Etn MD Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ETN MD INC.

Practice address

2401 S Kanawha St Ste 100
Beckley, WV 25801-6967

Phone

(202) 294-4942

NPI assigned

Mar 11, 2021

Organization subpart

No

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

Authorized official

Name

Elizabeth T Nelson, MDNPI 1568651180

Title

President

Phone

(202) 294-4942

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth T Nelson, MD

  • Internal Medicine Physician
  • Beckley, WV
  • NPI 1568651180

  Internal Medicine, WV

  Medicare reassignment NPD Authorized official
• Ramzi Haddadin, M.D.

  • Pulmonary Disease Physician
  • Beckley, WV
  • NPI 1902844848
  NPD
• Marsha Renea Horton, FNP-BC

  • Family Nurse Practitioner
  • Beckley, WV
  • NPI 1740542562
  NPD (past)

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

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615420800000",
    "number": "1427633445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 ROBERT WAY",
            "city": "DANIELS",
            "state": "WV",
            "postal_code": "258329051",
            "telephone_number": "202-294-4942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 S KANAWHA ST STE 100",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258016967",
            "telephone_number": "202-294-4942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETN MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-11",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-294-4942",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerry A Esprit, CRNA
• Mariaida Esquilin
• Ginger Estep
• Robert David Estepp II, CTRS
• Ahmad Eter, MD
• Evans Chiropractic PLLC
• Brittany Michelle Evans, LPN
• Carmen C Evans
• Donna Jean Evans, O.T.
• Eugene R Evans II, DO

• All providers in Beckley, WV
• Internal Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.