Connie Fay Dorfner, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

01283 Issued in WV

Practice address

18 River Walk Mall
South Charleston, WV 25303-1026

Phone

(304) 720-7317

Fax

(304) 720-7319

NPI assigned

Sep 28, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Charleston Treatment Center, LLC

  • Methadone Clinic
  • Charleston, WV
  • NPI 1720480668
  NPD (past)
• Charleston Treatment Center, LLC

  • Methadone Clinic
  • Charleston, WV
  • NPI 1861906687
  NPD (past)
• Charleston Treatment Center, LLC.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Charleston, WV
  • NPI 1255349726
  NPD (past)
• Premise Health of West Virginia Medical, Medical Corporation

  dba City of South Charleston

  • Multi-Specialty Clinic/Center
  • South Charleston, WV
  • NPI 1750055828
  NPD (past)

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

{
    "created_epoch": "1222560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222560000000",
    "number": "1407006323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 RIVER WALK MALL",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253031026",
            "telephone_number": "304-720-7317",
            "fax_number": "304-720-7319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 RIVER WALK MALL",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253031026",
            "telephone_number": "304-720-7317",
            "fax_number": "304-720-7319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORFNER",
        "first_name": "CONNIE",
        "middle_name": "FAY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-28",
        "last_updated": "2008-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WV",
            "license": "01283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dulley Dingess
• Kylee Dolin, LGSW
• Denise Donahue
• Rebecca J Donohoe
• Kelley Dorcas
• Noel M. Doromal, M.D.
• Victoria Dorsett
• Jessica Dorsey
• Selina Doss
• Kevin Dotson

• Medical Physician Assistant in South Charleston, WV
• Providers in South Charleston, WV by specialty
• Medical Physician Assistant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.