NPIMap

Individual provider Active NPI

Tasha Marie Elswick, PA-C

  • Physician Assistant
  • Winfield, WV
National Provider Identifier
1356307243
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
01024 Issued in WV
Practice address
192 Baker Dr
Winfield, WV 25213-9464
Phone
(304) 720-3555
NPI assigned
Apr 21, 2006
Last updated
Jan 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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 01024 WV Primary

Addresses

Primary practice location

192 Baker Dr
Winfield, WV 25213-9464

Mailing address

192 Baker Dr
Winfield, WV 25213-9464

Other names 1

  • Miss Tasha Lopez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040225001213 WV Practitioner - Physician Assistant 9234025297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1836 Harper Rd
Beckley, WV 25801-3366
Phone (304) 250-0200

1838 Harper Rd
Beckley, WV 25801-3366
Phone (304) 388-9337

1844 Harper Rd
Beckley, WV 25801-3366

3200 Maccorkle Ave SE
Charleston, WV 25304-1227
Phone (304) 388-5432

3948 Teays Valley Rd
Hurricane, WV 25526-8728

400 Association Dr
Suite 102
Charleston, WV 25311-1298

4610 Maccorkle Ave SW
Suite 301
South Charleston, WV 25309-1312
Phone (304) 720-8701

501 Morris St
Charleston, WV 25301-1326
Phone (304) 388-5432

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1024WVMDClinical Neuropsychologist
01024WVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Area Medical Center Inc CurrentSince Nov 1, 2024 Accepting new patients
Charleston Area Medical Center, Inc. CurrentSince Nov 1, 2024 Accepting new patients

Locations

400 Association Dr
Ste 102
Charleston, WV 25311
Phone (304) 388-1762

415 Morris St
Ste 400
Charleston, WV 25301
Phone (304) 344-3551

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

Organizations & group practices 3

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1356307243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 BAKER DR",
            "city": "WINFIELD",
            "state": "WV",
            "postal_code": "252139464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 BAKER DR",
            "city": "WINFIELD",
            "state": "WV",
            "postal_code": "252139464",
            "telephone_number": "304-720-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSWICK",
        "first_name": "TASHA",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-21",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "01024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TASHA",
            "last_name": "LOPEZ",
            "prefix": "MISS",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Winfield, WV

Sources for this page

Verify at the official NPI Registry.