Beth Bloom Emrick, M.D.
Individual provider Active NPI Developmental - Behavioral Pediatrics Physician · Scott Depot, WV
NPI 1336339191 · NPPES record last updated Nov 30, 2021
Key facts
- NPI
- 1336339191
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental - Behavioral Pediatrics Physician 2080P0006X
- License
- 24203 (WV)
- Practice address
- 300 Corporate Center Dr.
Scott Depot, WV 25560 - Phone
- (304) 691-8901
- Fax
- (304) 691-1679
- NPI assigned
- Jul 27, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130905000864 | WV | Practitioner - Pediatric Medicine | 4385887660 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physicians & Surgeons, Inc | Pediatrics | Current |
Accepting new patients |
| University Physicians & Surgeons, Inc. | Current |
Accepting new patients | |
| Cabell Huntington Hospital Inc | Past |
Accepting new patients |
Locations
3200 Maccorkle Ave SE
#C
Charleston, WV 25304
Phone (304) 347-1336
1600 Medical Center Dr
Ste 3500
Huntington, WV 25701
Phone (304) 691-1300
1448 10th Ave
Ste 304
Huntington, WV 25701
Phone (304) 691-6381
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 24203 | WV | |
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | 24203 | WV | Yes |
Addresses
Primary practice location
300 Corporate Center Dr.
Scott Depot, WV 25560
Mailing address
1448 10TH Ave Ste 304
Huntington, WV 25701-3579
Other names
- Dr. Beth Erin Bloom
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | beth.emrick@marshall.cernerdirect.com |
Other providers in Scott Depot, WV
- DRS Wilson and Martino of Teays Valley, PLLC
- Nancy K. Dunn
- Amanda Stephens Dye
- Daniel Eddy
- Deborah A Ellis
- Envirocair, Inc
- Allison Farley
- Angela Beth Ferguson
- Lucy Fielder
- Tanna E Finney
All providers in Scott Depot, WV · Developmental - Behavioral Pediatrics Physician in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.