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Individual provider Active NPI

Deborah L Chadwick, MD

  • Surgery Physician
  • Hurricane, WV
National Provider Identifier
1427094903
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
42253 Issued in KY
Practice address
1401 Hospital Dr Ste 300
Hurricane, WV 25526-9104
Phone
(304) 351-1755
NPI assigned
Jun 21, 2006
Last updated
Jan 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 42253 KY Primary

Addresses

Primary practice location

1401 Hospital Dr Ste 300
Hurricane, WV 25526-9104

Mailing address

1401 Hospital Dr Ste 300
Hurricane, WV 25526-9104
Phone (304) 351-1755

Other identifiers 5

IdentifierTypeStateIssuer
000000589169OtherKYANTHEM BCBS
000000614208OtherKYANTHEM BCBS
2275505MedicaidOH
P00648377OtherKYRR MEDICARE
64040728MedicaidKY

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
I20051213000017 WV Practitioner - General Surgery 4385534072 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
JC Edwards School of Medicine, Marshall University, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

501 Morris St
Charleston, WV 25301-1326
Phone (304) 388-7823

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy49
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux29
Removal of tissue29
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Area Medical Center, Inc. CurrentSince Mar 31, 2023 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Mar 31, 2023 Accepting new patients
Davis Memorial Hospital CurrentSince Oct 2, 2017 Accepting new patients
Davis Memorial Hospital CurrentSince Oct 2, 2017 Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients
Deborah L Chadwick, MD, PC Surgery PastSince Jan 15, 2003 Accepting new patients

Locations

11 N Locust St
Buckhannon, WV 26201
Phone (304) 472-1600

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

812 Gorman Ave
Elkins, WV 26241
Phone (304) 636-3300

1401 Hospital Dr
Ste 300
Hurricane, WV 25526
Phone (304) 351-1551

Organizations & group practices 6

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 11

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": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1427094903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 HOSPITAL DR STE 300",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255269104",
            "telephone_number": "304-351-1755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 HOSPITAL DR STE 300",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255269104",
            "telephone_number": "304-351-1755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHADWICK",
        "first_name": "DEBORAH",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "42253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000589169",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000614208",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2275505",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00648377",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64040728",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurricane, WV

Sources for this page

Verify at the official NPI Registry.