Beth Bloom Emrick, M.D.

Primary specialty

Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X

License

24203 Issued in WV

Practice address

300 Corporate Center Dr.
Scott Depot, WV 25560

Phone

(304) 691-8901

Fax

(304) 691-1679

NPI assigned

Jul 27, 2007

Last updated

Nov 30, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Beth Erin Bloom Former name

Electronic endpoints 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: beth.emrick@marshall.cernerdirect.com

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.

• University Physicians & Surgeons, Inc

  • Internal Medicine Physician
  • Huntington, WV
  • NPI 1730183286

  Pediatrics

  Medicare reassignment NPD
• University Physicians & Surgeons, Inc.

  • Health & Wellness Coach
  • Louisa, KY
  • NPI 1073256665
  NPD
• Cabell Huntington Hospital Inc

  • Home Health Agency
  • Huntington, WV
  • NPI 1669558904
  NPD (past)

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1336339191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1448 10TH AVE STE 304",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CORPORATE CENTER DR.",
            "city": "SCOTT DEPOT",
            "state": "WV",
            "postal_code": "25560",
            "telephone_number": "304-691-8901",
            "fax_number": "304-691-1679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMRICK",
        "first_name": "BETH",
        "middle_name": "BLOOM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-27",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WV",
            "license": "24203",
            "primary": false
        },
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "WV",
            "license": "24203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "beth.emrick@marshall.cernerdirect.com",
            "affiliation": "N",
            "address_1": "300 Corporate Center Dr.",
            "city": "Scott Depot",
            "state": "WV",
            "country_code": "US",
            "postal_code": "25560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "BLOOM",
            "middle_name": "ERIN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• DRS Wilson and Martino of Teays Valley, PLLC
• Nancy K. Dunn, ED.D., APRN, BC, NP
• Amanda Stephens Dye, M.D.
• Daniel Eddy
• Deborah A Ellis, BS, ICCE
• Envirocair, Inc
• Allison Farley
• Angela Beth Ferguson, MD
• Lucy Fielder
• Tanna E Finney, BS, SC

• Developmental - Behavioral Pediatrics Physician in Scott Depot, WV
• Providers in Scott Depot, WV by specialty
• Developmental - Behavioral Pediatrics Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; 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.

Verify at the official NPI Registry.