Active NPI
Jordan A Nash, MD
- Pediatrics Physician
- Scott Depot, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 24824
- Practice address
- 111 Great Teays Blvd
Scott Depot, WV 25560-9548 - Phone
- (304) 757-8459
- Fax
- (304) 757-6904
- NPI assigned
- May 26, 2009
- Last updated
- Nov 12, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 24824 | WV | Primary |
Addresses
Primary practice location
111 Great Teays Blvd
Scott Depot, WV 25560-9548
Mailing address
PO Box 1680
Huntington, WV 25717
Phone (304) 697-1396
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100239930 | Medicaid | WV | |
| 0075746 | Medicaid | OH | |
| 3810023601 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Health Systems Inc | Current | Accepting new patients | |
| Valley Health Systems Inc | Pediatrics | Current | Accepting new patients |
| Valley Health Systems Inc | Current | Accepting new patients | |
| Valley Health Systems Inc | Current | Accepting new patients | |
| Valley Health Systems, Inc. | Current | Accepting new patients | |
| Valley Health Systems, Inc. | Pediatrics | Current | Accepting new patients |
| Valley Health Systems Inc | Current | Accepting new patients | |
| Valley Health Systems Inc | Past | Accepting new patients |
Locations
2585 3rd Ave
Huntington, WV 25703
Phone (304) 697-1396
3729 Teays Valley Rd
Ste 100
Hurricane, WV 25526
Phone (304) 760-6040
220 Johns Creek Rd
Milton, WV 25541
Phone (304) 743-1407
111 Great Teays Blvd
Scott Depot, WV 25560
Phone (304) 757-1907
Interoperability endpoints
- jnash20145@valleyhealthsystems.direct-ci.com
Organizations & group practices 8
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.
-
dba Valley Health Hospital Services
- Obstetrics & Gynecology Physician
- Huntington, WV
- NPI 1184699415
Pediatrics
-
dba Valley Health Highlawn
- Federally Qualified Health Center (FQHC)
- Huntington, WV
- NPI 1902962368
-
dba Valley Health Milton
- Federally Qualified Health Center (FQHC)
- Milton, WV
- NPI 1548542277
-
dba Valley Health Teays Pediatrics
- Federally Qualified Health Center (FQHC)
- Scott Depot, WV
- NPI 1700446929
Pediatrics
-
- Clinical Medical Laboratory
- Huntington, WV
- NPI 1023083854
-
dba Valley Health Hurricane
- Federally Qualified Health Center (FQHC)
- Hurricane, WV
- NPI 1225154206
-
dba Cabell Midland Health Center
- Federally Qualified Health Center (FQHC)
- Ona, WV
- NPI 1417923236
-
dba Grant Medical Center
- Family Medicine Physician
- Milton, WV
- NPI 1891775557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605139200000",
"number": "1437384161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1680",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "25717",
"telephone_number": "304-697-1396",
"fax_number": "304-297-2086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 GREAT TEAYS BLVD",
"city": "SCOTT DEPOT",
"state": "WV",
"postal_code": "255609548",
"telephone_number": "304-757-8459",
"fax_number": "304-757-6904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASH",
"first_name": "JORDAN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-26",
"last_updated": "2020-11-12",
"certification_date": "2020-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WV",
"license": "24824",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100239930",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0075746",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810023601",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Scott Depot, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.