NPI
Amber E Knowlton, PA-C
- Physician Assistant
- Parkersburg, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1129
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810001816 | Medicaid | WV |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wirt County Health Services Association Inc | Current | Accepting new patients | |
| Wirt County Health Services Association, Inc | Current | Accepting new patients | |
| Wirt County Health Services Association, Inc | Current | 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.
-
dba Parkersburg Family Care
- Federally Qualified Health Center (FQHC)
- Parkersburg, WV
- NPI 1760733984
-
dba West Virginia University at Parkersburg Health and Wellness Center
- Federally Qualified Health Center (FQHC)
- Parkersburg, WV
- NPI 1497484091
-
dba RiverValley Health & Wellness Center
- Federally Qualified Health Center (FQHC)
- Ravenswood, WV
- NPI 1356403703
-
dba Wirt County School Wellness Center
- Federally Qualified Health Center (FQHC)
- Elizabeth, WV
- NPI 1518191923
-
dba Wirt County Family Care
- Federally Qualified Health Center (FQHC)
- Elizabeth, WV
- NPI 1538179411
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; 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.