Individual provider Active NPI

David Ralph Ferrell, MD

  • Family Medicine Physician
  • Vienna, WV
National Provider Identifier
1376542290
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
19776 Issued in WV
Practice address
1500 Grand Central Ave
Ste 115
Vienna, WV 26105-1079
Phone
(304) 295-2311
NPI assigned
Jul 21, 2005
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 19776 WV Primary
Family Medicine Physician 207Q00000X 35076392 OH
Emergency Medicine Physician 207P00000X 19776 WV

Addresses

Primary practice location

1500 Grand Central Ave
Ste 115
Vienna, WV 26105-1079

Mailing address

1500 Grand Central Ave
Ste 115
Vienna, WV 26105-1079
Phone (304) 295-2311

Other identifiers 1

IdentifierTypeStateIssuer
1802554000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, PA, FL, VA, MD, TN, DE, NJ, IN, MI, AR, OK, MA, IL, MN, TX16 enrollments
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 16

Enrollment IDStateProvider typePAC IDDetails
I20060404000426 WV Practitioner - Family Practice 0345255311
I20070727000225 PA Practitioner - Emergency Medicine 0345255311 Reassigns benefits to 1 organization
I20110929000611 FL Practitioner - Family Practice 0345255311 Reassigns benefits to 2 organizations
I20111123000601 VA Practitioner - Family Practice 0345255311 Reassigns benefits to 1 organization
I20120109000110 MD Practitioner - Family Practice 0345255311 Reassigns benefits to 1 organization
I20120611000676 TN Practitioner - Family Practice 0345255311 Reassigns benefits to 1 organization
I20120809000339 DE Practitioner - Family Practice 0345255311 Reassigns benefits to 1 organization
I20121022000098 NJ Practitioner - Family Practice 0345255311
I20130523000657 IN Practitioner - Family Practice 0345255311
I20140429001500 MI Practitioner - Family Practice 0345255311
I20140702001908 AR Practitioner - Family Practice 0345255311 Reassigns benefits to 1 organization
I20150527002082 OK Practitioner - Family Practice 0345255311
I20150626000806 MA Practitioner - Family Practice 0345255311 Reassigns benefits to 1 organization
I20160328001436 IL Practitioner - Family Practice 0345255311
I20160504002032 MN Practitioner - Family Practice 0345255311
I20171024001326 TX Practitioner - Family Practice 0345255311 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19776WVMDEmergency Medicine Physician
35076392OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medexpress Urgent Care, PC - Tennessee CurrentSince Sep 26, 2018 Accepting new patients
Dwic of Tampa Bay, Inc. CurrentSince Aug 20, 2011 Accepting new patients
Medexpress Urgent Care Arkansas, P.a. Emergency Medicine CurrentSince Dec 19, 2013 Accepting new patients
Medexpress Urgent Care, PC - Maryland Emergency Medicine CurrentSince Jan 1, 2012 Accepting new patients
Medexpress Urgent Care Texas, P.a. Emergency Medicine Current Accepting new patients
Medexpress Urgent Care, PC - Virginia Emergency Medicine CurrentSince Nov 1, 2011 Accepting new patients
Medexpress Urgent Care, PC - Virginia Emergency Medicine CurrentSince Nov 1, 2011 Accepting new patients
Medexpress Urgent Care of Boynton Beach, LLC CurrentSince Sep 15, 2011 Accepting new patients
Medexpress, Inc - Delaware Family Medicine Current Accepting new patients
Medexpress, Inc - Delaware Family Medicine CurrentSince Jul 1, 2012 Accepting new patients
Medexpress Urgent Care of Boynton Beach, LLC CurrentSince Sep 15, 2011 Accepting new patients
Medexpress Urgent Care, PC - Massachusetts Emergency Medicine CurrentSince Jul 15, 2015 Accepting new patients
Medexpress Urgent Care, PC - Maryland Emergency Medicine CurrentSince Jan 1, 2012 Accepting new patients
Medexpress Urgent Care, PC - Massachusetts Emergency Medicine CurrentSince Jun 17, 2015 Accepting new patients
Medexpress Urgent Care Arkansas, P.a. Emergency Medicine CurrentSince Jul 9, 2014 Accepting new patients
Dwic of Tampa Bay, Inc CurrentSince Aug 20, 2011 Accepting new patients
Medexpress, Inc - Delaware Family Medicine CurrentSince Jul 1, 2012 Accepting new patients
Medexpress Urgent Care, PC - Tennessee Emergency Medicine CurrentSince Dec 5, 2012 Accepting new patients
Medexpress Urgent Care, PC - Oklahoma Emergency Medicine CurrentSince Jun 10, 2015 Accepting new patients
Medexpress Urgent Care Texas, P.a. Emergency Medicine CurrentSince Oct 18, 2017 Accepting new patients
Dwic of Tampa Bay, Inc. Current Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania Emergency Medicine CurrentSince May 27, 2017 Accepting new patients
Medexpress Urgent Care Texas, P.a. Emergency Medicine CurrentSince Oct 18, 2017 Accepting new patients
Urgent Care, PC - Pennsylvania Emergency Medicine Current Accepting new patients
Medexpress Urgent Care PLLC-Morgantown Emergency Medicine Past Accepting new patients
Medexpress Urgent Care Texas, P.a. Emergency Medicine Past Accepting new patients
Medexpress Urgent Care of West Boca Raton LLC Past Accepting new patients
Medexpress Primary Care Arkansas, P.a. Family Medicine PastSince Jul 27, 2020 Accepting new patients
Medexpress Urgent Care, PC - Monaca Emergency Medicine Past Accepting new patients

Locations (25 of 26)

1160 S 40th St
Springdale, AR 72762
Phone (479) 750-2971

2722 Concord Pike
Wilmington, DE 19803
Phone (302) 477-1406

19090 State Road 7
Boca Raton, FL 33498
Phone (561) 314-4650

7593 Boynton Beach Blvd
Ste 190
Boynton Beach, FL 33437
Phone (561) 572-3200

1809 N University Dr
Coral Springs, FL 33071
Phone (954) 510-1900

8849 State Road 52
Hudson, FL 34667
Phone (727) 863-7150

1120 Homestead Rd N
Lehigh Acres, FL 33936
Phone (239) 303-5020

4520 Donald Ross Rd
Ste 100
Palm Beach Gardens, FL 33418
Phone (561) 776-3090

1021 N State Road 7
Royal Palm Beach, FL 33411
Phone (561) 296-5700

2810 W Mlk Blvd
Tampa, FL 33607
Phone (813) 289-6637

1505 Memorial Dr
Chicopee, MA 01020
Phone (413) 331-4336

430 Cooley St
Springfield, MA 01128
Phone (413) 295-4144

1741 Dual Hwy
Ste A
Hagerstown, MD 21740
Phone (301) 790-0254

3428 NW Cache Rd
Lawton, OK 73505
Phone (580) 595-7207

4808 Edgmont Ave
Brookhaven, PA 19015
Phone (610) 876-3072

370 Southpointe Blvd
Ste 100
Canonsburg, PA 15317

7219 McKnight Rd
Ste F
Pittsburgh, PA 15237
Phone (412) 367-3278

2686 W State St
Bristol, TN 37620
Phone (423) 844-0026

1 Bethel Valley Rd
Oak Ridge, TN 37830
Phone (865) 574-7431

10152 Lake June Rd
Ste 110
Dallas, TX 75217
Phone (972) 557-6551

5001 S Hulen St
Fort Worth, TX 76132
Phone (817) 361-1928

22915 Morton Ranch Rd
Katy, TX 77449
Phone (281) 574-0124

11826 Broadway St
Pearland, TX 77584
Phone (713) 340-1124

1305 N Highway 77
Waxahachie, TX 75165
Phone (972) 937-1203

1336 W Main St
Salem, VA 24153
Phone (540) 389-0374

Interoperability endpoints

  • Direct secure messaging: david.ferrell.1@23648.direct.athenahealth.com

Organizations & group practices 29

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.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1376542290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 GRAND CENTRAL AVE",
            "address_2": "STE 115",
            "city": "VIENNA",
            "state": "WV",
            "postal_code": "261051079",
            "telephone_number": "304-295-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 GRAND CENTRAL AVE",
            "address_2": "STE 115",
            "city": "VIENNA",
            "state": "WV",
            "postal_code": "261051079",
            "telephone_number": "304-295-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRELL",
        "first_name": "DAVID",
        "middle_name": "RALPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "19776",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35076392",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "19776",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1802554000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, WV

Sources for this page

Verify at the official NPI Registry.